- Molina Healthcare (NY)
- …This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting ... developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report building,… more
- Molina Healthcare (NY)
- …Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal audit ... required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data… more
- Datavant (Albany, NY)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using ... a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in… more
- Datavant (Albany, NY)
- …serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, ... process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise day-to-day team… more
- Datavant (Albany, NY)
- …a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work. **What You Will Do:** + Audit coded charts assigned by quality supervisor per the client… more
- Datavant (Albany, NY)
- …a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for… more
- Ankura (New York, NY)
- …Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of specialties, settings, and ... provider types + Minimum 10 years' health care experience related to clinical care, clinical documentation, compliance, or coding of medical services + Medical coding certification (will consider non-coders with an aptitude to develop this level of skill… more
- Datavant (Albany, NY)
- …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse team of ... Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without… more
- Datavant (Albany, NY)
- …skills, and experience for a specific job. The estimated total cash compensation range for this role is: $27-$30 USD To ensure the safety of patients and staff, many ... of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined… more
- Aston Carter (Rochester, NY)
- …monthly journal entries such as Prepaid Deposit Reclass, Commission accrual and adjustment to actual, Currency Reserve adjustment , Foreign Cash Flux, Liquidity ... . + Prepare quarterly journal entries for Investment Income and Inventory adjustment to actual. + Prepare and issue bi-monthly Backlog and Shipment Trend… more