5 audit director jobs found in Harrisburg

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Job Description About the Role Oracle Health Data Intelligence is entering a high-impact phase of MDR (Medical Device Regulation) readiness and regulatory transformation . Over the next year, HDI must execute a large volume of technical documentation, risk management activities, and engineering design updates required for compliance across our AI-enabled population health platform. To support these efforts, we are hiring Regulatory Technical Documentation Engineers with deep engineering backgrounds , strong technical writing skills, and experience in hyperscaler-style environments (cloud-native, large-scale distributed systems, secure compute, data pipelines). These engineers will be dedicated to MDR documentation, risk management updates, and regulatory alignment-removing this burden from engineering leaders and accelerating our compliance timelines. Career Level - IC3 Responsibilities What You Will Do In this role, you will be responsible for...

Job Description About the Role Oracle Health Data Intelligence is entering a high-impact phase of MDR (Medical Device Regulation) readiness and regulatory transformation . Over the next year, HDI must execute a large volume of technical documentation, risk management activities, and engineering design updates required for compliance across our AI-enabled population health platform. To support these efforts, we are hiring Regulatory Technical Documentation Engineers with deep engineering backgrounds , strong technical writing skills, and experience in hyperscaler-style environments (cloud-native, large-scale distributed systems, secure compute, data pipelines). These engineers will be dedicated to MDR documentation, risk management updates, and regulatory alignment-removing this burden from engineering leaders and accelerating our compliance timelines. Career Level - IC4 Responsibilities What You Will Do In this role, you will be responsible for...

Job Description About the Role Oracle Health Data Intelligence is entering a high-impact phase of MDR (Medical Device Regulation) readiness and regulatory transformation . Over the next year, HDI must execute a large volume of technical documentation, risk management activities, and engineering design updates required for compliance across our AI-enabled population health platform. To support these efforts, we are hiring Regulatory Technical Documentation Engineers with deep engineering backgrounds , strong technical writing skills, and experience in hyperscaler-style environments (cloud-native, large-scale distributed systems, secure compute, data pipelines). These engineers will be dedicated to MDR documentation, risk management updates, and regulatory alignment-removing this burden from engineering leaders and accelerating our compliance timelines. Career Level - IC5 Responsibilities What You Will Do In this role, you will be responsible for...

Job Description Oracle Health Data Intelligence is entering a high-impact phase of MDR (Medical Device Regulation) readiness and regulatory transformation . Over the next year, HDI must execute a large volume of technical documentation, risk management activities, and engineering design updates required for compliance across our AI-enabled population health platform. To support these efforts, we are hiring Regulatory Technical Documentation Engineers with deep engineering backgrounds , strong technical writing skills, and experience in hyperscaler-style environments (cloud-native, large-scale distributed systems, secure compute, data pipelines). These engineers will be dedicated to MDR documentation, risk management updates, and regulatory alignment-removing this burden from engineering leaders and accelerating our compliance timelines. Career Level - IC4 Responsibilities What You Will Do In this role, you will be responsible for the engineering...