- Datavant (Albany, NY)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Datavant (Albany, NY)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and… more
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)...drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- ESSENTIAL DUTIES AND RESPONSIBILITIES The Associate Director , Clinical Services (ADCS) is responsible for task-managing Program Coordinators, Prevention Educators, ... Counseling to prevent the development of maladaptive behaviors, reduce risk factors, and strengthen protective factors. This team provides evidence-based… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Director for Virtual Currency Applications ( Director Financial Services Programs 2, SG-33) Occupational ... Department of Financial Services is seeking candidates for the position of Director for Virtual Currency Applications in Virtual Currency. Duties include, but are… more
- NASCO (Albany, NY)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Assistant Team Lead ( Director Financial Services Programs 1, SG-31) Occupational Category Financial, Accounting, ... Secrecy Act/Anti-Money Laundering, systems and technology, loss mitigation etc.);* Prepares the risk assessment, risk matrix, staff utilization schedule, and the… more
- Diageo (NY)
- …of Integrity through the design, implementation and monitoring of an effective, risk based, agile and future forward ethics and compliance program. The program ... as second line of defense to your market, overseeing risk indicators and potential red flags; looking for insights...the opportunity for you If you require a reasonable adjustment , please ensure that you capture this information when… more
- Molina Healthcare (Albany, NY)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more