- Molina Healthcare (Albany, NY)
- …and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate ... Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in...team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of… more
- Datavant (Albany, NY)
- …vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Molina Healthcare (Albany, NY)
- …chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, ... the daily operations of all aspects of risk adjustment data validation related activities, including,...adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external… more
- Molina Healthcare (Albany, NY)
- …for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This ... * Experience developing performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation… more
- New York State Civil Service (Albany, NY)
- … risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance or audit environment.* Developing and implementing financial crime risk management or ... No Agency Financial Services, Department of Title Virtual Currency Financial Crimes Risk Associate (Financial Services Specialist 4 (Financial Crime Risk )),… more
- New York State Civil Service (Albany, NY)
- … risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance or audit environment.* Developing and implementing financial crime risk management or ... Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) Occupational Category Financial, Accounting, Auditing Salary Grade 23… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Financial Services, Department of Title Financial Crimes Risk Manager (Director Financial Services Programs 1, SG-31) Occupational Category Financial, ... Financial Services is seeking candidates for the position of Financial Crime Risk Manager, (Director Financial Services Programs 1), in Virtual Currency. Duties… more
- Datavant (Albany, NY)
- …key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… 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, ... Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the… more
- New York State Civil Service (Albany, NY)
- …identifies and assesses relevant current and emerging risks; * Conducts risk -based assessments of applicants' and Licensees' governance, compliance, and internal ... audit controls; BSA/AML program; operational, regulatory and legal risks...BSA/AML program; operational, regulatory and legal risks and controls; risk management program; financial condition; etc; and presenting written… more