- Highmark Health (Trenton, NJ)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Healthcare Services Group, Inc. (Bensalem, PA)
- …Group (HCSG) is currently seeking to fill the position of Human Resources Coordinator to join our growing Corporate Team in Bensalem, PA! This position reports ... in a large company, including but not limited to internal investigations , performance management, writing and issuing disciplinary action, coaching managers, etc.… more
- Cardinal Health (Trenton, NJ)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Trenton, NJ)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Trenton, NJ)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Trenton, NJ)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Utilities Service, LLC (Willow Grove, PA)
- …**Compliance Investigator - Bilingual English/Spanish preferred** + Conduct Audits and Investigations to ensure compliance with regulations and company policy + ... Work Authorization, DOT Compliance, FSLA Compliance, etc + Conduct Investigations into these areas as well as internal company...who desire a reasonable accommodation can contact the ADA Coordinator by calling **###** . We partner with the… more
- Liberty Healthcare Corporation (Doylestown, PA)
- …of others. Each day you will travel throughout the region and conduct investigations in residences. You will interview individuals to determine if reports of need ... you have relevant experience in any of these areas: + Service Coordinator , Supports Coordinator , Program Specialist or Case Manger roles + Child, Family and… more
- ThermoFisher Scientific (Bridgewater, NJ)
- …and workflow. + Partake in the corporate Control Substance Program (CSP) coordinator training. + Take the lead on site regulatory compliance activities and ... career development. + Take ownership of safety initiatives, including incident investigations and reporting within the required timeframe. Participate in safety… more
- Utilities Service, LLC (Willow Grove, PA)
- …labor relations, and compliance teams for thorough, timely, and legally sound investigations . + Ensure confidentiality, neutrality, and fairness in all processes. + ... with a disability who desire a reasonable accommodation can contact the ADA Coordinator by calling ###. We partner with the Department of Homeland Security/US… more