- Highmark Health (Pittsburgh, PA)
- …with Fraud, Waste and Abuse + 3+ years Patient legal resolution + Healthcare research and resolution + Regulatory , Managed Care and Reimbursement **SKILLS** ... of federal, state and other applicable law and the regulatory environment in which the Corporation and its affiliates...which the Corporation and its affiliates ("Corporation") function. A senior position held by a lawyer with advanced legal… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is hiring a Senior Associate Counsel , Litigation and Investigations to join our team at the US Steel Tower! The role will work Monday ... to work one day each week from home. The Senior Associate Counsel will provide effective legal...Commission, or Pennsylvania Office of Attorney General, preferred. + Healthcare experience preferred. + Experience managing outside counsel… more
- Highmark Health (Natrona Heights, PA)
- …in service recovery, grievance management, or a similar role within a healthcare setting; experience with database and/or regulatory reporting and/or proven ... in compliance with CMS, Pa DOH, OCR and TJC regulatory requirements. This role also includes facilitating the Patient...with Revenue Cycle for care reviews. Collaborate with legal counsel to mitigate risk. Collaborate with Quality to provide… more
- UPMC (Pittsburgh, PA)
- …high-quality patient care. This leader acts as a trusted advisor to senior executives, aligning labor strategies with business objectives while fostering a culture ... strategy, ensuring compliance with labor laws, union agreements, and regulatory requirements. + Manage collective bargaining, contract interpretation, grievance… more