Risk adjustment jobs in Yonkers, New YorkCreate job alerts

Job DescriptionJob Title: Construction Project LeadershipJob Description We are seeking a skilled professional to lead our construction project management team. This leadership role involves overseeing project managers, ensuring the effective delegation of workloads, and maintaining a comprehensive project schedule. You will monitor deadlines, contracts, billing, procurement, and documentation, while also managing warranties and project closeouts. Responsibilities • Manage, support, and hold project managers accountable., • Create and update the project schedule., • Assign and delegate workloads., • Establish department priorities and monitor deadlines, contracts, billing, procurement, documentation, maintenance, warranties, and closeout., • Review project performance and address deficiencies., • Escalate major risks, client issues, financial concerns, and staffing needs., • Coordinate daily with the field operations regarding field priorities and resource requirements., • Maintain a current list of all active projects and evaluate each project manager’s workload, experience, and capacity., • Assign projects based on complexity, value, risk, schedule, location, client, and workload., • Reassign projects when workloads become unbalanced., • Identify projects requiring direct involvement or increased oversight., • Maintain various schedules including seasonal, two-week look-ahead, weekly, and daily coordination., • Provide monthly management reports addressing project status, schedule performance, billing and requisitions, procurement, budget and cost concerns, and major risks., • Conduct contract reviews to identify scope of work, exclusions, billing requirements, and any unusual financial, operational, or legal exposure., • Oversee project managers in performing contract reviews, change orders, client communication, budget management, and project closeout.Essential Skills, • 6-10 years of experience as a Project Manager or Senior Project Manager, particularly in Heavy Civil, DOT Projects, or governmental agencies., • Ability to manage schedules, budgets, look-aheads, and construction paperwork., • Proficiency in Microsoft Project, Bluebeam or Procore, RFI, and Change Order processes.Additional Skills & Qualifications, • Experience with DOT governmental agency client work., • Expertise in landscape construction sitework.Work Environment The role requires presence in the office from 8 AM to 5 PM, with 20 percent travel to job sites as needed. Enjoy competitive benefits, opportunities for growth within an established firm, leadership responsibilities, and summer Fridays. Job Type & Location This is a Contract position based out of Paramus, NJ. Pay and Benefits The pay range for this position is $62.00 - $67.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Paramus,NJ. Application Deadline This position is anticipated to close on Sep 7, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Pre-IPO Healthcare Company This Jobot Job is hosted by: Milan Kacar Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $130,000 - $150,000 per year A bit about us: Fast Growing Healthcare Company Why join us? • Generous 401K match, • Superb Medical and dental insurance, • 3 Weeks PTO to start, • Stability during economic downturns Job Details Responsibilities: Accounting & Financial Operations • Assist the Controller in managing the accounting department in the daily accounting operations, including general ledger, accounts payable/receivable, payroll, and cash management., • Prepare and review journal entries, reconciliations, and financial schedules., • Support monthly, quarterly, and annual close processes to ensure accurate financial results. Assist Controller with capitation payments, risk adjustment and IBNR accruals and reconciliations. Reporting & Compliance • Prepare internal management reports and support external financial reporting., • Assist with timely CMS and state regulatory filings., • Assist Controller to support annual external audits and regulatory examinations by preparing schedules and responding to requests., • Help ensure compliance with internal controls. Budgeting, Forecasting & Analysis • Assist Controller to support the annual budgeting and periodic forecasting process., • Provide variance analysis on administrative costs, medical expenses, and PMPM trends., • Assist in preparing analyses of key drivers impacting MLR, Star Rating changes, and revenue adjustments. Leadership & Team Support • Supervise and mentor accounting staff, ensuring accuracy and adherence to deadlines., • Provide training and development opportunities to build team skills., • Assist the Controller and serve as a liaison between accounting and other departments (claims, actuarial, compliance, IT) as indicated by the Controller. Qualifications: • Bachelor’s degree in Accounting or Finance; CPA or CPA-track preferred., • Strong knowledge of GAAP and at least 5 years of progressive accounting experience, ideally within managed care, insurance, or healthcare., • Strong Excel skills., • Demonstrated leadership or supervisor experience in previous work history. Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that en

