- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers ... and transforming healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... include developing risk score reporting with Databricks and Power BI, organizing...organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified… more
- Molina Healthcare (NY)
- …of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Guthrie (Binghamton, NY)
- …+ RN or 5 years clinical experience required; + Certified Professional in Healthcare Risk Management (CPHRM) or Certified Patient Safety Professional (CPPS) ... years healthcare experience. + Experience with data collection, monitoring, risk management, and reporting required. + Ability to comprehend patient safety… more
- Highmark Health (Albany, NY)
- …related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years ... role **Preferred** + 10 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years in Healthcare … more
- Rochester Regional Health (Rochester, NY)
- …risk rounds within the organization. REQUIRED QUALIFICATIONS + Bachelor's degree in healthcare administration, risk management, or a related field required. + ... safety, clinical risk management or equivalent (eg, Certified Professional in Healthcare Quality - CPHQ, Lean, Certified Professional in Patient Safety - CPPS)… 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 ... efficiently. + Compliance knowledge, understanding industry standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models… more
- Molina Healthcare (Albany, NY)
- …* Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support...highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC,… more
- Ankura (Lexington, NY)
- …Support project teams on advisory matters relating to corporate and healthcare compliance, including risk assessments, compliance program effectiveness ... excellence founded on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a talented individual to… more
- Datavant (Albany, NY)
- …Qualifications** **Required** + 8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment, or provider-facing ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...**Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap,… more