- Jacobs (Conshohocken, PA)
- …of strategically focused professionals as a member of the team, supporting our operations across the Americas. Working together, we'll help you grow and pursue what ... and insurance program structure, placement, and management to Jacobs' operations around the world. This role resides in the... around the world. This role resides in the Legal /Risk Department and reports to the Director, Global Risk… more
- CVS Health (Harrisburg, PA)
- …Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna compliance review process for your assigned TPA(s). + Manage monthly billing / ... queries regarding your assigned TPA(s). + Manage day to day provider operations , either direct or through network business partners. Ensures operational efficiency… more
- Highmark Health (Harrisburg, PA)
- …achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation ... combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + GI… more
- Robert Half Management Resources (Pittsburgh, PA)
- …role, you will play a critical part in overseeing cost accounting operations within a manufacturing environment. The ideal candidate will have extensive expertise ... entries and reconciliations. * Oversee financial statement audits and ensure compliance with regulatory standards. * Analyze and implement cost accounting practices,… more
- Highmark Health (Wexford, PA)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Manages laboratory operations and is responsible for all employment related activities, budgets, ... the performance improvement model to correct quality issues. Ensures that compliance standards are met. (20%) + Oversees the development/revision of procedure… more
- Cardinal Health (Harrisburg, PA)
- …user stories and acceptance criteria. + Partner with engineering, UX, marketing, operations , and compliance teams to ensure thoughtful planning and execution ... to support the end-to-end commerce experience. + Partner with legal , privacy, and compliance stakeholders to ensure...experience. + Partner with legal , privacy, and compliance stakeholders to ensure all solutions meet regulatory standards… more
- Highmark Health (Pittsburgh, PA)
- …and workflow. Manages the employees and manages the day to day operations of the department. **ESSENTIAL RESPONSIBILITIES:** + Manages the clinical process redesign, ... Service Values. + Assists with the annual budgets. Ensures cost effective operations by scrutinizing resource utilization such as scheduling practices, payroll and… more
- Datavant (Harrisburg, PA)
- …partner for the Cloud Platform teams (Cloud Software, Cloud Services, Cloud Operations ). These teams are responsible for managing third-party tools /platforms (EG ... a healthcare (or a similar industry) where security / compliance play a major role in how things get...available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not… more
- Wipfli LLP (Radnor, PA)
- …in risk assessment, audit procedures, and reporting . + Oversee daily operations of the audit engagement. From staffing, planning, budgeting, risk assessment, ... guidance on complex accounting matters and transactions + Assist clients with GAAP compliance and the adoption of FASB Accounting Standard Updates . Address client… more
- Highmark Health (Pittsburgh, PA)
- …and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as ... do this job._ **_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more