Summary of Job Partner with functional departments/vendors/delegates to ensure they are in full compliance with all actionable and informational regulatory notices. Identify new and revised regulatory guidance;create paths of communicati...
General Purpose The primary purpose of your job position is to maintain administrative activities in accordance with current applicable federal, state, and local standards, guidelines and regulations, our established policies and procedur...
Company : Highmark Inc. Job Description : JOB SUMMARY This job manages a team of clinicians across PA with staff in Southwest and Lehigh Capital area, charged with promoting quality member outcomes, to optimize member benefits, and to...
Job Summary: In addition to the responsibilities below, this position is also responsible for implementing best practice models;implementing patient care delivery systems and practice standards in several locations;investigating and reso...
It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...
Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. We are looking to ad...
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving...
Summary of Duties and Responsibilities As a sworn officer, the Investigator is responsible for conducting investigations, including undercover operations and surveillance. He or she shall also be responsible for interviewing witnesses, vi...
Summary of Duties and Responsibilities As a sworn officer, the Investigator is responsible for conducting investigations, including undercover operations and surveillance. He or she shall also be responsible for interviewing witnesses, vi...
Job Category: Case Worker Job Description: The Caseworker is that member of patient care operations whose primary function is to assist in providing direct casework services to the patient and family within the hospice program of care. ...