- Molina Healthcare (Buffalo, NY)
- …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment data * Understand and oversee RAPS and EDPS data transmission… more
- Bank of America (New York, NY)
- …Python and/or SQL **Skills:** + Analytical Thinking + Critical Thinking + Portfolio Analysis + Risk Analytics + Data and Trend Analysis + Decision Making + Oral ... EFR Interest Rate Risk Manager Charlotte, North Carolina;Jersey City, New Jersey; New York, New York **To proceed with your application, you must be at least 18… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data ... for supporting RADV audit cycles by identifying, synthesizing, and validating source data needed to build chart retrieval chase lists for medical record collection.… more
- Healthfirst (NY)
- …**Preferred Qualifications:** + At least 7 years previous work experience within risk adjustment + Data Visualization Experience (Tableau or Qlik View ... **Duties:** + Develop and maintain risk score forecasting models to assist Actuarial in...to the Product managers and actuarial department. + Pull data from the warehouse using Statistical Analysis System (SAS)/Structured… more
- Molina Healthcare (NY)
- …**Job Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and ... required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data… more
- New York State Civil Service (Albany, NY)
- …support entity risk management functions.This position requires a highly skilled data architect with experience in data modeling, integration, and ensuring ... of Financial Services Specialist 2 ( Risk ) in the Entity Risk Management function Data Architecture team. Duties include, but are not limited to, the… more
- Citigroup (Getzville, NY)
- About DART: Data , Analytics, Reporting and Technology is the leading risk modeling and data analytics team in Citi. We use mathematical modeling and the ... latest technologies to calculate risk for the largest portfolios in Citi. We use...professionals with backgrounds in physics, engineering, finance, economics, and data science. You will work alongside experienced colleagues to… more
- Molina Healthcare (NY)
- …include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk Adjustment submissions data ... to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program… more
- American Express (New York, NY)
- …diverse backgrounds including internal controls, consumer compliance, technology, operational risk , financial accounting, data analytics, and banking operations. ... industry best practices relevant to the credit and fraud risk management, including technology and data implications....and fraud risk management, including technology and data implications. + Strong written and verbal communication skills… more
- American Express (New York, NY)
- …you will lead the team responsible for the day-to-day compliance with the Enterprise Data Risk Management Policy within five of the Corporate Functions (AENB HQ, ... data , supporting data sourcing / usage requests, evaluating Data Risk Controls, and confirming Data Incidents are remediated. You will partner… more