- Capgemini (New York, NY)
- …, you will lead transformation programs that strengthen governance, control, and risk management across financial services. You'll design and deliver regulatory ... 8 years of experience in consulting or industry roles focused on finance, risk management , or regulatory compliance, ideally within financial services or other… more
- Highmark Health (Buffalo, NY)
- …**Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross Blue ... Shield Association (BCBSA), accreditation bodies, executive management , plan partners, group customers, and employee level performance. The programs for which the… more
- Capgemini (New York, NY)
- …regulatory and audit recommendations effectively. + Provide insights and analysis to improve risk management practices, working with data and technology teams to ... 5 years of experience in consulting or industry roles focused on finance, risk management , or regulatory compliance, ideally within financial services or other… more
- WTW (New York, NY)
- …clients. + Develop new relationships with individuals responsible for insurance and risk management decisions. + Obtain referral leads from existing clients. ... propositions; sales marketing strategies and tactics; technical knowledge of insurance and risk management products, services, and value propositions; pipeline … more
- Ankura (New York, NY)
- …revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal ... understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access regulatory… more
- Datavant (Albany, NY)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . As an Auditor, HCC Risk Adjustment Coder, you will review ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a… more
- Humana (Albany, NY)
- …Actuary, Risk and Compliance is responsible for the overall management and oversight of activities concerned with identifying and managing risks. Identifies ... controls and cost-effective approaches to minimize risks. The Associate Actuary, Risk and Compliance work assignments involve moderately complex to complex issues… more
- Datavant (Albany, NY)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Albany, NY)
- …. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Albany, NY)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more