- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Catholic Health (Buffalo, NY)
- …high quality patient care. Together with the Medical Directors, the System Director develops a clinical support staffing plan, provider on-call schedules and ... Neuro-Critical Care unit(s). As the Dyad Partner to the Medical Director , Musculoskeletal Services, and the ...scope of services at each site, detail scope of practice for clinical providers an expansion of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Functions as a mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical appeal case reviews and may ... you, we encourage you to apply! Job Description: The Medical Director participates in the broad array...Minimum of seven (7) years of clinical practice experience after completion of all graduate medical… more
- University of Rochester (Rochester, NY)
- …Medicine to ensure academic connections for Transplant Institute physicians. The Medical Director will help set the strategic and clinical direction of the ... Center, Department of Medicine (https://www.urmc.rochester.edu/medicine/about-medicine.aspx) is seeking a Medical Director of the Transplant Institute. (https://www.urmc.rochester.edu/transplant.aspx)… more
- Mount Sinai Health System (New York, NY)
- …Director for Primary Care Outpatient Clinic on Columbus Avenue!** The Administrative Medical Director provides clinical and administrative leadership for ... success of the practice within the Mount Sinai Health System. The Medical Director serves as a key liaison between clinical staff, administration, and… more
- Humana (Albany, NY)
- …Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the ... or >65 years of age) + Internal Medicine, Family Practice , Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital...national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case… more
- Evolent (Albany, NY)
- …non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- CenterWell (Albany, NY)
- … Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Elevance Health (New Hyde Park, NY)
- …required by law. Alternate locations may be considered. The **Manager, Medical Director ** will serve as a clinical and strategic advisor to enterprise ... **Manager, Medical Director - Transformation Initiatives** Location:...program designs for alignment with quality, safety, and evidence-based clinical practice . + Guide affordability-focused programs with… more
- Elevance Health (New York, NY)
- ** Clinical Operations Medical Director **...of Internal Medicine or Surgery. + 3-5 years of clinical practice experience past fellowship training is ... Director review or policy interpretation. + Determine medical necessity of requests using applicable clinical ...Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a… more