- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- Molina Healthcare (Albany, NY)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...coding. This role also works with the Health Plan Risk / Quality leaders to strategically plan for supplemental… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for 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...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- The Salvation Army (New York, NY)
- Overview The Executive Director provides overall leadership, management, and strategic oversight for The Salvation Army's 211-room Active Adult Living Facility ... needs in the name of Jesus Christ without discrimination. The Executive Director manages all aspects of marketing, occupancy, operations, and resident services. This… more
- Molina Healthcare (Rochester, NY)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs. * Provide regional medical necessity reviews… more
- Mount Sinai Health System (New York, NY)
- …coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care models. - Proven success ... **Job Description** The Senior Director of Coding is a strategic and operational...including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence to ICD-10-CM/PCS, CPT, HCPCS, MS-DRG,… more
- Ankura (New York, NY)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop,...Ability to manage multiple concurrent projects. + Commitment to quality and working within a team. + Effective oral… more
- St. Mary's Healthcare (Amsterdam, NY)
- …preferred. Demonstrated knowledge of ICD-10-CM/PCS, CPT/HCPCS coding, MS-DRGs, APR-DRGs, APCs, and risk adjustment . Certifications / Licensure: + RHIA, RHIT, or ... St. Mary's Healthcare has been providing high- quality , compassionate healthcare to the people of Montgomery...best practices. + Support accurate documentation and coding for quality reporting, case mix index, and other organizational metrics.… more
- City of New York (New York, NY)
- …New York City Charter, the Comptroller, through the Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits ... disputes arising out of City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud, and...public fiscal and public safety. Reporting to the Deputy Director of Tort Claims, with wide latitude for independent… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12210 Duties Description Under the direction of the Director of DevSecOps within the Digital Transformation Office / Shared Application Services/ ... testing and validation environment to reduce deployment risks and improve solution quality .* Develop and enforce privacy, security, and data governance standards to… more