- Molina Healthcare (Syracuse, 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
- 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)
- …of professional, educational and life experiences to realize our bold vision for healthcare . **Role Overview** As a Product Manager, Risk Adjustment Analytics ... management, healthcare analytics, or data product roles, ideally within risk adjustment or value-based care. Must possess strong knowledge of product development… more
- Trinity Health (Albany, NY)
- …clinical documentation through the role of auditor and educator to support the healthcare systems participation in the CMS risk adjustment model and value-based ... corresponding ICD-10-CM choices to support proper payment in the risk adjustment model in which the healthcare ...the risk adjustment model in which the healthcare system participates. + Formulates compliant queries following Trinity… more
- Option Care Health (Albany, NY)
- …Qualifications & Interests (PQIs) Participation in professional organizations related to healthcare , risk management or quality management. Due to state ... that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** Reporting to the CMO, the VP, Clinical Effectiveness… more
- NASCO (Albany, NY)
- …and engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management, and member engagement. ... SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk ...US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications… more