- Highmark Health (Harrisburg, PA)
- …and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role serves as a ... clinical subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management… more
- Highmark Health (Camp Hill, PA)
- …activities, issues, and remediation, promoting effective relationships.Manages teams conducting internal mock audits to ensure continuous audit preparedness, ... for are (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program (FEP) Quality Program, (b) the National… more
- M&T Bank (Bensalem, PA)
- …brand. + Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by ... **Overview** **:** Identifies customers' needs through the bank's retail sales process to provide proactive sales solutions through customer outreach for basic… more
- Compass Group, North America (Wayne, PA)
- …to develop and implement corrective action plans. + Develop and oversee an internal peer audit and quality assurance program that supplements third-party ... national footprint. This role ensures that all Crothall operations meet internal standards and external regulatory requirements, maintains accessible and up-to-date… more
- Highmark Health (Pittsburgh, PA)
- …deliverables.Prepares all work paper and supporting documentation evidence according to audit quality standards in a consistent manner. + Schedules, delivers, and ... interpretation of less-complex authoritative guidance. + Delivers risk assessments to internal and external contacts.Assists with the review of inherent risk… more
- Highmark Health (Pittsburgh, PA)
- …third-party, regulatory and/or compliance engagements to ensure appropriate security, audit , regulatory and operational risk terms are appropriately addressed. ... expectations, and alternative strategies to mitigate the Organization's concerns over security, audit , and risk provisions. + Other duties as assigned or requested.… more
- Datavant (Harrisburg, PA)
- …+ Serve as a trusted partner and clinical product expert for internal stakeholders ( Sales , Clinical, Operations, Client Success) and external clients ... platforms, and third party integrations. + Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions. **Execution… more
- Highmark Health (Pittsburgh, PA)
- …deliverables.Review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of documentation. + ... assessment results, engagement risks, and developassurance plans (eg, on-site audit , contract review, financials assessment, purchasing data analysis) to address… more
- Charles River Laboratories (Wayne, PA)
- …of people across the globe. Whether your background is in life sciences, finance, IT, sales or another area, your skills will play an important role in the work we ... and operations staff. ⦁ Manage site/operation Quality Assurance inspection and audit programs and schedule resources to assure efficient and effective operation… more
- Endo International (Malvern, PA)
- …for decision-making and stakeholder fair balance. Scope of Authority : Endo branded contracted sales under P&C is ~ $1B annually for the trade and specialty segments ... direct output of customer contracts and a critical component of gross-to-net sales on Endo's financial statements, accurate pricing and contractual terms are… more