- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard… more
- Molina Healthcare (Albany, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Healthfirst (NY)
- …from an accredited institution. + At least 5 years previous work experience within risk adjustment + Credentialed Associate of the Society of Actuaries (ASA) + ... our provider community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the...Product and Actuarial analytical requests. + Experience with CMS/HHS risk adjustment payment methodologies. + Self-motivated, creative… more
- Datavant (Albany, NY)
- …inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid , Commercial RA, and HEDIS experience. + ... vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Deloitte (Rochester, NY)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Group insurance products including disability, ... Health Actuary Consulting Manager Human Capital Our Human Capital practice is...including individual medical and small group markets and/or state Medicaid programs The wage range for this role takes… more