- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. **What We're Looking For:** The Manager , Risk Adjustment Operations is responsible for the ... of supervisors and staff to business values and coding operations KPI's + Reporting to coding leadership on business...+ A minimum of 5 years of experience in risk adjustment coding and/or auditing experience. +… more
- New York State Civil Service (Albany, NY)
- …Services 1 Information Security, SG-27 (MITS1 IS) will be the Manager of Cyber Risk and Security Operations . They will lead a team that provides risk ... NY HELP No Agency Information Technology Services, Office of Title Manager Information Technology Services 1 Infomation Security - 10283 Occupational Category IT… more
- Datavant (Albany, NY)
- …Commercial meetings. **What Helps You Stand Out:** + Background in healthcare, healthcare operations , or risk adjustment . + Experience partnering with Sales, ... **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team....cross-functionally in a fast-paced environment. Experience in healthcare and risk adjustment is a plus. **What You… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Financial Services, Department of Title Virtual Currency Manager (Director Financial Services Programs 1, SG-31) Occupational Category Financial, ... Financial Services (DFS) is seeking candidates for the position of Virtual Currency Manager in the Virtual Currency Unit within the Research and Innovation Division.… more
- Molina Healthcare (Albany, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **Job Summary** The Manager , Medical Economics provides support and consultation to...specified information from data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims… more
- Wolters Kluwer (Albany, NY)
- About the Role: As a Specialized Consulting Manager , you will be responsible for coordinating and leading sales and implementation activities that meet the needs of ... our external customers and internal team. The Specialized Consulting Manager - Pharmacy Compliance ensures successful adoption and optimal utilization of our… more
- New York State Civil Service (Albany, NY)
- …Zip Code 12210 Duties Description Under the direction of the Internal Audit Manager (Information Systems Auditor 3) SG-31, the incumbent will oversee the Quality ... not limited to, the following: * Continuous auditing of high- risk areas, such as general and technical controls for...management systems to ensure consistency and quality of system operations . * Perform quality assessments and audits of systems… more
- Travelers Insurance Company (Albany, NY)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more