Job Description Job Title: MEP Construction Superintendent (Boiler exp) Job Description The MEP Construction Superintendent oversees the successful delivery of commercial construction projects with a strong focus on mechanical, electrical, and plumbing systems. This role ensures all work is completed on time and in strict accordance with plans, specifications, and local codes, while maintaining high standards of quality, safety, and organization across multiple job sites. The superintendent coordinates direct labor and subcontractors, manages project documentation, and leads field operations from project kick-off through final turnover and post-occupancy work. Responsibilities • Coordinate all fieldwork to ensure it aligns with approved plans, specifications, and local codes., • Communicate conflicts, discrepancies, or required revisions in drawings and specifications to the project team and secure resolution before executing work that deviates from approved plans., • Establish, implement, and enforce job site quality control and safety programs to maintain a safe, clean, and high-quality work environment., • Oversee direct labor and manage the scheduling of subcontractors, consultants, vendors, deliveries, and materials to support timely project completion., • Ensure all construction activities, including MEP installations, are performed in accordance with contract documents, plans, and specifications., • Maintain detailed daily logs of job site activities, including workforce, inspections, deliveries, and significant events., • Conduct regular quality inspections to verify that materials and equipment used are approved for the job and that work meets safety, health, and environmental standards., • Manage multiple job sites simultaneously and ensure all deficiencies, punch list items, and non-conformances are identified and corrected promptly., • Coordinate and preside over subcontractor meetings to review progress, resolve issues, and reinforce safety and quality expectations., • Ensure job sites remain clean, organized, and free of hazards throughout the project lifecycle., • Prepare, collect, and manage timesheets for internal labor and subcontractor personnel to support accurate labor tracking and reporting., • Organize and manage project paperwork, including SDS and MSDS documentation, OSHA logs, submittals, RFIs, and other required records., • Participate in preplanning for future jobs, including sequencing of work, resource planning, and risk identification., • Conduct evaluations of trade performance and subcontractor effectiveness, providing feedback to improve quality and efficiency., • Oversee project close-out activities, including preparation of close-out reports, documentation, and coordination of post-occupancy repair work., • Review construction drawings to understand design intent and provide suggestions for improvement, constructability, and efficiency., • Guide project quality control from initial kick-off through final turnover, ensuring systems are installed, tested, and commissioned properly., • Monitor safety compliance across all job sites and arrange for necessary labor, tools, equipment, and training to maintain safe operations., • Identify and resolve conflicts in construction progress, sequencing, and field conditions to keep projects on schedule., • Communicate regularly with the project team regarding contract drawings, RFIs, submittals, and any changes impacting scope, schedule, or quality., • Perform other duties as requested related to project planning, trade performance evaluation, close-out documentation, and post-occupancy service. Essential Skills • Minimum of 5 years of commercial construction experience, with a strong focus on mechanical, electrical, and plumbing systems., • 5 years of experience in mechanical, electrical engineering or civil engineering, or closely related field., • Prior field experience in plumbing and heating, including hands-on work with heating systems and related trades., • Strong understanding of heating systems, boiler systems, and building mechanical systems., • Thorough knowledge of construction trades and commercial construction practices, including general contracting and construction supervision., • Ability to read and interpret floor plans, specifications, safety rules, operating and maintenance instructions, and procedure manuals., • Proficiency with computer and smartphone applications, including Microsoft Office Suite, Google tools, Gmail, WhatsApp, and MS Excel., • Experience with Bluebeam or similar software for drawing review and markups., • Technical experience with control systems in boiler, chiller, and HVAC industries, including building automation systems., • Strong communication skills for effective interaction with customers, employees, subcontractors, and project management teams., • Ability to organize, manage, and maintain project documentation such as SDS/MSDS, OSHA logs, submittals, RFIs, and timesheets., • Demonstrated experience in subcontractor management, including scheduling, scope compliance, and safety oversight., • Proven ability to manage multiple job sites and coordinate labor, materials, and equipment to meet project deadlines., • Experience with safety training and safety management on construction sites., • Capability to perform quality control duties, verify approved materials, and enforce project specifications. Additional Skills & Qualifications • 5–8+ years of experience in relevant construction or MEP supervision is ideal; candidates with 3–5 years of experience will be considered, and senior-level candidates are welcome., • Background in mechanical, electrical, or civil engineering is strongly preferred., • Experience with boiler inspection, boiler installation, boiler maintenance, and boiler repair., • Knowledge of steam heating systems, hydronic boiler systems, and combined heat and power (CHP) applications., • Familiarity with CHP tools and combined heat and power application processes., • Experience working in or around NYCHA buildings or similar multifamily residential and commercial environments., • Understanding of HVAC systems, HVAC maintenance, and heating controls., • Experience with building re-pipes, heating controls installation, and boiler monitoring systems., • SST-62 certification or equivalent site safety training credential., • Experience with general contractor operations and construction management processes., • Strong project management skills, including planning, sequencing, and resource allocation., • Ability to identify constructability issues and propose practical solutions for field execution., • Comfort working with digital communication tools and collaboration platforms., • Experience in installation work related to MEP systems and energy efficiency retrofits.Job Type & Location This is a Permanent position based out of Mount Vernon, NY. Pay and Benefits The pay range for this position is $100000.00 - $150000.00/yr. • Medical - Dental - Vision - 401k Workplace Type This is a fully onsite position in Mount Vernon,NY. Application Deadline This position is anticipated to close on Aug 26, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Pre-IPO Healthcare Company This Jobot Job is hosted by: Milan Kacar Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $130,000 - $150,000 per year A bit about us: Fast Growing Healthcare Company Why join us? • Generous 401K match, • Superb Medical and dental insurance, • 3 Weeks PTO to start, • Stability during economic downturns Job Details Responsibilities: Accounting & Financial Operations • Assist the Controller in managing the accounting department in the daily accounting operations, including general ledger, accounts payable/receivable, payroll, and cash management., • Prepare and review journal entries, reconciliations, and