- GE Vernova (Allentown, PA)
- …+ Conduct training for quality processes as needed + Maintain Quality Management System procedures, perform audit , and direct calibration actions **Required ... **Job Description Summary** The Lead Process Quality Engineer is responsible for monitoring Metem's ... Quality Engineer is responsible for monitoring Metem's quality trends against business KPIs and identifying areas for… more
- Datavant (Harrisburg, PA)
- …instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...(at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience… more
- Citizens (Pittsburgh, PA)
- …+ Represent the team in partnership routines and cross-functional initiatives. + Support quality assurance & internal audit testing Required Skills & Experience: ... Documentation & Compliance + Create and maintain documentation for internal procedures, audit routines, and colleague readiness. + Manage system access requests and… more
- Highmark Health (Pittsburgh, PA)
- …collaborating cross-functionally. Implement and monitor productivity of team members, quality controls, audit recommendations, and ensure compliance with ... all relevant legislation, policies, and procedures. Serve as an operational thought partner and subject matter expert to HR and business leadership. + **Process Improvement & Standardization:** Manage the planning, resourcing, execution, communication, audits,… more
- Humana (Harrisburg, PA)
- …Director will attend and participate in meetings involving care management, provider relations, quality of care, audit , grievance and appeal and policy review. ... as well as a focus on collaborative business relationships, value-based care, quality metrics, population health, and disease or care management. The Behavioral… more
- Datavant (Harrisburg, PA)
- …verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical ... records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points… more
- Datavant (Harrisburg, PA)
- …instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding ... workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to… more
- CSL Behring (King Of Prussia, PA)
- …This includes the quality of case processing vendors, generation of case quality metrics and trend analysis, and audit and inspection readiness and support. ... Head of Risk Management, Aggregate Reports & Pharmacovigilance, as the **Senior Manager, ICSR Quality ** , you will be responsible for ensuring optimal quality of… more
- Highmark Health (Pittsburgh, PA)
- …+ Aids in the verification of evidence and supporting documentation, learning about audit quality standards. + Helps prepare draft sections of reports and ... other management reporting materials under supervision. + **Assist with Risk Management Processes:** + Supports the scheduling, distribution, and follow-up on risk questionnaires and other assessment requests to help ensure timely completion. + Learns about… more
- CVS Health (Harrisburg, PA)
- …to prevent gaps in organizational processes **Preferred Qualifications** + Experience in an Audit , Compliance and / or Quality role + Experience in healthcare ... the Pharmacy Services Finance department along with supporting SOX, SOC, and Audit testing through providing support/evidence to our internal and external audit… more