- CVS Health (Albany, NY)
- …we do it all with heart, each and every day. **Position Summary** The Medicare Performance Management Lead Business Consultant will facilitate and support ... drive the markets bid strategy. + An analyst of Medicare business performance, meaning that the role...liaison between senior management and local market leaders. + Lead process Improvement opportunities relating to Medicare … more
- Humana (Albany, NY)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will...line of business . The Medical Director conducts Utilization Management… more
- CVS Health (Albany, NY)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... courage to innovate **Additional Information** Typically reports to a Lead Medical Director , depending on size of..., depending on size of team or line of business . The Medical Director conducts Utilization Management… more
- Humana (Albany, NY)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...line of business . The Medical Director conducts Utilization Management… more
- Humana (Albany, NY)
- …and collaborates with other team members, other departments, Humana colleagues and the lead medical director . After completion of mentored training, daily work ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director . The Medical Director conducts post-service,… more
- Molina Healthcare (Albany, NY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director , and quality improvement staff. + ... including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge....to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration,… more
- Humana (Albany, NY)
- …and help us put health first** Humana is seeking a high-impact, forward-thinking Director of Sourcing and Contract Management to lead the execution engine ... partnerships are formalized. As we transform how Procurement delivers for the business , this leader will ensure we have a fit-for-purpose sourcing and contracting… more
- CenterWell (Albany, NY)
- …the medical coder experience. + Oversees coding operations by identifying business partner needs and develops solutions. + Responsible for overall performance ... across multiple sites and geographies, with concrete impact on business outcomes + Ability to travel up to 20%...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record… more
- Humana (Albany, NY)
- …a Lead , you will be responsible for deconstructing complex business challenges, conducting targeted research and analysis, and developing sound, data-driven ... identifying key go-to-market priorities, assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage… more
- CenterWell (Albany, NY)
- …reports. Write basic SQL queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting. * Develop basic ... will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for ...with Finance and Data teams * Coordinate with ACO Lead overseeing the IPA / Affiliate business … more
- Albany Medical Center (Albany, NY)
- …the general supervision of Albany Medical College, Department of Neurology and Director of Alzheimer's Program, the Program Manager will oversee the day-to-day ... points for the mandatory quarterly reports and work plans, assisting the Program Director with the development of all applicable work plans and reports required by… more
- Datavant (Albany, NY)
- …incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and overseeing a core group of its analysts. We are looking ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...operating proactively vs reactively. The primary functions of the Business Analytics team are to create analytic solutions that… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …use of analytical data to generate field and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing ... opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology/Acute SSR will focus… more