financial schedules., • Support monthly, quarterly, and annual close processes to ensure accurate financial results. Assist Controller with capitation payments, risk adjustment and IBNR accruals and reconciliations. Reporting & Compliance • Prepare internal management reports and support external financial reporting., • Assist with timely CMS and state regulatory filings., • Assist Controller to support annual external audits and regulatory examinations by preparing schedules and responding to requests., • Help ensure compliance with internal controls. Budgeting, Forecasting & Analysis • Assist Controller to support the annual budgeting and periodic forecasting process., • Provide variance analysis on administrative costs, medical expenses, and PMPM trends., • Assist in preparing analyses of key drivers impacting MLR, Star Rating changes, and revenue adjustments. Leadership & Team Support • Supervise and mentor accounting staff, ensuring accuracy and adherence to deadlines., • Provide training and development opportunities to build team skills., • Assist the Controller and serve as a liaison between accounting and other departments (claims, actuarial, compliance, IT) as indicated by the Controller. Qualifications: • Bachelors degree in Accounting or Finance; CPA or CPA-track preferred., • Strong knowledge of GAAP and at least 5 years of progressive accounting experience, ideally within managed care, insurance, or healthcare., • Strong Excel skills., • Demonstrated leadership or supervisor experience in previous work history. Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobots policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Associate Healthcare Advocate is responsible for a range of provider relations services within Optum. The Associate Healthcare Advocate will work as an extension of the local Provider Performance Team by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership. The Associate Healthcare Advocate under the supervision of a Director/Manager and or Mentor is responsible for the successful program implementation, compliance with network requirements, network assessment and selection, and program/product implementation. If you are located in Bronx, NY, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Manage provider groups in a defined market, limited to groups with less than 250 members, • Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff, • Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities, • Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members, • Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources, • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and Hospitals, • Provide measurable, actionable solutions to improve documentation and coding accuracy., • Anticipate customer needs and proactively develop solutions to meet them, • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity, • Manage time effectively to ensure productivity goals are met, • Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise Adhere to corporate requirements related to industry regulations/responsibilities, • Maintain confidentiality and adhere to HIPAA requirements, • Function independently, meeting with physicians to discuss OPTUM tools and programs focused on improving the quality of care for Medicare & Medicaid Advantage Members, • Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement, • Support providers in ensuring documentation aligns with ICD-10 and CPT II coding guidelines and national standards, • Ability to travel within assigned territory (day trips) 75% of the time, • Other duties, as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • 2+ years of healthcare experience with demonstrated knowledge of medical terminology and clinical issues, • 1+ years of experience with EMR systems, • Demonstrated knowledge of ICD-10, HEDIS, and Stars programs, • Demonstrated experience using MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations, • Demonstrated ability to communicate, engage, and develop relationships across diverse audiences and collaborating teams (i.e., providers and internal stakeholders), • Must be able/willing to travel approximately 75% of the time in the assigned territory (Bronx NY Regional Area) as business needs dictate, • Reside within the Bronx NY Regional Area to perform daily travel requirements, • Access to reliable personal transportation to perform daily travel requirements, • Valid Driver's License and current auto insurance Preferred Qualifications: • Certified Professional Coder (CPC/CPC-A) or equivalent certification., • CRC certification, • Nursing background (LPN, RN, NP), • 2+ years of managed care experience, • Experience in a physician office, clinic, hospital, or similar medical setting, • Experience in Risk Adjustment, HEDIS/Stars, and gap closure initiatives, • Advanced proficiency in MS Excel (pivot tables, advanced functions), • Demonstrated knowledge of billing, claims submission, and coding software, • Project management experience, • Experience in provider network management, physician contracting, healthcare consulting, Medicare Advantage sales, or pharmaceutical sales, • Territory management experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents. Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community. Location: Bronx, NY Type: Full-Time | On-Site | Exempt Job summary: We are seeking a strategic and data-driven Analytics Manager to lead our analytics and business intelligence initiatives across our outpatient healthcare organization in the Bronx. This role will be responsible for building and overseeing a team that delivers actionable insights to support clinical outcomes, operational efficiency, patient access, and organizational growth. The ideal candidate has strong healthcare experience, a collaborative mindset, and the ability to turn complex data into practical strategies. Responsibilities include: • Develop and execute a comprehensive analytics strategy aligned with organizational goals., • Oversee data collection, reporting, and visualization across all outpatient service lines., • Partner with clinical, operational, and executive leadership to identify performance trends and key metrics., • Design dashboards and performance tracking tools to improve decision-making and accountability., • Analyze patient access, provider productivity, appointment utilization, and population health data., • Collaborate with IT and EHR teams to ensure data integrity and interoperability., • Lead data governance efforts and ensure compliance with HIPAA and data privacy regulations., • Mentor and manage a team of analysts and data scientists., • Present insights and recommendations to senior leadership in a clear and compelling manner. Qualifications: • Bachelor's degree in Data Science, Health Informatics, Public Health, Statistics, or a related field (Master's preferred)., • 710+ years of experience in analytics, preferably in outpatient or healthcare settings., • Proven experience in leading data teams and cross-functional projects., • Strong knowledge of healthcare KPIs: patient volume, provider FTE, visit conversion, no-show rates, etc., • Proficiency in data visualization tools (e.g., Tableau, Power BI), SQL, Excel, and analytics platforms., • Familiarity with EHR systems, • Excellent communication skills and ability to translate data into actionable strategies. Preferred Qualifications: • Experience working with underserved or urban healthcare populations., • Knowledge of value-based care, quality measures (HEDIS, STAR, etc.), and risk adjustment., • Bilingual (Spanish) is a plus. Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Position Summary: The Director Of Coding Compliance is responsible for leading coding compliance and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills

