1230 Analyst Risk Modeling jobs in New York,NY

Easy Apply

Remote Customer Service

Hire Standard Staffing

New York, NY

$120,000/yr

RemoteHealth Insurance

Must be a U.S. or Canadian citizen

SmartExplore AI is experimental.

Apply Directly

AI Security Risk Analyst (Healthcare)

TEKsystems

New York, NY 10001

$70-$85/hr

Apply Directly

Director, Provider Education & Risk Adjustment

MJHS

New York, NY 10040

Requires Travel

Bachelor's Degree required or comparable work experience will be considered.
Minimum 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit.
In-depth knowledge of medical terminology, anatomy and physiology, pharmacology, and pathology required.
Extensive knowledge of coding and documentation requirements including ICD-10-CM, CPT-4, and HCPCS.
Excellent verbal and written communication skills, analytical skills, and organization skills required.
Extensive problem-solving experience is required.
Experience working with physicians and physician practices.
Goal-oriented and experience with development and implementation of action plans.
Excellent customer service required.
Ability to interact with public in a diplomatic and tactful manner and represent the Health Plan effectively.
Ability to manage relationships with assigned practices and maintain records of all activities.
Ability to develop action plans as required.
Proficient computer skills.
Self-motivated with the ability to work with minimal supervision.

SmartExplore AI is experimental.

Remote Online Tasks – Earn Up to $1,500/month Playing Games

Free Cash

New York, NY 10016

$1,500/mo

Remote

Easy Apply

Compliance Specialist III

Adecco

New York, NY 10025

$102.75/hr

RemoteHealth InsurancePaid Time OffRetirement Benefit

Proficiency in risk assessments and control frameworks.
Strong presentation and executive communication skills.
Demonstrated stakeholder management and cross‑functional collaboration experience.
Experience developing new programs and processes.
Solid project management capabilities.
Experience with compliance and regulatory data analysis.
Working knowledge of evolving regulatory and compliance standards and industry best practices.

SmartExplore AI is experimental.

Apply Directly

Border Patrol Agent - Experienced (GS11)

United States Customs and Border Protection

Carlstadt, NJ 07072

$63,148-$120,145/yr

Bilingual Preferred

Apply Directly

Clinical Laboratory Scientist

United States Army

Yonkers, NY 10701

Apply Directly

Quality Assurance Specialist

the fedcap group

New York, NY 10017

$66,300-$75,000/yr

OnsiteBilingual Preferred

A bachelor's degree in a related discipline required.
3-5 years' experience in Quality Assurance, monitoring, and/or Compliance experience in a similar role.
Experience with Continuous Quality Improvement frameworks and instruments.
Experience in accurate electronic data analysis and QA.
Prior experience responding to external audit reports and preparing corrective action plans.
Experience in developing and implementing processes for continual quality improvement.

SmartExplore AI is experimental.

New, Posted 20 hours ago

ResumeLibrary