- 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
- 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
- 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
- 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 (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 (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 (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
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