- 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
- 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 ... of skill within a defined period) + Certification in the following are preferred - AHIMA, CCS, CIC, COC, CPC, CRC + Demonstrates excellent communication skills,… more
- Evolent (Albany, NY)
- …systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience with ... outcomes + **5+ years of hands-on experience** implementing HL7 FHIR (R4 preferred ) in complex healthcare environments + **Expert knowledge** of healthcare standards… 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
- University of Rochester (Rochester, NY)
- …unit to facilitate federal and state discharge planning requirements and/or adjustment of patient/families. Collaborates with hospital staff and mobilizes community ... resources relative to the adjustment and/or discharge planning in continuing care of individual...Clinical or Community Social Work experience in health setting preferred The University of Rochester is committed to fostering,… more
- Independent Health (Buffalo, NY)
- …required in Mathematics, Statistics, Actuarial Sciences, or related field. Master's degree preferred . ASA designation preferred . + Five (5) years of Actuarial ... outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to enhance pricing and financial… more
- Datavant (Albany, NY)
- …individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors +...table:** + Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with… more
- Mount Sinai Health System (New York, NY)
- …driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership with the ... CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be...DO degree, Internal medicine, Family medicine or Geriatrics strong preferred , board certification required. + Value based care knowledge… more
- Molina Healthcare (Albany, NY)
- …ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, ... risk adjustment targeting and reporting systems * 2+ years of...verbal, written and presentation capabilities * Energetic and collaborative ** PREFERRED EDUCATION:** Graduate degree or equivalent combination of education… more
- New York State Civil Service (Staten Island, NY)
- …have been followed and that the quality of the work is satisfactory. PREFERRED REQUIREMENTS:* Working knowledge of the methods, materials, tools and equipment used ... diagrams, architectural blueprints and specifications.* Basic computer skills preferred * Valid NYS driver's LicenseLinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-DA1 Minimum… more