• Director, Quality and Risk

    St. Luke's University Health Network (Orwigsburg, PA)
    …Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk Management (CPHRM) or appropriate alternative within 2 ... Safety is responsible for all aspects of Quality, Clinical Risk Management and Patient Safety for their...and near vision. EDUCATION: Bachelor's degree in nursing or healthcare related field is required. Master's Degree preferred or… more
    St. Luke's University Health Network (08/08/25)
    - Related Jobs
  • Director, Corporate Risk Mgmt

    UPMC (Pittsburgh, PA)
    …or master's degree with concentration in healthcare . + Minimum of 5 years risk management experience. + Knowledge of Federal and State regulations impacting ... Division Chief Legal Officer & VP Compliance, Quality and Risk Management and the Risk ...healthcare . + The ability to prepare and critically analyze… more
    UPMC (08/19/25)
    - Related Jobs
  • Director, Data & AI Architecture

    NASCO (Harrisburg, PA)
    …with product and engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management , and member engagement. ... and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management ...SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk more
    NASCO (07/24/25)
    - Related Jobs
  • Senior Risk Partner Management

    Highmark Health (Pittsburgh, PA)
    …to define the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but ... related field **EXPERIENCE** **Required** + 7 years in Compliance, Privacy, Government Affairs, Healthcare Operations, Risk , Audit, or legal functions + 5 years… more
    Highmark Health (08/29/25)
    - Related Jobs
  • Manager Risk & Compliance Management

    Highmark Health (Pittsburgh, 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
    Highmark Health (08/16/25)
    - Related Jobs
  • Senior Risk Management Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Reporting to the Senior Manager, Corporate Risk Management , the role involves systematically managing...have five years of experience within a clinical or healthcare setting along with a pharmacist or RN license,… more
    UPMC (08/08/25)
    - Related Jobs
  • Quality Assurance/ Risk Management

    Commonwealth of Pennsylvania (PA)
    Quality Assurance/ Risk Management Specialist - Warren State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5059211) Apply  ... Quality Assurance/ Risk Management Specialist - Warren State Hospital...fostering a culture of safety and accountability within the healthcare environment. Interested in learning more? Additional details regarding… more
    Commonwealth of Pennsylvania (09/01/25)
    - Related Jobs
  • VP Risk Adjustment Accuracy…

    Highmark Health (Blue Bell, PA)
    …on providing optimal financial returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS ... Inc. **Job Description :** **GENERAL OVERVIEW:** This position is responsible for risk revenue management for all government program products (commercial ACA,… more
    Highmark Health (07/30/25)
    - Related Jobs
  • Enterprise Risk Management Analyst…

    Prime Therapeutics (Harrisburg, PA)
    …our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst Senior - Remote **Job Description** The Senior Enterprise ... Risk Management (ERM) Analyst is responsible for... Risk Management (ERM) Analyst is...and devising and recommending solutions **Preferred Qualifications** + Managed healthcare , health insurance, or other highly regulated industry +… more
    Prime Therapeutics (08/31/25)
    - Related Jobs
  • Enterprise Risk Management Analyst…

    Prime Therapeutics (Harrisburg, PA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk ... and developing strategies to mitigate and manage risks. The role supports implements risk management policies and procedures, conducts risk assessments,… more
    Prime Therapeutics (08/31/25)
    - Related Jobs