- Humana (Albany, NY)
- …Addiction Equity Act (MHPAEA) regulations and/or oversight + Bachelor's degree or higher in healthcare , risk management , or a related field. + Experience ... maintaining the library of regulatory requirements, developing, and implementing risk management strategies, conducting risk ... Management , Care Management or Case Management ** + 2+ years of experience with healthcare… more
- Trinity Health (Albany, NY)
- …depositions and other discovery). In litigated claims, assists Trinity Health Insurance and Risk Management Services and legal counsel in accessing facility ... SUMMARY** The Risk Analyst is primarily responsible for supporting non-clinical risk management activities in both the inpatient and outpatient settings,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …position is responsible for supervising the activities of the assigned vendor management staff in accordance with the organization's project management ... position is accountable for the performance of vendors within Risk Adjustment. Leads in the identification and selection of...the financial details of the contract, and partners with Legal to ensure the corporation is protected by the… more
- Sumitomo Pharma (Albany, NY)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Ankura (New York, NY)
- …Support project teams on advisory matters relating to corporate and healthcare compliance, including risk assessments, compliance program effectiveness ... + Delivering timely, exceptional work product + Strong time management and project management skills with a...provides unparalleled subject matter, technical and analytical expertise that Healthcare and Life Sciences clients and their legal… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, ... patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS)., The… more
- Mount Sinai Health System (New York, NY)
- …Identifies trends, patterns and findings. 8. Fields issues of concurrent risk management concerns, and/or of a medical, legal and ethical nature. 9. ... to protect the assets of the facility. The Senior Risk Manager supports the Risk Management...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- GE Aerospace (Niskayuna, NY)
- …other IP Specialists and/or paraprofessionals whose focus is on executing delegated IP legal risk management tasks and implementing the critical processes, ... and Engineering (IP&E) Legal team, including building out and implementing IP risk management programs and related processes. You will lead a team of… more
- Datavant (Albany, NY)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . We're looking for a Risk Adjustment Trainer to help us ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and… more
- Highmark Health (Albany, NY)
- …job provides end-to-end management , delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and ... its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills...mentoring of program team members. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to:… more