- UPMC (Pittsburgh, PA)
- …consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit Training:** Conduct post-audit compliance training sessions ... billing rules set forth by CMS and other relevant federal and state regulatory agencies. + **E/M and External Audits:** Complete Evaluation and Management (E/M)… more
- Highmark Health (Pittsburgh, PA)
- …all work paper and supporting documentation evidence according to audit quality standards in a consistent manner. + Schedules, delivers, and follows-upto ... performance of internal control activities, awareness of contractual obligations, regulatory requirements, and assistance with responding to customer inquiries /… more
- Prime Therapeutics (Harrisburg, PA)
- …regard to business system knowledge on internal and client projects, regulatory requirements, process improvement, advanced research, root cause analysis, complex ... to their job, and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures....new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Grant Thornton (Philadelphia, PA)
- …define governance frameworks, and deploy Microsoft Purview solutions that support regulatory compliance and business resilience. From day one, you'll be empowered ... Lifecycle and Records Management + Supporting clients in aligning Microsoft Purview with regulatory frameworks such as GDPR, HIPAA, CCPA, and ISO 27001. + Conducting… more
- St. Luke's University Health Network (Quakertown, PA)
- …and multi-disciplinary care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: + Develops a ... setting, minimizing the risk of readmissions. + Issues applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare… more
- PNC (Pittsburgh, PA)
- …credit and non-credit products and services. + Manages risk/return and drives quality for new and/or existing clients. Actively identifies and mitigates different ... types of risk, such as regulatory , reputational, operational and credit risks. + Focuses on...Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals… more
- Fisher Associates (Canonsburg, PA)
- …+ Direct field staff during pipeline survey operations, ensuring industry and regulatory compliance. + Use GPS, drones, and survey instruments to gather topographic ... Document the exact location of installed pipelines and facilities for records and regulatory compliance. + Mark the location of pipeline features, such as trench… more
- Fisher Associates (Canonsburg, PA)
- …as needed. + Ensure compliance with safety codes, design standards, and regulatory requirements. + Conduct field inspections and prepare detailed bridge and culvert ... and ensure design integrity. + Collaborate with internal teams, subconsultants, regulatory agencies, and clients to ensure seamless project delivery. + Mentor… more
- Geisinger (Shamokin, PA)
- …diagnostic examinations using sonography. Responsible for the delivery of high quality , cost effective imaging services. Performs imaging procedures in area of ... the specific age range for their assigned area. Responsible for all regulatory requirements. Job Duties + Performs clinical assessment and diagnostic ultrasound… more
- Prime Therapeutics (Harrisburg, PA)
- …as Bedrock, Claude, Vertex AI, Gemini + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / ... to their job, and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures....new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more