- Highmark Health (Monroeville, PA)
- …recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful ... Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines… more
- Highmark Health (Pittsburgh, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. + Serves as a resource person in dealing ... Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines… more
- Highmark Health (Natrona Heights, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) + Serves as a resource person in ... Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines… more
- Highmark Health (Monroeville, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) + Serves as a resource person in ... Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines… more
- Penn Medicine (Philadelphia, PA)
- …community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor ... DME, placements, hospice, community resources, transportation Quality data collection and risk management referral Works with patient and family to assure provision… more
- Datavant (Harrisburg, PA)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily ... in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides expertise… more
- Bristol Myers Squibb (Scranton, PA)
- …lives. Read more: careers.bms.com/working-with-us . **Position:** District Business Manager **Therapeutic Area (TA):** Cardiovascular **Location** : US Field, ... and make a difference. **Position Summary** The District Business Manager is a critical role in our unique customer...by your state of residence; and 3) a driving risk level deemed acceptable by the Company. **Key competencies… more
- Sedgwick (Harrisburg, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Summary: + The Patient Safety Manager (PSM) is responsible for the planning, administration, and monitoring of the patient ... PSM is a liaison with the following corporate departments: Risk Management/ Legal, Quality and Patient Safety, the Penn...(OMA), the Office of Patient Affairs (OPA), Penn Medicine Privacy Office and Office of General Counsel.The PSM leads… more
- Datavant (Harrisburg, PA)
- …systems, teams, and business units. **About the role** As a **Senior Technical Program Manager - Security** , you will own the delivery operating model for a set ... broader efforts such as identity and access management, audit readiness, and risk mitigation. + **Translate strategic goals into program delivery plans** that… more