- Highmark Health (Blue Bell, PA)
- …**Job Description :** **GENERAL OVERVIEW:** This position is responsible for risk revenue management for all government program products (commercial ACA, Medicare, ... and Medicaid). Establishes the strategic direction for the Risk Revenue Management process, assessment of revenue and cost trends to achieve revenue targets and… more
- Highmark Health (Pittsburgh, PA)
- …Description :** **JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of ... SOC, MAR, CMS, JCAHO, etc. The incumbent will partner with the organizational risk and business partners, the technology organization, and global delivery teams to… more
- Highmark Health (Pittsburgh, PA)
- …Description :** **JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of ... SOC, MAR, CMS, JCAHO, etc. The incumbent will partner with the organizational risk and business partners, the technology organization, and global delivery teams to… more
- UGI Corporation (King Of Prussia, PA)
- …on that basis. Nearest Major Market:Philadelphia Job Segment: Compliance, Risk Management, Behavioral Health, Substance Abuse, Law, Legal, Finance, Healthcare ... Global Senior Governance, Risk , and Compliance Analyst Location: King Of Prussia,...within its regulatory, legal, and compliance obligations while managing risk effectively. The Global GRC Senior Analyst will report… more
- Highmark Health (Harrisburg, PA)
- …Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and ... a highly matrixed environment. **ESSENTIAL RESPONSIBILITIES** + Plan and conduct risk assessment activities according to the appropriate framework, including but not… more
- Cardinal Health (Harrisburg, PA)
- …Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and ... currently have a full-time job opening for an Advisor, Vendor Third-Party Risk . **_Job Overview:_** The Vendor Third-Party Advisor is responsible for collaborating… more
- Sumitomo Pharma (Harrisburg, PA)
- …including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according ... issues. **Job Duties and Responsibilities** + Continuous monitoring and ongoing risk /benefit assessment for assigned investigational and marketed products. + Conduct… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Lead Actuary, Risk and Compliance is responsible for the overall management and oversight of actuaries ... controls and cost-effective approaches to minimize risks. The Actuary, Risk and Compliance works on problems of diverse scope...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims in accordance ... assess payment accuracy and identify potential claim payment risks. The Claims Risk Management Professional is expected to provide accurate, actionable, and thorough… more
- US Bank (Horsham, PA)
- …Summary The Customer Remediation Data Analyst in Consumer & Business Banking Risk will participate in projects that require research, data compilation and analysis ... Customer Remediation Support: The Consumer & Business Banking (CBB) Risk Data Team supports issue and business line management...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more