Top 3045 Vendor Jobs in Pittsburgh, Pa

Program Integrity Manager, Pennsylvania - Remote
UnitedHealthcare —Pittsburgh, PA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Pass drug screening
- English
- Research
- Health insurance
Property Manager - Commercial
Spectra Development Company —Sewickley, PA
- $65,000 - $80,000 a year
- Weekends as needed
- Construction site
- 5 years
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Maintenance Technician (mf300cp1)
Dreyfuss Management —Pittsburgh, PA
- Up to $23 an hour
- Full-time
- Background check
- Driver's License
- Apartments
- Health insurance
- Dental insurance
Quick Apply
Manufacturing Engineering Supervisor
AMETEK —Pittsburgh, PA
- $90,000 - $125,000 a year
- Full-time
- Bachelor of Science
- Engineering
- Product management
- Health insurance
- Dental insurance
Quick Apply
12d
Quality Assurance Manager
Confidential —Canonsburg, PA
- $50,000 - $80,000 a year
- Full-time
- 5 years
- Engineering
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
7d
Supervisor of Mortgage Default Servicing
F.N.B. Corp. —Pittsburgh, PA
- Full-time
- Computer literacy
- Bachelor of Science
- Office
Project Manager
Confidential —Washington, PA
- $100,000 - $120,000 a year
- Full-time
- Background check
- Construction site
- Computer literacy
- AD&D insurance
- Health insurance
Quick Apply
12d
Mechanical Engineer (MEP) – Facilities
Ardurra Group, Inc. —Pittsburgh, PA
- Hybrid work
- Mid-level
- Mentoring
- Professional Engineer
Quick Apply
Finance Director
Borough of Dormont —Dormont, PA
- $60,000 - $80,000 a year
- Full-time
- Word processing
- Office
- Finance
- Paid parental leave
- Health insurance
Quick Apply
Maintenance Manager
RQ Resins —Harrison City, PA
- Full-time
- Background check
- 5 years
- Engineering
- Health savings account
- Health insurance
Quick Apply
Accounts Payable Specialist
BBL Fleet —Bridgeville, PA
- Full-time
- Background check
- Customer service
- 5 years
- Paid holidays
- Disability insurance
Quick Apply
Mobile Diesel Technician
Cox Fleet —Pittsburgh, PA
- $61,100 - $91,700 a year
- Full-time
- Background check
- DOT physical examination
- Mid-level
- Health savings account
- Health insurance
Quick Apply
11d
Parts Manager - Aggregate Equipment - Western PA
MMC —New Stanton, PA
- From $90,000 a year
- Urgently hiring
- Background check
- Sales
- Dealership
Quick Apply
Restaurant General Manager
Taco Bell —Penn Hills, PA
- Sales
- High school diploma or GED
- Quick service & fast food restaurant
Quick Apply
Pump Specialist
Harrington Industrial Plastics —Cranberry Township, PA
- Full-time
- Bachelor of Science
- Adults
- Mid-level
- Paid jury duty
- Health savings account
Quick Apply
Restaurant General Manager
Taco Bell —Sewickley, PA
- Sales
- High school diploma or GED
- Quick service & fast food restaurant
Quick Apply
Senior Corporate Real Estate Operations Analyst
Dollar Bank —Pittsburgh, PA
- Call employer
- Hybrid work
- Mid-level
- Office
- 3 years
CDL Driver/Warehouse Associate
MRC Global —Coraopolis, PA
- Full-time
- Customer service
- Computer literacy
- Basic math
Sales Representative
Monroe Engineering, LLC —Gibsonia, PA
- Full-time
- High school diploma or GED
- Driver's License
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Jewelry Inventory Control Specialist
Seita Diamond Jewelers —Tarentum, PA
- $17 - $22 an hour
- Part-time
- Merchandising
- In-person
- Entry level
- Health insurance
- Paid time off
Quick Apply

I want to receive the latest job alert for vendor in pittsburgh, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

vendor jobs near pittsburgh, pa

Program Integrity Manager, Pennsylvania - Remote

UnitedHealthcare -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year

Benefits

Health insurance

Qualifications

Quality control corrective actions
Defect resolution root cause analysis
Productivity software
Root cause analysis

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

UnitedHealthcare Community & State, part of the UnitedHealth Group family of companies, is looking for an experienced Health Plan Program Integrity / Fraud, Waste and Abuse compliance consultant to join our dynamic Compliance team. The Program Integrity Manager is an individual contributor role responsible for fraud, waste and abuse and specific research leading to best practice policy implementation and vendor/subcontractor monitoring to drive problem/process resolution for the New Mexico Medicaid health plan.

If you are located in Pennsylvania, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Works to ensure that internal processes are executed, especially related to intersegment responsibilities, for fraud, waste, and abuse (FWA) vendors' instances of health care FWA by medical profession or insured member
Acts as FWA subject matter expert for Federal and local FWA regulations and subsequent regulatory policy and process implementation
Keeping apprised of current, proposed, and new federal and state regulations / guidelines
Ensures that changes in requirements are included in education and carried out by required audiences
Serves as health plan FWA trainer. Coordinates and supports implementation of FWA training and educational programs with the appropriate business areas and vendors
As necessary, gather and analyze all information and documents related to a FWA investigation
Acts as health plan FWA vendor liaison, i.e., conducts reviews on policies to make sure they are compliant; ensures that vendor processes are executed appropriately; that timelines are met per regulatory fulfillment; sets boundaries for vendors so that accountabilities are clear
Serves as regulatory FWA liaison to the regulatory entities and internally to key FWA organizational partners, including participation in meetings with regulators
Develops and maintains fraud-related policies, e.g., documents the education and hand-offs for the health plan from functional teams as required to meet contractual obligations
Oversees and ensures all required FWA regulatory reporting meets regulatory expectations
Ensures procedures are established to support timely communication and education regarding the fraud program
Ensures that procedures are in place to review and report possible violations in accordance with the reporting requirements as outlined in the FWA Plan. Reviews vendors to make sure that all aspects of FWA are managed and policies are developed where gaps are identified

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

2+ years of experience in a FWA, investigations, regulatory, compliance, or related role
2+ years of experience working in a government, health care, managed care, insurance or related environment
Experience translating highly complex concepts in ways that can be understood by a variety of audiences
Experience identifying root cause issues and ensuring appropriate corrective action
Intermediate or higher proficiency using MS Word, MS Excel and MS PowerPoint

Preferred Qualifications:

Experience auditing medical billing and coding
Demonstrated ability to manage multiple projects and multiple relationships across the matrix
Demonstrated ability to stay organized and use time management skills
Demonstrated ability to work effectively and congenially with employees at all levels
Proven excellent written and verbal English communication skills

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

vendor jobs in pittsburgh, pa

Program Integrity Manager, Pennsylvania - Remote

Property Manager - Commercial

Maintenance Technician (mf300cp1)

Manufacturing Engineering Supervisor

Quality Assurance Manager

Supervisor of Mortgage Default Servicing

Project Manager

Mechanical Engineer (MEP) – Facilities

Finance Director

Maintenance Manager

Accounts Payable Specialist

Mobile Diesel Technician

Parts Manager - Aggregate Equipment - Western PA

Restaurant General Manager

Pump Specialist

Restaurant General Manager

Senior Corporate Real Estate Operations Analyst

CDL Driver/Warehouse Associate

Sales Representative

Jewelry Inventory Control Specialist

I want to receive the latest job alert for vendor in pittsburgh, pa

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected