- Penn State Health (Hershey, PA)
- …(CPPS) upon hiring OR within one (1) year of hiring. + Certified Professional in Healthcare Risk Management (CPHRM) upon hiring OR within one (1) year of hiring. ... SUMMARY OF POSITION: This role assists the Director of Risk Management with the daily management and operations of...with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of… more
- Highmark Health (Harrisburg, PA)
- …related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years ... role **Preferred** + 10 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years in Healthcare … more
- UPMC (Pittsburgh, PA)
- …duties as assigned. + Juris doctor preferred or master's degree with concentration in healthcare . + Minimum of 5 years risk management experience. + Knowledge of ... Division Chief Legal Officer & VP Compliance, Quality and Risk Management and the Risk Management team...Federal and State regulations impacting healthcare . + The ability to prepare and critically analyze… more
- Datavant (Harrisburg, PA)
- …of professional, educational and life experiences to realize our bold vision for healthcare . **Role Overview** As a Product Manager, Risk Adjustment Analytics ... management, healthcare analytics, or data product roles, ideally within risk adjustment or value-based care. Must possess strong knowledge of product development… more
- NASCO (Harrisburg, PA)
- …and engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management, and member engagement. ... SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk ...US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications… more
- Penn Medicine (West Chester, PA)
- …develop discharge plans, and record progress notes. They will also manage healthcare risk appraisal, interpret diagnostic tests, administer and order medications ... and emergency treatment, and communicate with families the changing care needs of their family member. They will be responsible for the changing needs of patients in the hospital in the night hours. They will not be doing rapid responses or codes. The… more
- Highmark Health (Camp Hill, PA)
- … or Healthcare related industry + 3 years overseeing privacy, risk , audit, and/or compliance teams **Preferred** + 3 years with contract negotiations **LICENSES ... :** **JOB SUMMARY** This job is responsible for the day-to-day direction of all risk and compliance assessment activities of Highmark Health across a broad range of… more
- Datavant (Harrisburg, PA)
- …+ BS degree in business, technology or related field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding, physician workflow, ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...between internal resources and clients in support of custom risk adjustment projects and reports on project status to… more
- UPMC (Pittsburgh, PA)
- **Purpose:** Under the supervision of the Senior Manager, Corporate Risk Management, the function of the position is systematic management of potential as well as ... educational programs.? Maintain awareness of current legislative activity affecting Risk Management by participating in local and national professional societies.… more
- Robert Half (Philadelphia, PA)
- JOB REQUISITION Philadelphia Risk and Compliance Consultant - 2026 LOCATION PHILADELPHIA ADDITIONAL LOCATION(S) JOB DESCRIPTION Are You Ready to Live Something ... to make a difference? You've come to the right place. POSITION HIGHLIGHTS Risk and Compliance consultants work with Protiviti's clients, who are typically among the… more