- Highmark Health (Pittsburgh, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. + Serves as a resource person in dealing ... resources are utilized appropriately and in a cost effective manner. + Ensures compliance with all policies and procedures of the facility and with all regulatory… more
- Highmark Health (Natrona Heights, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) + Serves as a resource person in ... are utilized appropriately and in a cost effective manner. (20%) + Ensures compliance with all policies and procedures of the facility and with all regulatory… more
- Highmark Health (Monroeville, PA)
- …decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) + Serves as a resource person in ... are utilized appropriately and in a cost effective manner. (20%) + Ensures compliance with all policies and procedures of the facility and with all regulatory… more
- Highmark Health (Monroeville, PA)
- …recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful ... coordination of care across the continuum. (30%) + Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and… more
- Vanguard (Malvern, PA)
- …agencies. Ensure the right access, controls, and reporting are in place. + Ensure compliance & controls: Partner with legal and risk partners for client-facing ... assets (approvals, expirations) and vendor usage; maintain content hygiene. + Operate in Vanguard's product system: Align to the Product Operating System (POS) and our Digital Product Management (DPM) methodology; set clear outcomes/OKRs and report progress.… more
- Coinbase (Harrisburg, PA)
- …Experience vendor strategy, third-party and captive site lifecycle governance, security compliance standards, and financial planning. We are seeking a highly ... standardized scorecards to evaluate existing vendors. * Own region-specific vendor security/ risk governance. * Build and maintain central site inventory to track… more
- FirstEnergy (Reading, PA)
- …identifying, communicating, and executing strategic insights; and developing and implementing risk mitigation strategies. + Lead team of analysts responsible for ... Oversee team in day-to-day processes, including cost/project management and compliance activities. Provide growth opportunities for analysts to develop well-rounded… more
- CVS Health (Harrisburg, PA)
- …Oversee and manage contractual relationship with assigned TPA(s). + Manage Third Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna ... compliance review process for your assigned TPA(s). + Manage monthly billing / submission of TPA invoices for timely payment and float management. + Ensuring service… more
- Truist (Philadelphia, PA)
- …group (including business development and retention, talent management, portfolio pricing, risk management and compliance ) to ensure strategic sales objectives ... are met, revenue and profit goals are achieved, and sales results are appropriately reported. Responsible for the selection, training, development, and evaluation of the teammates supervised. Establish and maintain strong working relationships with all… more
- CVS Health (Blue Bell, PA)
- …relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, networks and value-based relationships ... partners + Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Assists with workflow development and… more