- 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
- Evolent (Albany, NY)
- …You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care...coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Financial Crimes Risk Manager ( Director Financial Services Programs 1, SG-31) Occupational Category ... of Financial Services is seeking candidates for the position of Financial Crime Risk Manager, ( Director Financial Services Programs 1), in Virtual Currency.… more
- Aston Carter (New York, NY)
- Job Title: Director of Internal Audit Job Description The Director of Internal Audit is tasked with establishing and expanding the internal audit function, ... prioritizing automation, efficiency, and risk alignment. This role involves leading the implementation of...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… 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
- 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