• Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Yonkers, NY)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required… more
    Molina Healthcare (07/10/25)
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  • Medical Records Retrieval Representative

    Humana (Syracuse, NY)
    …and help us put health first** The Medical Records Retrieval Representative ( Risk Adjustment Representative 2) travels to provider offices within Upstate/Central ... Madison, Monroe, Oneida, Onondaga, Oswego, St. Lawrence Medical Records Retrieval Representative ( Risk Adjustment Representative 2) + Travels up to 100% in… more
    Humana (08/01/25)
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  • Registered Nurse 3 Infection Control - EOA - Ibr

    New York State Civil Service (Staten Island, NY)
    …policies and procedures supportive of an infection control program that eliminates risk of infection to clients, facility personnel, and visitors through daily ... and policies to employees at all levels.* Identify areas demonstrating infection risk and initiate and maintain such programs to eliminate hazards of infection.*… more
    New York State Civil Service (07/23/25)
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  • Licensed Psychologist

    New York State Civil Service (NY)
    …treatment and expert testimony. * Specialized assessment (functional, personality, risk , competency, vocational, education) * Design and application of behavioral ... hiring rate ($25,077), Geographic Pay Differential ($20,000), and Downstate adjustment ($4,000). The Geographic Pay Differential and Downstate adjustment more
    New York State Civil Service (07/15/25)
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  • Psychologist 1/2 - Long Island - Suffolk County…

    New York State Civil Service (NY)
    …who was a witness to or victim of verbal or psychological abuse* Perform risk assessments and create risk management plans, as needed, for individuals. Present ... necessary documents to the Risk Management Advisory Committee, as needed* Perform psychological assessments...* Psychologist 2: $90,681* - $113,650* *Amounts include Downstate adjustment ($4,000). * If you are currently a New… more
    New York State Civil Service (07/22/25)
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  • Addictions Counselor 1 (NY Helps), Manhattan…

    New York State Civil Service (New York, NY)
    …living including:* Conducting the substance abuse assessments to determine the risk for substance use and harmful behaviors* Identifying treatment services ... will be required.This position is eligible for a Downstate Adjustment of $4,000.#LI-DNIIn order to be eligible for appointment...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
    New York State Civil Service (07/22/25)
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