- Highmark Health (Albany, NY)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Molina Healthcare (Albany, NY)
- …SKILLS & ABILITIES:** * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is...engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (Albany, NY)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- New York State Civil Service (Albany, NY)
- …anomalies, and emerging risks across DFS-supervised entities.o Works closely with the Risk Data & Analytics Manager to analyze surveillance data, providing ... Agency Financial Services, Department of Title Financial Services Specialist 4 ( Risk ), SG-27 Occupational Category Financial, Accounting, Auditing Salary Grade 27… more
- CVS Health (Albany, NY)
- … Manager , within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities not limited to, reconciliation and aggregation, ... external consultants, team members and/or matrixed staff as required to support MA Risk Adjustment Revenue Integrity initiatives. + Responsible for leading the… more
- CenterWell (Albany, NY)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- Travelers Insurance Company (Albany, NY)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, and fire or ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more