- BronxCare Health System (Bronx, NY)
- …Contribution and participation may include data collection, analysis, implementation of and compliance with risk management and claims activities, support of and ... to the specific rules and regulations of BronxCare Clinics and to all Corporate compliance policies and procedures (a) Safety and Security Policies, (b) Risk … more
- Graham Windham (Brooklyn, NY)
- …include a percentage of program standard for clinicians. + Responsible for quality compliance and risk management functions by monitoring all alerts and reports ... for the day-to-day operations and regulatory policy standards, implementation, and compliance . Job Responsibilities: + Manage the hiring, development and training of… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Risk Management Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Claims Management: Develop litigation strategies ... for data entry of all claims/suits/potentials in Stars + Maintains regulatory compliance with reporting/updating all MMERS/MMDCS within DOH system + Prepare clinical… more
- Datavant (Albany, NY)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and… more
- Highmark Health (Albany, NY)
- …form of a deeper understanding of the client's trend drivers, changing risk composition, emerging trends, client profitability, rating method, industry changes, etc. ... + Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work.Routinely plan and organize work.Keep manager informed. + Use effective communication to present information and provide decision… more
- Datavant (Albany, NY)
- …Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... + Serve as resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all special projects and other… more
- Ralliant (Fairport, NY)
- …teams including R&D, production, and quality assurance. **Safety & Environmental Compliance ** + Conduct risk assessments and implement safety protocols. ... teams to ensure equipment reliability and uptime. **Quality Control & Compliance ** + Ensure processes meet quality standards and regulatory requirements. +… more
- Oracle (Albany, NY)
- …project risks and develop strategies to mitigate them. Regularly assess and update risk management plans. + Regulatory Compliance : Ensure that all construction ... and timely project reports, including status updates, financial forecasts, and risk assessments, for internal stakeholders. + Team Collaboration: Foster a… more
- Bank of America (New York, NY)
- …and Securities team. He or she will partner with Corporate Bankers, Product, Compliance , Credit, Risk and Service partners to present optimal global solutions ... payment flows and potential associated risks for a complex/high risk client segment + Demonstrates the ability to foster...a consistent level of client satisfaction + Effectively manages risk while balancing the needs of the client, the… more
- BronxCare Health System (Bronx, NY)
- …Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of ... of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and… more