Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to
Compliance Consultant IV - Medical Coding - Risk Adjustment The Compliance Consultant IV, Medical Coding independently reviews inpatient, outpatient, professional, and supplemental medical records to assign supported ICD-10-CM diagnosis codes and applicable hierarchical condition categories. The coder validates
Director, Data Governance About Grocery Outlet: Our Mission: Touching lives for the better Our Vision: Touching lives by being the first choice for bargain-minded consumers in the U.S. Our Values & Behaviors: Achievement, Diversity, Entrepreneurship, Family, Fun,
Oncology Data Management Lead Provide oversight for the execution of oncology data management activities at the program level from study start up through to regulatory submission. In collaboration with cross-functional teams, external partners, and support Data Managers, may serve
Manager, Commercial Operations & Data Management, Life Sciences Beghou brings over three decades of experience helping life sciences companies optimize their commercialization through strategic insight, advanced analytics, and technology. From developing go-to-market strategies and building foundational data analytics
Ridgeline is the first front-to-back system of record for investment managers. Founded by visionary entrepreneur Dave Duffield (co-founder of both PeopleSoft and Workday), the company was created to modernize an industry held back by outdated, disconnected
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans,
Position Overview This role supports the conceptualization, execution, and integration of data-driven projects for commercial efforts in the pharmaceutical and life sciences industries. You will drive innovation and creative solutions within various work streams and provide thought
Carver Companies in Albany, NY is seeking a Software Engineer to lead the development of integrations, internal tools, and data workflows that align with business needs. You will design, build, and maintain systems, ETL processes, dashboards, and
About the job Data Analyst Population Health - Remote Summary The position supports required data integration and transformation processes crucial to the implementation and function of the Gainwell Medicaid Fiscal Agent services product. Serves as a data analyst performing
Overview ETL SDET with (Pyspark Coding Experience) Location: Albany, NY Duration: 12Months+ Extension Hourly Rate: Depending on Experience (DOE) Work Authorization: This is Sai Vikas from Tek Leaders. One of our client is looking for ETL SDET
CDPHP in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG expertise to review acute inpatient records and validate DRG assignments. You will audit claims, ensure CMS guideline compliance, and
A technology solutions firm in Albany, New York, is seeking a Software Developer to lead application development and maintain database schema architecture. The ideal candidate will have over 7 years of experience in SQL coding, secure database
Join to apply for the Data Modeler (OLTP / Erwin) role at Jobs via Dice 18 hours ago Be among the first 25 applicants Join to apply for the Data Modeler (OLTP / Erwin) role at Jobs via
Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sector’s IT environment. Our team is on the forefront of helping
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to
About Grocery Outlet Our Mission: Touching lives for the better Our Vision: Touching lives by being the first choice for bargain-minded consumers in the U.S. About The Team Our Supply Chain and Logistics team mission is
Comagine Health is seeking a Senior Healthcare Data Analyst to lead advanced analytics in a multidisciplinary environment, designing analytics strategies to support quality improvement, research, and care management. The role delivers clinically, scientifically, and statistically sound analyses
Job Description: Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to