- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Sr . Risk Adjustment Analyst ** to join #TeamMVP. This ... at once while achieving desired results required + Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial… more
- Baylor Scott & White Health (Albany, NY)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… more
- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing ... a deep understanding of the Risk Adjustment business domain and is skilled at data modeling...to understand business objectives and deliver results. As a Sr . Data Analyst , you will: + Take… more
- Molina Healthcare (Albany, NY)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing the architecture that… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational ... of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Data Governance Senior Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) ... Department of Financial Services (DFS) is seeking candidates for the position of Senior Virtual Currency Data Analysis Specialist in the Virtual Currency Unit within… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The ** Senior Analyst , Utilization Management** plays a critical role in supporting clinical and ... directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics +… more
- Datavant (Albany, NY)
- …reports directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... accountability for delivering results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1 We are committed… more