- National Health Care Associates (Melville, NY)
- …3+ yearsof hands-on experience in a long-term care setting + 2+ yearsof experience in risk management and QAPI roles + Compassion for elderly and chronically ill ... to join our team! **-** **What You'll Do:** As theRisk Manager & Quality Assurance Coordinator(RN),you'll play a vital leadership role in upholding the highest… more
- Datavant (Albany, NY)
- …**Required** + 8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment, or provider-facing solutions. ... multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coding policies to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following ... Prepares and submits adjustments to the appropriate processing / adjustment area ( Risk Adjustment/Actuarial Services). * Performs vendor Quality Assurance (QA)… more
- Catholic Health Services (Roslyn, NY)
- … Management & Regulatory Affairs Qualifications Bachelor's degree in Nursing, Healthcare Administration, Risk Management , or a related field required; ... the patient experience team with service recovery and addressing quality of care concerns. Assists all service lines with...Master's degree preferred. Minimum 3 years of clinical or risk management experience in a healthcare… more
- Evolent (Albany, NY)
- …team looking for dedicated team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers ... Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support… more
- Highmark Health (Albany, NY)
- …to define the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but ... related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years… more
- Highmark Health (Albany, NY)
- …Procurement, Audit, Compliance, and other teams across the Enterprise to align risk management objectives, practices and procedures. + Interface with business ... safeguards into simplified and high-level terminology and/or process/data flows.Maintains risk management reporting dashboards in RSA Archer applications… more
- City National Bank (New York, NY)
- …challenging the quality , sufficiency, and completeness of 1LOD operational risk management practices against ORM Framework requirements for assigned coverage ... Wealth Management * WHAT IS THE OPPORTUNITY? Operational Risk Management (ORM) is responsible for providing...Ensure work is produced and documented in alignment with quality and content requirements * Provides clear and transparent… more
- Molina Healthcare (Buffalo, NY)
- …+ 4+ years in a healthcare analytics role supporting **care management , population health, or quality improvement** + Experience working directly with ... and cost drivers across the organization. + Ensure data quality , governance, and documentation standards are met in all...or case management teams** + Familiarity with risk adjustment, value-based care models, or healthcare … more
- Antech Diagnostics (New York, NY)
- …Global teams in developing, implementing, and maintaining cybersecurity governance and risk management practices, while ensuring new and continuous compliance ... standards and procedures. + Assist in the implementation and adoption of Mars established Risk Management framework for SDx in coordination with Mars GRC teams.… more