- UPMC (Pittsburgh, PA)
- …the nursing leader within the ambulatory service line. + Collaborate with the departments of Quality and Risk Management to identify risks and develop action ... with: + Proven experience in ambulatory nursing leadership and practice-based management + Deep understanding of ambulatory regulatory compliance and operational… more
- Penn Medicine (Philadelphia, PA)
- …such as : home care, DME, placements, hospice, community resources, and transportation. Quality data collection and risk management referrals. Case ... timely coordination of home care, DME, placements, hospice, community resources, transportation, and quality data collection and risk management referral. +… more
- Deloitte (Pittsburgh, PA)
- …client stakeholders to provide regular updates on project delivery covering aspects such as quality , timelines, risk , and issue management + Track internal ... rating models, customer segmentation, threshold tuning, customer/account/transaction data modelling, management and quality assessment, model validation, and/or… more
- Deloitte (Philadelphia, PA)
- …compliance, audit, or accounting, and use such knowledge to add value to Deloitte's quality assurance and risk management practice, expand their expertise ... team leadership competencies/experience The PEI CoE team performs a critical quality assurance and risk management function for Deloitte US, helping the… more
- Highmark Health (Blue Bell, PA)
- …on providing optimal financial returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS ... Description :** **GENERAL OVERVIEW:** This position is responsible for risk revenue management for all government program...Lead a team that develops and oversees analysis of risk adjustment programs including ROI, productivity, quality ,… more
- Highmark Health (Pittsburgh, PA)
- …record documentation and coding. Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support provider ... interventions, and assisting physicians and offices that perform below quality benchmark. **ESSENTIAL RESPONSIBILITIES** + Perform management ...the Healthcare Industry + 5 - 7 years in Management + 5 - 7 years in Risk… more
- Highmark Health (Camp Hill, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross ... performance guarantees / service level agreements, and (f) employee performance quality . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to… more
- Huntington National Bank (Pittsburgh, PA)
- …the overall direction of data policies, standards, and controls, and data lifecycle management + Risk management , regulatory, compliance, and/or audit ... technical leader with expertise in the development, implementation, and management of our Data Governance framework. Data Risk...work necessary to meet policy requirements. + Lead data management teams on the implementation of data quality… more
- PNC (Pittsburgh, PA)
- …Manager Sr, you will be within PNC's Internal Audit organization, supporting the Operational Risk Management Audit team. This position is primarily based in a ... discretion. As a Senior Audit Manager within PNC's Operational Risk Management (ORM) Audit Team, this role...Detail reviews the work of others to ensure the quality and accuracy of audit's analysis and conclusions; applies… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Reporting to the Senior Manager, Corporate Risk Management , the role involves systematically managing...and developing corrective action plans in conjunction with appropriate management and staff. Conduct high quality in-depth… more