- Highmark Health (Camp Hill, PA)
- …**Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross Blue ... Shield Association (BCBSA), accreditation bodies, executive management , plan partners, group customers, and employee level performance. The programs for which the… more
- Stryker (Philadelphia, PA)
- …Assurance & Risk Advisory (ARA) team and help shape the future of risk management and governance. In this role, you'll partner with leaders across the ... team, ensuring the successful completion of audits, and driving continuous improvement in risk management and control processes. Our preference is for this role… more
- Highmark Health (Pittsburgh, PA)
- …**Required** + 7 - 10 years in the Healthcare Industry + 5 - 7 years in Management + 5 - 7 years in Risk Revenue **Preferred** + 3 - 5 years in Consulting ... and coding. Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support provider documentation… more
- WTW (Philadelphia, PA)
- …clients. + Develop new relationships with individuals responsible for insurance and risk management decisions. + Obtain referral leads from existing clients. ... propositions; sales marketing strategies and tactics; technical knowledge of insurance and risk management products, services, and value propositions; pipeline … more
- WTW (Philadelphia, PA)
- **Description** **The Role** As a Senior Consultant in the Corporate practice within Risk and Analytics, you will work on and assist project teams focused on ... reserve studies, pricing/funding analyses and captive consulting activities for our healthcare and corporate clients. You will be responsible for leading the… more
- Stryker (Philadelphia, PA)
- …expertise and risk acumen. Are you interested in driving improvements in risk management , controls, and governance processes? As a leader in our Assurance ... and Risk Advisory (ARA) function, you will play an integral...root causes. + Collaborate with control owners to develop management action plans and recommend process improvements to enhance… more
- Datavant (Harrisburg, PA)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . As an Auditor, HCC Risk Adjustment Coder, you will review ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a… more
- Stryker (Philadelphia, PA)
- …someone with financial and audit expertise and acumen. Are you interested in improving risk management , controls, and governance processes? As a member of our ... Assurance and Risk Advisory (ARA) function, you will play a key...critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program. Financial… more
- Datavant (Harrisburg, PA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Harrisburg, PA)
- …. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more