• VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …(Clinical Services, Provider Transformation, Network Contracting, Actuarial, Finance and Compliance ) to develop, implement, and continually refine prospective and ... in aggregate. + Manage a budget of approximately $70M. 2. Quality Assurance/ Compliance + Implement a governance structure that provides significant oversight of the… more
    Highmark Health (07/30/25)
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  • Director Medical Records

    Highmark Health (Pittsburgh, PA)
    …+ 3 years of experience in operations in an acute care hospital setting Preferred + Bachelor's Degree **_Disclaimer:_** _The job description has been designed to ... 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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  • Sr. Provider Onboarding Specialist - Physician…

    Guthrie (Sayre, PA)
    compliance Education A high school diploma is required. A Bachelor's Degree in related field is preferred . Essential Functions Leadership and Mentorship: ... in onboarding processes, collaboration with various departments, and ensuring compliance with regulatory standards. The Sr. Provider Onboarding Specialist is… more
    Guthrie (07/23/25)
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  • Director, Patient Services and HUB

    Sumitomo Pharma (Harrisburg, PA)
    …brand strategy and market access goals. + Collaborate closely with **legal, compliance , privacy and regulatory teams** to ensure program design and execution adheres ... + Partner with Access Marketing, Brand, Data & Analytics, Legal, Compliance , Medical Affairs, IT, and other cross-functional teams to ensure alignment… more
    Sumitomo Pharma (08/15/25)
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  • Surveillance Investigator

    Allied Universal (York, PA)
    …composure and professionalism + Ability to work in a very independent environment ** PREFERRED QUALIFICATIONS (NICE TO HAVE):** + Associate's Degree or higher, ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services… more
    Allied Universal (08/23/25)
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  • Regional Manager

    TREK Development Group (Pittsburgh, PA)
    …and various LIHTC (Low Income Housing Tax Credit) programs + Real estate license preferred (or required by state law ) + Industry certifications such as Certified ... the full ownership of the assigned portfolio, including financial oversight, compliance , team development, and resident satisfaction. The portfolio will consist of… more
    TREK Development Group (08/08/25)
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  • Senior Paralegal (Corporate)

    Highmark Health (Pittsburgh, PA)
    …a year-for-year basis (eg 4 years relevant work experience equals a Bachelor's degree ). Preferred + None **SKILLS** + Observe high standards of confidentiality ... Paralegal position works under the supervision of attorneys of the law department conducting fact development, investigation and collection of relevant information… more
    Highmark Health (07/23/25)
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  • Business Resiliency Oversight

    PNC (Pittsburgh, PA)
    …and required certifications/licensures needed to be successful in this position. ** Preferred Skills** Compliance Reporting, Customer Risk, Decision Making, ... of the 2LOD Business Resiliency Risk Enhancements and Operating Plan Preferred Skillsets: - Business Resiliency and Operational Resilience Experience - Second… more
    PNC (08/21/25)
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  • Clinical Research Coordinator B/C (Palliative…

    University of Pennsylvania (Philadelphia, PA)
    …or public health is preferred , but not required. CRC C: A bachelor's degree is required, preferentially focusing in the social or health sciences, and 4-6 years ... will maintain all regulatory clinical trial documents and protocols ensuring compliance with the Institutional Review Board, the Abramson Cancer Center Trial… more
    University of Pennsylvania (08/20/25)
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  • Project Controls Professional

    Stantec (Philadelphia, PA)
    … in business, construction management, architecture / engineering, or related degree preferred . Candidates with equivalent combination of skills, education, ... Key Responsibilities Project Management: - Collaborate with Project Manager for compliance of Stantec ISO standards for Project Management, including participation… more
    Stantec (08/07/25)
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