- CVS Health (Albany, NY)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays ... a critical part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal...and vendor coding resources. + Acts as mentor to provide education to internal staff based on audit findings;… more
- Albany Medical Center (Albany, NY)
- …flexibility to travel to Valatie on Tuesday. Imagine how good it would feel to provide state-of-the-art care to people who really need it. We are seeking a highly ... Albany, NY! Under the direction of the practice physician and/or advanced practice provider , Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide… more
- Trinity Health (Albany, NY)
- …plan initiatives to support revenue and compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding, ... provider auditing and clinical/education experience required. Must have 5...risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans (VBP),… more
- Molina Healthcare (Albany, NY)
- …leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Amazon (New York, NY)
- Description This position is part of the AWS Specialist and Partner Organization (ASP). Specialists own the end-to-end go-to-market strategy for their respective ... of our key technology and consulting partners. Together they provide our customers with the expertise and scale needed...skills necessary to help position AWS as the cloud provider of choice for customers? Do you love building… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... of 18 months of progressively responsible professional work experience as an IR specialist in a clinical or hospital environment with at least 6 months dedicated… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... considerations._ **Responsibilities:** The clinical pharmacy specialist is responsible for the provision of comprehensive clinical pharmacy services related to their… more
- Molina Healthcare (Yonkers, NY)
- …identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make ... coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Molina Healthcare (Albany, NY)
- …+ Serves as a thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners ... with Network to communicate recovery projects so that provider relations can be informed and respond to questions...the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,… more
- City of New York (New York, NY)
- …The Office of Data Security Management is recruiting for (1) Computer Specialist Software II to function as a Application Security Specialist who will: ... Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SPECIALIST (SOFTWARE) CIVIL SERVICE TITLE. OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. OR MUST BE… more