• Risk Adjustment Clinical Auditor/…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/ Analyst position in the Medicare department. This is a full time position ... Auditor/ Analyst is an integral part of the Risk Adjustment Department and is responsible for...Obtain CPE or CEU's to maintain nursing license, and/or professional designations. + Within 6 months of hire complete… more
    UPMC (09/30/25)
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  • Analyst , Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and anatomy for all body systems + Understand the audit process for risk adjustment models. + Identify and communicate documentation deficiencies to allow… more
    CVS Health (10/02/25)
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  • Senior Business Analyst I

    RELX INC (Philadelphia, PA)
    …both Technical and Non-Technical team members? Are you a collaborative Business Systems Analyst looking to work for a mission driven global organization? About the ... role, The Senior Business Analyst I is a senior-level position that will work...justify proposed improvements by articulating ROI, efficiency gains, or risk mitigation. + Change Management Awareness - Understanding of… more
    RELX INC (10/02/25)
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  • Senior IT Audit Analyst

    Highmark Health (Harrisburg, PA)
    …activities to determine whether Highmark Health and its subsidiaries' network of risk management, control, and governance processes, as designed and operated by ... the Highmark Health enterprise, while maintaining independence and adhering to professional industry standards. + Creates a positive working environment through the… more
    Highmark Health (09/11/25)
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  • Senior SQL Data Analyst , Clinical AI…

    RELX INC (Philadelphia, PA)
    …monitoring systems + Conducting comprehensive QA of AI outputs and participating in risk analysis and mitigation + Understanding how security and privacy laws such ... process. If you have a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant Request Support Form or… more
    RELX INC (10/06/25)
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  • Youth Care Worker

    County of Northampton (Easton, PA)
    …you desire a position where you can make a real difference in the lives of at- risk youth? Apply today to become a Youth Care Worker with the County of Northampton! ... questions regarding this posting, please contact Sherry Christman, Human Resources Analyst ###@norcopa.govor ###. Equal Employment Opportunities - It is the policy… more
    County of Northampton (09/19/25)
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