Strong working knowledge of CMS-HCC risk adjustment model (required for accurate coding and compliance) Solid understanding of ICD-10-CM coding guidelines Ability to accurately identify and code chronic conditions requiring annual recapture Experience reviewing face-to-face encounters and validating

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Associate Healthcare Advocate is responsible for a range of provider relations services within Optum. The Associate Healthcare Advocate will work as an extension of the local Provider Performance Team by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership. The Associate Healthcare Advocate under the supervision of a Director/Manager and or Mentor is responsible for the successful program implementation, compliance with network requirements, network assessment and selection, and program/product implementation. If you are located in Bronx, NY, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Manage provider groups in a defined market, limited to groups with less than 250 members, • Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff, • Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities, • Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members, • Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources, • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and Hospitals, • Provide measurable, actionable solutions to improve documentation and coding accuracy., • Anticipate customer needs and proactively develop solutions to meet them, • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity, • Manage time effectively to ensure productivity goals are met, • Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise Adhere to corporate requirements related to industry regulations/responsibilities, • Maintain confidentiality and adhere to HIPAA requirements, • Function independently, meeting with physicians to discuss OPTUM tools and programs focused on improving the quality of care for Medicare & Medicaid Advantage Members, • Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement, • Support providers in ensuring documentation aligns with ICD-10 and CPT II coding guidelines and national standards, • Ability to travel within assigned territory (day trips) 75% of the time, • Other duties, as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • 2+ years of healthcare experience with demonstrated knowledge of medical terminology and clinical issues, • 1+ years of experience with EMR systems, • Demonstrated knowledge of ICD-10, HEDIS, and Stars programs, • Demonstrated experience using MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations, • Demonstrated ability to communicate, engage, and develop relationships across diverse audiences and collaborating teams (i.e., providers and internal stakeholders), • Must be able/willing to travel approximately 75% of the time in the assigned territory (Bronx NY Regional Area) as business needs dictate, • Reside within the Bronx NY Regional Area to perform daily travel requirements, • Access to reliable personal transportation to perform daily travel requirements, • Valid Driver's License and current auto insurance Preferred Qualifications: • Certified Professional Coder (CPC/CPC-A) or equivalent certification., • CRC certification, • Nursing background (LPN, RN, NP), • 2+ years of managed care experience, • Experience in a physician office, clinic, hospital, or similar medical setting, • Experience in Risk Adjustment, HEDIS/Stars, and gap closure initiatives, • Advanced proficiency in MS Excel (pivot tables, advanced functions), • Demonstrated knowledge of billing, claims submission, and coding software, • Project management experience, • Experience in provider network management, physician contracting, healthcare consulting, Medicare Advantage sales, or pharmaceutical sales, • Territory management experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Our Hematology-Oncology practice is seeking a detail-oriented and knowledgeable full-time Medical Biller to add to our growing Billing Team.The ideal candidate will have, at least, 1-2 years of hands-on experience in the field.Hematology/Oncology/Infusion billing experience is STRONGLY PREFERRED.Pre

