- Molina Healthcare (Buffalo, NY)
- …**Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... risks effects. Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through… more
- Ankura (New York, NY)
- …revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal ... and code diagnoses based on information in a patient's medical record according to specific guidelines for each project....gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in … more
- WTW (New York, NY)
- …worldwide. **The Head of Finance for North America CRB** (Corporate Risk and Broking) will be accountable for delivering comprehensive financial, analytical, ... geography. This leadership position oversees **Business Finance for Corporate Risk & Broking (CRB) in North America, as well...for overseeing revenue recognition, revenue analysis, and full P&L management . + Support the Head of North America on… more
- Coinbase (Albany, NY)
- …(ie. job duties): * Determine the vision and strategy for systems that optimize risk management for Coinbase's business * Build robust, scalable, and resilient ... to succeed in a fast-paced environment * Knowledge in financial products, including risk management or compliance * Experience building robust and scalable data… more
- Datavant (Albany, NY)
- …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 standardization, data integrations, database management , and optimization… more
- AON (New York, NY)
- Actuary - Senior Risk Consultant (P&C) This is a hybrid role, with the opportunity to work both virtually and from our office in Chicago Aon is in the business of ... + Have primary project responsibility for actuarial reserve analyses, risk allocation analyses, captive feasibility studies, loss forecasting, and stochastic… more
- ManpowerGroup (New York, NY)
- …and/or enhanced related controls. **What's Needed?** + 5+ years of experience in risk management , business controls, or compliance. + Experience working within ... professionals in the field. + Development of skills in risk management and compliance. + Potential for...completion of waiting period consultants are eligible for:** + Medical and Prescription Drug Plans + Dental Plan +… more
- Citizens (New York, NY)
- Description The Credit Risk Sr Professional will be a critical member of the Home Equity Credit Risk Team, generating the statistical analysis used to inform ... with bureau data, property data and alternative data sources to shape credit risk strategy. + Analyze portfolio trends and investigate emerging risks to drive… more
- Ankura (New York, NY)
- …groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Molina Healthcare (Yonkers, NY)
- …as well as Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as well as company HEDIS training, ... of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...onboarding for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and… more