Director Of Clinical Audits And Peer Reviews We are looking for a Director of Clinical Audits and Peer Reviews to join our compliance team. This individual will report to the Compliance Director and assist the Compliance Department in
Company :Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is
Company :Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is
Job Description Healthcare Analytics Solutions (HAS) is an innovative team within Quest Diagnostics that leverages Quest data to develop products and services to improve outcomes in healthcare across the full spectrum of healthcare markets, including pharma,
Financial Investigations & Provider Review Leader This job is responsible for the daily activities of the Financial Investigations & Provider Review (FIPR) department. The FIPR strategic plan focuses on the detection and investigation of fraud, waste
Healthcare Compliance Auditor Senior I The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMCs compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks. Leveraging expertise in
Program Analyst The Program Analyst provides critical financial and program management analysis support for large-scale Civil Works inland navigation mega projects within the U.S. Army Corps of Engineers (USACE), Pittsburgh District. This role directly supports Government
Advanced Practice Nurse Planned Parenthood Western Pennsylvania (PPWP) is the local affiliate of the countrys leading sexual and reproductive health care advocate and provider. PPWP operates five health centers located in Allegheny, Westmoreland, and Cambria Counties
Patient Account & Billing Manager Reviews medical insurance claims and medical charges and ensures appropriately assigned diagnosis code and procedure code. Investigates insurance company denials, processes difficult claims, and resolves moderately complex issues. Audits patient accounts, answers
Information Security Manager As the Information Security Manager, you will lead the strategic development and oversight of our organizations cybersecurity program within a fast-paced software development environment. You will be responsible for defining security roadmaps, managing
Temporary Employment Service (TES) Finance Positions Are you looking for a unique opportunity to gain hands-on financial experience, apply your expertise at a senior level, and work at a world-class research university? Carnegie Mellon Universitys Temporary
Assistant Director - Research Operations The NRG Oncology Statistics and Data Management Center (NRG SDMC) is a large, national, federally funded multi-center organization that conducts clinical trials research with offices in Pittsburgh, Philadelphia, Buffalo, and Chicago.
Senior Service Management Specialist - Enterprise Incident Manager This position follows a hybrid work schedule. Candidates must be able and willing to work onsite 4 days per week and remotely 1 day per week from one
Healthcare Expert Testifier BDO is seeking a seasoned healthcare expert testifier to join its rapidly growing Healthcare Forensics practice. This individual will play a critical leadership role in high-stakes healthcare litigation, arbitration, and payer/provider disputes, with
Healthcare Revenue Cycle Senior Manager The Healthcare Revenue Cycle Senior Manager provides clients with senior-level healthcare consulting services by assessing the clients business needs, recommending and implementing solutions, and managing BDO and client staff in this
Medical Assistant Manager The Medical Assistant Manager will demonstrate leadership as she/he organizes, prioritizes, and coordinates the multiple activities and tasks of other medical assistants while supporting, motivating and sustaining a team-oriented culture. The Medical Assistant
Senior Manager Guidewire Developer At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and
Senior Accounts Payable Specialist We are seeking an experienced Senior Accounts Payable Specialist to join a growing construction organization. This role is responsible for managing the full-cycle accounts payable process, ensuring timely and accurate vendor payments,
Revenue Cycle Operations Manager Planned Parenthood of Western Pennsylvania (PPWP) is a not-for-profit family planning agency that provides high-quality, affordable reproductive health care. Our mission is to enable all Pennsylvanians to have access to a wide
Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste,