- Datavant (Harrisburg, PA)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . We're looking for a Risk Adjustment Trainer to help us ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and… more
- Highmark Health (Harrisburg, PA)
- …job provides end-to-end management , delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and ... its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills...mentoring of program team members. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to:… more
- West Pharmaceutical Services (Exton, PA)
- …Responsibilities** + Understand and promote Corporate objectives and functional insurance/ risk management requirements. + Maintain strong working relationships ... millions of patients daily, West's indelible mark on the healthcare industry has just begun. A name started our...**Education and Work Experience** + Bachelor's degree in Business, Risk Management or related field + CIC/CRM/ARM… 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
- CVS Health (Harrisburg, PA)
- …of any adverse state findings and consent orders. + Identifies and reviews legal risk for business areas/subject matter experts for purposes of assessing ... advice, and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry.… more
- CVS Health (Harrisburg, PA)
- …market conduct exams and regulatory inquiries and investigations. + Determines potential legal , financial, or operational risks to develop risk mitigation ... with heart, each and every day. Position Summary: The Senior Manager, Legal Contracts participates in the development and fulfillment of market conduct examination… more
- WTW (Philadelphia, PA)
- …+ Responsible for the development and execution of our annual WTW Healthcare Risk Conference including securing sponsorships, identifying content and speakers, ... **Description** **The Role** The Healthcare and Life Sciences (HC&LS) Industry Vertical leader...and geographies. Promote our brand by actively integrating CRB risk management solutions with the broad array… more
- PNC (Philadelphia, PA)
- …Oversees legal research, analysis, consultation, and documentation within a framework of legal compliance and risk management . + Responsible for managing ... to ensure they adhere to and support PNC's Enterprise Risk Management Framework. **Qualifications** Successful candidates must...Skills** Legal Compliances, Legal Consulting, Legal Practices, Legal Risk , Regulatory… more
- Genesis Healthcare (Paoli, PA)
- …implements all necessary quality controls to ensure operational stability and appropriate risk management . 13. Ensures that Executive Directors are knowledgeable ... Overview At Genesis Healthcare , we are dedicated to improving the lives...the Executive Director to affect the smooth transition of management in new acquisitions and establish transition plans in… more
- WTW (Philadelphia, PA)
- **Description** As a Healthcare Financial/Actuarial Associate you will contribute to a wide variety of complex analyses and projects involving the design, financing, ... your health and benefits business acumen as well as your financial, project management and communication skills by working on cutting edge projects alongside leaders… more