- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Highmark Health (Albany, NY)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- New York State Civil Service (Albany, NY)
- …risks.* Other duties as assigned. Minimum Qualifications Preferred Qualifications* Professional Risk Managers' International Association certifications: o ... a solid understanding of the financial services industry, including risk management and compliance requirements.Duties include, but...Associate Professional Risk Managero Credit and Counterparty Managero Market, Liquidity and… more
- New York State Civil Service (Albany, NY)
- …analytics and reporting capabilities for real-time and historical insights into entity risk and compliance .o Proactively identifies bottlenecks and areas for ... of Title Senior Manager, Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category Financial, Accounting, Auditing Salary Grade 27… more
- New York State Civil Service (Albany, NY)
- …financial crime risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance or audit environment.* Developing and implementing financial crime risk ... NY HELP No Agency Financial Services, Department of Title Financial Crimes Risk Specialist (Financial Services Specialist 4 (Financial Crime Risk ), SG-27)… more
- New York State Civil Service (Albany, NY)
- …thorough understanding of the business models of assigned Licensees and conducts risk -based assessments of Licensees' governance, compliance , and internal audit ... NY HELP No Agency Financial Services, Department of Title Trust Compliance Associate (Financial Services Specialist 4 ( Compliance ), SG-27) Occupational Category… more
- New York State Civil Service (Albany, NY)
- …and identifies and assesses relevant current and emerging risks; * Conducts risk -based assessments of applicants' and Licensees' governance, compliance , and ... of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 ( Compliance ), SG-23) Occupational Category Financial, Accounting, Auditing Salary Grade 23… more
- CenterWell (Albany, NY)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- New York State Civil Service (Albany, NY)
- …and implementation of information security policies, standards, and procedures;* Leads a risk -based process for vendor risk management, including the assessment ... Collaborates with all business units within DFS to determine possible risks and risk management processes;* Manages and maintains a security and risk management… more
- New York State Civil Service (Albany, NY)
- …Manager), CC (Certified in Cybersecurity), CGRC (Governance, Risk and Compliance ), and CISSP (Certified Information Systems Security Professional ). * ... Category Financial, Accounting, Auditing Salary Grade 27 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $106898 to $131665… more
- Sedgwick (Albany, NY)
- …in active job search and/or during retention activities and monitors client compliance through follow-up contacts with employers. + Provides services such as resume ... and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with… more
- CenterWell (Albany, NY)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- New York State Civil Service (Albany, NY)
- …Administrative or General Management Salary Grade 33 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $145754 to $176123 ... process for BitLicensees and Limited Purpose Trust Companies, to ensure compliance with relevant laws, regulations, guidance, and supervisory expectations;* Supports… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Compliance and Privacy Officer. . Oversees insurance, auditing reviews (ie, HEDIS and / Risk Adjustment ), to ensure staff is completing requests in a timely ... federal regulations; medical staff bylaws/rules and regulations; hospital policy and compliance requirements. Prepared to meet with The Joint Commission during… more
- New York State Civil Service (Albany, NY)
- …Category IT Engineering, Sciences Salary Grade 31 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $131256 to $159784 Annually ... service providers, to ascertain safety and soundness of said environments and for compliance with relevant laws and regulations such as NYCRR Part 500;* Manages and… more
- New York State Civil Service (Albany, NY)
- …Category Financial, Accounting, Auditing Salary Grade 23 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $86681 to $109650 ... style guides;* Provides training and support to dashboard users and ensures compliance with governance policies and procedures;* Participates in the development of… more
- Northern Rivers Family Services (Schenectady, NY)
- …Conduct comprehensive mental health assessments to identify needs, strengths, and risk factors. + Develop individualized treatment and transition plans in ... + Provide individual and family therapy to address emotional, behavioral, and adjustment challenges. + Facilitate skills training in areas such as emotional… more