- PNC (Pittsburgh, PA)
- …Sanctions Program monitoring reviews. + Reviews AML and Sanctions compliance reports and related customer risk profiles. Identifies issues, escalates through ... training programs for specific employees. Serves as a senior AML and Sanctions Program subject matter resource regarding compliance impact on overall business… 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 to develop programs that deliver measurable,… 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 (Harrisburg, PA)
- …decisions, engage onsite operational teams and drive results. + Participates and leads program level meetings with program stakeholders. + Works closely with CFO ... changes related to payer policies, contracting, regulatory updates and compliance requirements + Facilitates monthly client meeting to review...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… 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)
- …Works closely with the Medical Staff, nursing and ancillary departments to assure compliance with JC, DOH, CMS and other regulatory bodies on requirements for ... applications, including the electronic medical record. (10%) + Ensures compliance with regulatory requirements and accreditation standards in Health Information… more
- IQVIA (Wayne, PA)
- …This position will support the implementation and management of data privacy policies, compliance initiatives, and information governance strategies across ... are sourced from various disciplines and activities, including data privacy , information security, contracts, intellectual property, company policies and procedures,… more
- Highmark Health (Pittsburgh, PA)
- …Designated Institutional Official (DIO) and residency coordinators, house staff, and program directors to facilitate efficient operations, compliance with ACGME ... of residency and fellowship programs in order to achieve compliance with the established ACGME, ADA, CPME, CODA and...and ACGME requirements, review and approval of annual RRC program accreditation requirements, review of new program … more
- PSI Services (Harrisburg, PA)
- …Architect plays a key role in supporting PSI's commitment to data security, privacy , and compliance . This role is responsible for driving core activities ... assurance to stakeholders that PSI prioritizes the security and privacy of its data and systems. This is a...the Snr Director of Information Security, Governance, Risk and Compliance and may be performed remotely, with occasional travel… more
- Highmark Health (Harrisburg, PA)
- …GHP, NCQA, and all regulatory agency standards. This includes delegation program , policies/procedures, and all necessary compliance documentation. The incumbent ... NCQA, DPW, and DOH, policies and procedures related to GHP's delegated program . + Establish and implement monitoring processes to evaluate performance against… more