Healthcare Compliance Specialist Jobs in McKees Rocks, Pennsylvania | HealthcareCrossing.com


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41

Healthcare Compliance Specialist Jobs in McKees Rocks





Job info
 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Jun 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 16, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Actuary, Risk and Compliance in Pittsburgh Pennsylvania Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Pharmacy Technician Networks Specialist, Remote PA or NJ in Pittsburgh Pennsylvania Description The Provider Contracting Administration Coordinator 2 supports the administration of the contracting function. The Provider Contracting ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 28, 2023
Info Source
Employer  - Full-Time  90  

u003cbu003e Deliver the value and potential of our groundbreaking pipeline! u003c/bu003e u003cbru003eu003cbru003eDo you have expertise as a pharmaceutical sales specialist within Oncology? u003cbru003eu003cbru003eAt u003cbu003e AstraZeneca u003c/bu003e , our vision in Oncology ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Mar 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Pittsburgh Pennsylvania Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Coraopolis, PA
Posted Date
Jan 22, 2023
Info Source
Employer  - Part-Time    90  

Job Location Coraopolis, PA - 0600 - Coraopolis, PA Position Type Part Time Salary Range $17.00 - $18.00 Hourly There's a spot on our team waiting for you! Become a Part-time ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

... social determinants and obtaining timely healthcare. The Lead Medical Director provides ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... to BH..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana FP&A Lead, Medicaid Market in Pittsburgh Pennsylvania Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 28, 2022
Info Source
Employer  - Full-Time  90  

... looking for an experienced Senior Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

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