• PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more
    CenterWell (11/06/25)
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  • RN, Quality Assurance

    University of Rochester (Rochester, NY)
    …data management questions, issues or concerns, but not limited to clinical data collection, validation, delivery, reconciliation, and data management activity ... and external) related to the care of the patients. Analyzes reports and clinical data to identify trends impacting quality outcomes. Works closely with the Hospital… more
    University of Rochester (11/06/25)
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  • Child Abuse Pediatrician

    University of Rochester (Rochester, NY)
    …division has approximately 100 faculty, fellows, and staff participating in active clinical , research, and educational programs focusing on improving child health in ... projects, educational scholarship, reviews, chapters, or books; participation in clinical trials and/or clinical investigations; academic presentations; and… more
    University of Rochester (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more
    Humana (10/25/25)
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  • Allied Health Care Training Instructor

    SUNY Schenectady County Community College (Schenectady, NY)
    …is seeking a part-time Allied Health Care Training Instructor. Reporting to the Project Director, the Allied Health Care Training Instructor will deliver the ... clinical and vocational component of a curriculum designed to...a curriculum designed to assist students build knowledge and clinical skills aimed at passing the licensing exam for… more
    SUNY Schenectady County Community College (10/23/25)
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  • Chief Medical Information Officer (Cmio)

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of ... of our mission to end cancer for life. The CMIO will partner with clinical and operational leaders to optimize existing systems, guide and implement future digital… more
    Memorial Sloan-Kettering Cancer Center (09/25/25)
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  • System Chief Division of Infectious Diseases…

    Mount Sinai Health System (New York, NY)
    …seeking an accomplished and experienced Physician or exceptional PhD Researcher (with a clinical partner) to assume the role of System Chief for the Division of ... should demonstrate substantial leadership skills and a dedication to advancing clinical and translational research, particularly using NIH grants. The Department of… more
    Mount Sinai Health System (09/20/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of ... substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Strategic Pharmacy Analyst

    RxBenefits (New York, NY)
    …be correct and released. Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role ... BDEs and Financial Analysts to manage each new opportunity project from beginning to closed status employing high level...it meets the requirements for our comprehensive financial and clinical modeling. + In coordination with small teams, ensure… more
    RxBenefits (12/04/25)
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  • Federal Senior Integration Architect - Oracle…

    Oracle (Albany, NY)
    …**Your Role** In this role, the Senior Integration Architect is the technical project manager that will oversee the technology and implementation process as well as ... Provide integration oversight for engagements and provide support to project team members so that project deliverables...and/or INA + Strong knowledge of the Oracle Health Clinical and Revenue Cycle Systems and their workflows +… more
    Oracle (11/25/25)
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