- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Professional , Sr . Risk Adjustment Analyst** to join ... at once while achieving desired results required + Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial… more
- 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, ... with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance,… more
- Molina Healthcare (Albany, NY)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. + Chart Collection audit… more
- New York State Civil Service (Albany, NY)
- … Senior Manager, Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category Financial, Accounting, Auditing Salary Grade 27 ... Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $106898...of the global financial system.The Financial Services Specialist 4 ( Risk ) will be responsible for developing and implementing strategies… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes ... Risk ), SG-23) Occupational Category Financial, Accounting, Auditing Salary Grade...Accounting, Auditing Salary Grade 23 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $86681… more
- Humana (Albany, NY)
- …This position utilizes financial projection and analytics skills while working in Medicare risk adjustment . Additionally, you will work to build consensus with ... caring community and help us put health first** The Senior Financial Analytics Professional manages data to...with Medical Claims or other healthcare data + Medicare Risk Adjustment Experience + Financial or actuarial… more
- New York State Civil Service (Albany, NY)
- …operations.* Other duties as assigned. Minimum Qualifications Preferred Qualifications* Professional Risk Managers' International Association certifications: o ... by sharing findings and insights.* Provides regular updates to senior leadership on emerging risks.Surveillance Technology & Tools Management*...Associate Professional Risk Managero Credit and Counterparty Managero Market, Liquidity and… more
- Datavant (Albany, NY)
- …strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and HEDIS experience. + Familiarity… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Information Technology Services, Office of Title Senior Enterprise Agreement Procurement Officer Occupational Category IT Engineering, Sciences ... New York State Agencies. Reporting to the Chief Financial Officer, the Senior Enterprise Agreement Procurement Officer will lead and manage complex procurement… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational Category ... Financial, Accounting, Auditing Salary Grade 23 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $86681 to $109650 Annually… more