- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Highmark Health (Harrisburg, PA)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- RELX INC (Philadelphia, PA)
- …our GRC team? About the role: We are seeking an experienced Senior Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of ... The successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively… more
- Commonwealth of Pennsylvania (PA)
- …and interpreting standardized tests of personality, interest, intelligence, achievement and/or risk assessment. + B. I have professional experience related ... designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
- Datavant (Harrisburg, PA)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Commonwealth of Pennsylvania (PA)
- …individualized treatment plans based on assessment scores regarding programming, activities, and risk level of inmate to facilitate compliance and behavioral ... as determined by the Office of Administration) ;or + One year of professional counseling or casework experience in a correctional facility, and a bachelor's degree… more
- Commonwealth of Pennsylvania (PA)
- …and interpreting standardized tests of personality, interest, intelligence, achievement, and/or risk assessment. + B. I have professional experience related ... services to address the mental health and general emotional adjustment needs of the inmate population at SCI Coal...licensure as a Social Worker, Clinical Social Worker, or Professional Counselor issued by the Pennsylvania State Board of… more
- RELX INC (Philadelphia, PA)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- CenterWell (Harrisburg, PA)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- Amazon (Berwick, PA)
- …equivalent Preferred Qualifications - - Professional auditing qualification, or similar risk or compliance credentials as well as experience with research ... there's nothing we can't achieve. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- Amazon (Lewisberry, PA)
- …Team at the site level to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will lead ... continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: -… more
- Amazon (Fairless Hills, PA)
- …degree in homeland security, business administration, or related discipline. - 5+ years professional experience in leading large, global compliance programs - 5+ ... - Advanced Degree or a CPP, CISSP, PSP, PMP Certification - 10+ years professional experience in leading large, global compliance programs - 10+ years experience… more
- Vanguard (Malvern, PA)
- …remediation progress + Ensure timely resolution of false-positives investigations, requests for risk -acceptance or risk -rating adjustment of cloud security ... Global Risk and Security (GR&S) at Vanguard enables business...high-performing Cloud Security Assurance team. Provide mentorship, coaching, and professional development to team members. Assess performance and make… more
- RELX INC (Philadelphia, PA)
- …tight deadlines and produce high quality work + Previous experience with LexisNexis Risk Solutions, LexisNexis Legal & Professional and/or other RELX companies ... About the Business: LexisNexis Risk Solutions is the essential partner in the...signatures + Works with proposal response team to ensure compliance with governmental requirements + Fast completion of government-agency… more
- Amazon (Philadelphia, PA)
- …with a regional operations team to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. By leveraging lean ... lead continuous improvement initiatives to reduce conditional and ergonomic risk to ensure a safe and healthful working environment...executing to the core competencies of an Amazon WHS professional . As a senior leader in the WHS organization,… more
- Amazon (Reading, PA)
- …Team at the site level to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will lead ... continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: Possess… more
- Elevance Health (PA)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... records for the purpose of reimbursement, training, education and compliance . **How you will make an impact:** + Audits...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Sedgwick (Harrisburg, PA)
- …in active job search and/or during retention activities and monitors client compliance through follow-up contacts with employers. + Provides services such as resume ... and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with… more
- Amazon (Philadelphia, PA)
- …corporate based reporting systems. The WHSS supports management's efforts to ensure compliance with all corporate Program expectations and applicable federal & state ... laws. The WHSS also conducts risk assessments related to jobs performed (Job Hazard Analysis)...corporate based reporting systems Support management efforts to ensure compliance with all corporate program expectations and applicable federal… more