• Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional… more
    Highmark Health (08/08/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... (Clinical Services, Provider Transformation, Network Contracting, Actuarial, Finance and Compliance ) to develop, implement, and continually refine prospective and… more
    Highmark Health (07/30/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Harrisburg, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... IT, Legal and other departments, proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their… more
    Highmark Health (07/11/25)
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  • Director Medical Records

    Highmark Health (Pittsburgh, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... Works closely with the Medical Staff, nursing and ancillary departments to assure compliance with JC, DOH, CMS and other regulatory bodies on requirements for… more
    Highmark Health (06/11/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
    Highmark Health (08/08/25)
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  • Provider Contract Analyst

    Highmark Health (Pittsburgh, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... to contractual and payment issues both internally and externally. Ensures compliance with contractual terms. **ESSENTIAL RESPONSIBILITIES** + Monitor activities by… more
    Highmark Health (07/17/25)
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  • Product Manager, Marketing Technology Strategy…

    Cardinal Health (Harrisburg, PA)
    …lead nurturing, or audience segmentation initiatives. + Deep understanding of healthcare compliance and privacy regulations ( HIPAA , CAN-SPAM, etc) preferred. ... decision making and continuous optimization. + Collaborate with IT and compliance teams to confirm marketing technologies are scalable, secure, and compliant… more
    Cardinal Health (07/03/25)
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  • Internal Audit Analyst

    Highmark Health (Pittsburgh, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... & Thursdays) This job executes operational, regulatory, and information technology compliance audits and advisory engagements to determine whether Highmark Health… more
    Highmark Health (08/22/25)
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  • Pharmacist - Inpatient - Part Time - Jefferson…

    Highmark Health (Jefferson Hills, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... purchases. Assures that all controlled substances are stored and dispensed in compliance with Federal, State and departmental regulations. (20%) + Work Environment:… more
    Highmark Health (08/22/25)
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  • VP, Health Engagement - Medicaid

    Highmark Health (Pittsburgh, PA)
    …employees must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and ... in areas like activation, engagement, quality, health, and cost. + **Maintain compliance :** Implement and oversee a comprehensive compliance program for clinical… more
    Highmark Health (08/16/25)
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