- Humana (Albany, NY)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Datavant (Albany, NY)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Datavant (Albany, NY)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. **You will:** + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Albany, NY)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... coding accuracy rate. + Any other task requested by management . **What you will bring to the table:** +...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- Molina Healthcare (Albany, NY)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems *… more
- New York State Civil Service (Albany, NY)
- …ensuring scalability, and enabling advanced analytics and reporting to support entity risk management functions.This position requires a highly skilled data ... skills, and a solid understanding of the financial services industry, including risk management and compliance requirements.The Department of Financial Services… more
- New York State Civil Service (Albany, NY)
- …Services is seeking candidates for the position of Financial Services Specialist 4 ( Risk ) in the Entity Risk Management function Surveillance Operations ... Administration, Economics, Econometrics, Finance, Mathematics, Market Analysis, Quality Assurance, or Risk Management and five (5) years of specialized… more
- CenterWell (Albany, NY)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Datavant (Albany, NY)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- St. Mary's Healthcare (Amsterdam, NY)
- …the Compliance and Privacy Officer. . Oversees insurance, auditing reviews (ie, HEDIS and / Risk Adjustment ), to ensure staff is completing requests in a timely ... record content and documentation requirements. Utilizes several databases, electronic forms management systems and software to perform required tasks. . Assists in… more
- Datavant (Albany, NY)
- …coding teams deliver on them through collaboration with those responsible for coder performance management . + Drive quality assurance and performance ... Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality. +...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Datavant (Albany, NY)
- …team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all ... technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician workflow, and/or electronic health… 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), ... multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- Amazon (Colonie, NY)
- …or service operations - 3+ years of increasing responsibilities in people and performance management , or 2+ years of Amazon Safety (blue badge/FTE) experience ... you will lead continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and healthful working environment… more
- Amazon (Castleton, NY)
- …service operations - 5+ years of increasing responsibilities in people and performance management - Experience implementing lean principles and process ... lead continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...with both site and regional leadership - Measure site's performance against published requirements in EHS policies. For all… more
- New York State Civil Service (Albany, NY)
- …Test and debug applications to ensure proper functionality and performance .* Provide technical support and troubleshooting for low-code applications.* Conduct ... and enhancements based on user feedback and business needs.* Monitor application performance and optimize for speed and scalability.* Ensure compliance with data… more
- Travelers Insurance Company (Albany, NY)
- …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $129,200.00 - $213,200.00 **Target ... service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts,… more
- Humana (Albany, NY)
- …including: + A strong understanding of clinical metrics and data (eg Quality measures, Risk Adjustment ratings, chronic condition management , PCP visit rates ... those relationships to collaborate on how to positively drive provider performance , overcome operational barriers and reduce administrative burden. + Serve as… more
- Travelers Insurance Company (Albany, NY)
- …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $129,200.00 - $213,200.00 **Target ... service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts,… more