- Highmark Health (Harrisburg, PA)
- …reporting deliverables.Review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of ... works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for… more
- Compass Group, North America (Wayne, PA)
- …and implement corrective action plans. + Develop and oversee an internal peer audit and quality assurance program that supplements third-party assessments and ... standards, and emergency preparedness. + Proven ability to lead quality assurance or peer audit programs. +...ability to lead quality assurance or peer audit programs. + Skilled in translating regulatory requirements into… more
- Datavant (Harrisburg, PA)
- …+ Provide monthly performance data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans for ... accounts and team members, focusing on resource scheduling, productivity, quality assurance, employee management, and client relations. **You Will:** **Customer… more
- Highmark Health (Pittsburgh, PA)
- …reporting deliverables.Review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of ... assessment results, engagement risks, and developassurance plans (eg, on-site audit , contract review, financials assessment, purchasing data analysis) to address… more
- UPMC (Pittsburgh, PA)
- …to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post- Audit Training:** Conduct post- audit compliance ... training sessions for physicians and non-physician practitioners based on audit results. These sessions will provide education specific to the issues found during… more
- Highmark Health (Pittsburgh, PA)
- …reporting deliverables.Prepares all work paper and supporting documentation evidence according to audit quality standards in a consistent manner. + Schedules, ... risks, and assists with the development of assurance plans (eg, on-site audit , contract review, financials assessment, purchasing data analysis) to address relevant… more
- ManpowerGroup (Pittsburgh, PA)
- …of presentation. + Detail reviews the work of others to ensure the quality and accuracy of audit 's analysis and conclusions; identifies, communicates, and ... $65-75/hr** **Job Description** + Manages financial, compliance, and/or operational audit reviews, including the evaluation of design and operating effectiveness… more
- Ryder System (Mechanicsburg, PA)
- …communicate issues to Technical Assistance Center.Develop and ensure implementation of Quality Assurance Audit Corrective Action plans and Continuous Improvement ... for the Senior Operations Manager II, Field Operations Manager, or Quality Assurance Manager roles. **Position/Shop Location - Mechanicsburg PA** **_Bonus… more
- CVS Health (Harrisburg, PA)
- …relation to retention, cancellations, and rapid disenrollment. + Adherence to call center quality audit programs. + Highest levels of member satisfaction as ... monitoring audits and coaching feedback sessions to review schedule adherence, quality , selling skills and compliance. + Ensuring that the relevant information… more
- UPMC (Pittsburgh, PA)
- …in professional services, including practice management, nursing, clinical documentation improvement or quality audit . + 2-3 years of teaching experience in a ... Health Plan and assist them with identifying strategies that will improve their quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager… more