We are seeking an experienced Project Manager to lead defense industry and equipment installation projects from planning through execution, ensuring successful delivery, customer satisfaction, budget control, and schedule compliance while coordinating cross-functional teams and stakeholders.This pos

Assist the researchers with all aspects of conducting clinical research.This includes proficient computer skills and knowledge of programs.Communication is very important for managing subjects and updating investigators.Monitoring phone calls/emails are necessary.Must be very organized and able to p

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Golden Steps ABA is on a mission to change livesone step at a time.We're not just building a team; we're creating a community where inclusion, impact, and growth are the norm for our teammates and our patients.If you're ready to take the next step forward and want to be part of a crew that celebrate

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Administrative Assistant, Healthcare.Location: New Rochelle, New York 10801 Duration: 24 Months Contract Position.The Nursing Home Program is responsible for regulatory activities related to health care facilities.Some of the many program responsibilities include: inspecting facilities for complianc

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Bonus, Fully Paid For Benefits/Unlimited PTO.This Jobot Job is hosted by: Sheldon Collins.Are you a fit? Easy Apply now by clicking the "Apply" button.Salary: $160,000 - $180,000 per year.Our client is a leading aerospace and defense company in Denver.Competitive Compensation Package!.Complete Fully

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Will provide administrative support to the Program Director, other staff members, and Residents, as needed to support the operations of the residence.Answers and screens telephone calls, directs callers, and takes messages.Answers general inquiries from residents and provides direction and assistanc

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

SERVPRO of Hackensack / Little Ferry is hiring an Administrative Assistant!.SERVPRO of Hackensack / Little Ferry offers:.And more! As an Administrative Assistant, you would be asked to assist office teammates and all customers by handling office tasks, providing polite and professional assistance vi

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Administrative Assistant for the IT Department.BronxWorks helps individuals and families improve their economic and social well-being.From toddlers to seniors, we feed, shelter, teach, and support our neighbors to build a stronger community.In all aspects of our work, we strive for the highest ethic

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Administrative Assistant New Jersey - Onsite 5 Days Per Week.Seeking an Administrative Assistant to support office and accounting related administrative functions in a professional services environment.This role is based onsite in New Jersey and provides day to day administrative and document suppor

Administrative Assistant (NYC).Housing Solutions of New York is looking for an Administrative Assistant to join the team!.Housing Solutions of New York (HSNY) is committed to making a difference in solving the housing problem in New York City by transforming lives and creating holistic paths to empl

SERVPRO of Hackensack / Little Ferry is hiring an Administrative Assistant! SERVPRO of Hackensack / Little /Ferry offers:.And more! As an Administrative Assistant, you would be asked to assist office teammates and all customers by handling office tasks, providing polite and professional assistance v

Remote Work From Home Data Entry Clerk - Typing - Part Time.Yonkers, NY, United States Or refer someone Job Openings Remote Work From Home Data Entry Clerk - Typing - Part Time.About the Job Remote Work From Home Data Entry Clerk - Typing - Part Time.This is your chance to begin a lifelong career wi

We are hiring immediately for a full time Administrative Assistant position.Location: Mercy University - 555 Broadway, Dobbs Ferry, NY 10522.Openings at other locations within school district available) Note: online applications accepted only.Schedule: Full time schedule; Monday through Friday, 7:00

Seeking a detail-oriented and reliable Billing Specialist with an accounting background to support accurate and timely customer billing, sales data entry, inventory coordination, and accounts receivable activities.This role is responsible for preparing customer invoices, entering and maintaining sal

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Administrative Support For Lodi Branch Service Business.Provide administrative support to the Lodi branch's Service business by ensuring customer invoices are submitted accurately and timely.Responsible for collecting and organizing supporting documentation, obtaining purchase orders and required ba

We're one of the nation's largest homeless services providers and low-income housing developers serving at-risk populations including families, individuals, veterans, survivors of domestic violence, people with physical and mental health challenges and disabilities, and seniors.

Collaborate with legal teams to ensure contract compliance and mitigate risks.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists