- Highmark Health (Camp Hill, PA)
- …National Committee for Quality Assurance (NCQA), (c) Joint Commission accreditation compliance , (d) quality measures required by state regulators, (e) certain ... Program, (b) the National Committee for Quality Assurance (NCQA) compliance , (c) Joint Commission accreditation compliance , (d)...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more
- Nelnet (Harrisburg, PA)
- …units. + Implement data quality checks and error handling mechanisms. + Ensure compliance with data governance, privacy , and security policies. + Monitor ... and cloud data platforms. + Experience with data governance and compliance frameworks. + Experience keeping cross-functional technical teams accountable. +… more
- Evolent (Harrisburg, PA)
- …goals into technical solutions + Design integration architectures that maintain HIPAA compliance and protect patient privacy + Implement robust security ... may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more
- Champion Home Builders Inc. (Claysburg, PA)
- …resources functions and ensures policies, procedures, and reporting are in compliance in accordance with corporate Human Resources guidance/policies. + Plans and ... collaboration with third-party vendors and employees that provide timely communication and compliance with federal and state laws as applicable. Oversees and ensures… more
- Highmark Health (Camp Hill, PA)
- …of professionals, managing significant budgets and ensuring successful contract performance and compliance across all government programs. A key focus will be on ... state Medicaid officials and stakeholders. + **Contract Management & Compliance :** Oversee the administration and compliance of...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more
- PNC (Pittsburgh, PA)
- …Update AML and Sanctions policies and procedures as needed. Ensure that Compliance Manuals, Front Office Manuals, policies and procedures accurately reflect current ... (from a leadership position) to the business. Coordinate AML and Sanctions compliance monitoring and oversee preparation of compliance reports. May serve… more
- Highmark Health (Pittsburgh, PA)
- …partners with HR Operations to ensure understanding of plans and compliance requirements and provides oversight of benefit plan processes. **ESSENTIAL ... Ensuring cost effectiveness + Ensuring market competitiveness + Determining regulatory compliance + Maintaining consistency with the Company's overall strategic plan… more
- Highmark Health (Pittsburgh, PA)
- …documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional ... teams including Care Management, STARS, Compliance , clinical leadership of health systems, physicians and vendors...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more
- Highmark Health (Blue Bell, PA)
- …(Clinical Services, Provider Transformation, Network Contracting, Actuarial, Finance and Compliance ) to develop, implement, and continually refine prospective and ... Manage a budget of approximately $70M. 2. Quality Assurance/ Compliance + Implement a governance structure that provides significant...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more
- Highmark Health (Harrisburg, PA)
- …IT, Legal and other departments, proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their ... processes, and implement effective controls and procedures to maintain compliance . This job performs business analysis tasks by supporting...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more