- MTA (New York, NY)
- Deputy Director , Risk Assessment and Standards Job ID: 12309 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular ... commute, excellent customer service, and rewarding opportunities. Position Objective: The Deputy Director supports the Deputy Chief of Risk & Insurance Management in… more
- Humana (Albany, NY)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Stony Brook University (Commack, NY)
- Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care Contracting to ... alignment with organizational financial goals. Under the direct supervision of the Assistant Director of Managed Care, the Director will oversee the daily… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …The James J Peters VAMC is seeking a Full-Time Hospitalist Section Chief and Director of Inpatient Quality who will direct patient care and support a range of ... employees and Veterans. Duties: The incumbent serves as Chief Hospitalist and Director of Inpatient Quality within Internal Medicine Service. They are responsible… more
- Humana (Albany, NY)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Veterans Affairs, Veterans Health Administration (Binghamton, NY)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... No Physician Employment Contract and no significant restriction on moonlighting Medical Director - Primary Care Binghamton CBOC- The Medical Director of the… more
- CVS Health (New York, NY)
- …the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director ... clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR ... THE SCORE OF 100 ON THE OPEN COMPETITIVE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES EXAM (# 1121) The Department...to ensure information the investigators gathered, and the applicants' claims of homelessness are valid. - Monitor referrals to… more
- Humana (Albany, NY)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness...MD or DO degree + A current and unrestricted license in at least one state and willing to… more
- Centene Corporation (New York, NY)
- …+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more