Top 386 Healthcare policy advisor Jobs in Pennsylvania

Corporate Ethics & Compliance Investigator
Centene —Pennsylvania
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Anesthesia CRNA- Full Time- (NEW LOCATION!)
OSS Health —Enola, PA
- Full-time
- Nursing
- Surgery
- RN License
- Profit sharing
- Disability insurance
Occupational Therapist
Homeland HomeHealth —Harrisburg, PA
- Part-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Continuing education credits
- Mileage reimbursement
Quick Apply
Territory Sales - Pittsburgh
IGS Energy —Bethel Park, PA
- $50,000 - $100,000 a year
- 8 hour shift
- Clean driving record
- Driver's License
- Driving
- Wellness program
- Mileage reimbursement
Quick Apply
14d
Territory Sales Consultant, Bethlehem
IGS Energy —Philadelphia, PA
- $50,000 - $100,000 a year
- Full-time
- Background check
- Clean driving record
- Driver's License
- Paid training
- Wellness program
Quick Apply
14d
Licensing Readiness Advisor - PT
Lincoln Tech —Allentown, PA
- $38 - $40 an hour
- Part-time
- Nursing
- Computer literacy
- Mid-level
Quick Apply
7d
Registered Nurse (RN) - Home Health
Homeland HomeHealth —Harrisburg, PA
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse (LPN) - Home Health
Homeland HomeHealth —Harrisburg, PA
- Full-time
- 18 years or older
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Program Manager Quality and Patient Safety - Emergency Medicine
Penn State Health —Hershey, PA
- 8 hour shift
- Hybrid work
- Background check
- RN License
- Mid-level
- Paid parental leave
- Health insurance
Clinical Quality Coordinator
Southwood Children's Behavioral Healthcare —Pittsburgh, PA
- Full-time
- CPR Certification
- Nursing
- Management
Professional Care Manager (RN) - (Medical Oncology) - P/T
UPMC - Pittsburgh Medical Center —Pittsburgh, PA
- $35.50 - $56.83 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Work from home
8h
Professional Care Manager (RN) - (Medical Oncology)
UPMC - Pittsburgh Medical Center —Pittsburgh, PA
- $35.50 - $56.83 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Work from home
8h
Residential Advisor- $20/hr (2nd shift)
PCS Mental Health —Pocono Lake, PA
- $20 an hour
- Weekends as needed
- Background check
- Clean driving record
- Psychiatry
- Disability insurance
- Health insurance
Quick Apply
Regional Nurse Education Specialist - RN
Fltr Philadelphia PA —Philadelphia, PA
- $125,000 - $140,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Disability insurance
- Dental insurance
HVAC Smart Building Account Executive
Johnson Controls —Allentown, PA
- $68,000 - $105,000 a year
- Full-time
- 5 years
- Trade school
- Construction experience
- Paid holidays
- Health insurance
Quick Apply
HVAC Smart Building Account Executive
Johnson Controls —Allentown, PA
- $68,000 - $105,000 a year
- Full-time
- 5 years
- Trade school
- Construction experience
- Paid holidays
- Health insurance
Quick Apply
HVAC Smart Building Account Executive
Johnson Controls —Horsham, PA
- $68,000 - $105,000 a year
- Full-time
- 5 years
- Trade school
- Construction experience
- Paid holidays
- Health insurance
Quick Apply
HVAC Smart Building Account Executive
Johnson Controls —Allentown, PA
- $53,000 - $75,000 a year
- Full-time
- 5 years
- Trade school
- Construction experience
- Paid holidays
- Health insurance
Quick Apply
Consulting Solutions Director - Healthcare
Randstad North America —Philadelphia, PA
- $80,800 - $121,200 a year
- Full-time
- Hybrid work
- 18 years or older
- CPA
- Finance
- Wellness program
- Paid parental leave
Quick Apply
4d
Service Manager
Sprouts Farmers Market —Limerick, PA
- Weekends as needed
- Marketing
- Merchandising
- Mid-level
- Paid parental leave
- Health savings account

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healthcare policy advisor jobs near pennsylvania

Corporate Ethics & Compliance Investigator

Centene -
Pennsylvania

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
State healthcare regulations

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

healthcare policy advisor jobs in pennsylvania

Corporate Ethics & Compliance Investigator

Anesthesia CRNA- Full Time- (NEW LOCATION!)

Occupational Therapist

Territory Sales - Pittsburgh

Territory Sales Consultant, Bethlehem

Licensing Readiness Advisor - PT

Registered Nurse (RN) - Home Health

Licensed Practical Nurse (LPN) - Home Health

Program Manager Quality and Patient Safety - Emergency Medicine

Clinical Quality Coordinator

Professional Care Manager (RN) - (Medical Oncology) - P/T

Professional Care Manager (RN) - (Medical Oncology)

Residential Advisor- $20/hr (2nd shift)

Regional Nurse Education Specialist - RN

HVAC Smart Building Account Executive

HVAC Smart Building Account Executive

HVAC Smart Building Account Executive

HVAC Smart Building Account Executive

Consulting Solutions Director - Healthcare

Service Manager

I want to receive the latest job alert for healthcare policy advisor in pennsylvania

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