- Highmark Health (Pittsburgh, PA)
- …for each case. Ensures management and staff are aware of all regulatory and customer requirements regarding the department's scope of activities and ensures ... managers, team leaders and staff have a thorough understanding of audit, compliance and strategies imperative for department success. Ensures a culture of continuous… more
- Geisinger (Danville, PA)
- …+ Ensures compliance of assigned areas and services with accreditation, regulatory and corporate compliance . + Ensures updated and appropriate collaborative ... practice agreements are in place at all assigned practice areas. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements… more
- Geisinger (Danville, PA)
- …compliance of plan designs including employee confidentiality and documentation and assures compliance with regulatory agencies. + Serves as a Center liaison ... to system leadership, system departments, and external stakeholders, building crucial relationships for collaboration and support integration. Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job… more
- Highmark Health (Harrisburg, PA)
- …strategy, and progress to stakeholders at all levels. + **Industry Expertise & Compliance ** + Stay abreast of industry trends, regulations, and best practices in the ... Strong understanding of the health insurance and health system landscape, including regulatory requirements, market dynamics, and customer behavior + Ability to lead… more
- CVS Health (Harrisburg, PA)
- …SLAs and Key Performance Indicators are met, mange ad-hoc requests, and ensure compliance with regulatory requirements. + Demonstrate an ability to lead through ... influence and foster a culture of accountability, continuous learning, collaboration, and be able to negotiate to balance competing priorities across multiple stakeholders + Ensure project delivery rigor to implement new platform capabilities, improve… more
- Penn Medicine (Lancaster, PA)
- …Understands the environmental dynamics of the region including: competition, local regulatory issues, demographic changes, cultural and social context, unique needs ... adhered to consistently. + Works collaboratively with internal audit, compliance , professional billing service, decision support, business development, marketing,… more
- Guidehouse (Philadelphia, PA)
- …in patient services programs, including Patient Services program design, PS regulatory / compliance issues, patient journey development particularly for ... specialty medications (eg, high cost, biologics, CAR-T, REMs, drug-device combinations), Organizational design and change management, and Primary research. + Ability to work independently but with oversight from management. Experience in managing components of… more
- Guidehouse (Philadelphia, PA)
- …all levels, to deliver product planning, pricing, reimbursement, product commercialization, and regulatory and compliance solutions. Do you think you are up ... for the challenge? We continuously strive to foster an inclusive and diverse work culture and thoughtfully develop our people through challenging work, valuable learning and educational programs. We cultivate a culture of mentorship and feedback for… more
- UPMC (Harrisburg, PA)
- …and safe environment for patients, employees and visitors. **Responsibilities:** + Ensure compliance with state, federal and other regulatory requirements and ... guidelines. + Prepare operational and capital budgets for the department as well as monthly and annual financial reports, as required. + Direct and oversee all Environmental Services functions and related facilities. + Compile and submit all reports pertaining… more
- UPMC (Pittsburgh, PA)
- …and other stakeholders to promote collaboration and service excellence. + Quality & Compliance : Ensure all operations comply with regulatory standards (TJC, CMS, ... DOH, etc.), and lead quality improvement efforts that support accreditation readiness and operational excellence. + Financial & Operational Oversight: Monitor business unit performance metrics, including volume and financial indicators. Lead budgeting… more