- Highmark Health (Harrisburg, PA)
- …collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for ... monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role… more
- Guardian Life (Harrisburg, PA)
- …want to be part of a collaborative Compliance Legal Team? As a Senior Compliance Analyst , Park Avenue Securities, and Park Avenue Investment Advisory, ... Rule 3110 and, in certain circumstances, various state insurance laws. The Lead Compliance Analyst is responsible for developing a risk -based plan for the… more
- Deloitte (Harrisburg, PA)
- AML Project Delivery Senior Analyst -Project Delivery Senior Analyst - Regulatory, Risk & Forensic Operate Are you an experienced, passionate pioneer ... who wants to work in a collaborative environment? As an experienced AML Project Delivery Senior Analyst you will have the ability to share new ideas and… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Internal Controls Analyst Senior - Remote **Job Description** The Senior Internal ... value-added recommendations to improve the internal control environment within the department. The Senior Internal Controls Analyst will play a critical role in… more
- Lincoln Financial (Harrisburg, PA)
- …communications for all assessments in Lincoln's online information technology (IT) governance, risk , and compliance platform. + Responds to incoming requests ... Role at a Glance** This position will develop and conduct information security risk assessments on parties' external to Lincoln Financial Group to ensure that… more
- Highmark Health (Harrisburg, PA)
- …(SME) on moderately complex projects (which are cross functional, with potential regulatory risk exposure, customer service & financial impacts ). Acts as face to ... very complex issues (may involve multiple systems) while understanding potential regulatory risk exposure and customer service & financial impacts. Acts as a SME… more
- Highmark Health (Harrisburg, PA)
- …SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality ... Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Ally (Harrisburg, PA)
- …shouldn't your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally Bank. ... situations, use subject matter disciplines to solve difficult problems, execute various risk mitigation efforts and provide clear documentation of all findings. This… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...of Medicare claims, episode and condition groupers, case/episode and risk adjustment, patient attribution methodologies, and network analysis and… more
- Humana (Harrisburg, PA)
- …Enterprise Growth, MarketPoint, Insurance, CenterWell, Digital, IT, Corporate Communications, Risk , Compliance , Legal, and Operations, among other lines ... performance across portfolio of campaigns + Present analysis and recommendations to senior audiences as part of Measurement Council and Marketing Monthly Business… more
- Highmark Health (Harrisburg, PA)
- …to decline quotes that do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new enrollment, annual renewals, and amendments ... Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership.… more
- Deloitte (Harrisburg, PA)
- …automation opportunities, tax portal, cloud for enterprise systems, agile resourcing models, risk , provision and compliance . Learn more about Deloitte Tax ... the clear legal technology leader. As a Legal Technology Senior , you will contribute to the growth and success...efficient tax function that enhances the core responsibilities of compliance , reporting and planning, while also positioning tax as… more
- SitusAMC (Harrisburg, PA)
- …and secure lender cash and real estate collateral + Working with assigned Asset Analyst , ensure compliance with all requirements of the Servicing agreements, in ... join our team! This role, under the direction of senior management, will have management responsibility of assigned loans...to meet or exceed financial performance objectives and minimize risk of loss + Negotiate resolution of troubled or… more
- Evolent (Harrisburg, PA)
- …Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of the Product team, focused on client ... the features into product releases. + Serve as a senior product owner on an Agile development team for...maintain a complete and prioritized backlog + Participate in issue/ risk mitigation and creative solutioning to deliver within established… more