• Medical Staff Credentialing Assistant…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Medical Staff Credentialing Assistant (Intake) - Medical Staff Services- Corporate -Full-Time Days -Remote** Provide support for all ... credentialing functions within the Medical Staff Office. Our flexible remote opportunities offer an...Office Suite products, preferred Non-Bargaining Unit, 542 - HSO Medical Staff Services - MSH, Mount Sinai Hospital **Responsibilities**… more
    Mount Sinai Health System (09/17/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …of documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding, ... research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and...Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Medical Director, Medicare Grievances

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. ... The Corporate Medical Director works on problems of diverse scope and...scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical more
    Humana (11/19/25)
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  • Behavioral Health Medical Director…

    Humana (Albany, NY)
    …Information** Typically reports to an Associate Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
    Humana (11/11/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Albany, NY)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of ... of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director work… more
    Humana (11/07/25)
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  • Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies. + Accountable for meeting departmental guidelines ... coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Utilization Management Reviewer, Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    …coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies. + Accountable for meeting departmental guidelines ... standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management… more
    Excellus BlueCross BlueShield (11/19/25)
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  • Territory Manager - Shockwave Medical

    J&J Family of Companies (Albany, NY)
    …and moral character while professionally representing the company. + Comply with all corporate compliance, FDA, medical device, quality standards and ethics. + ... Johnson is hiring for a **Territory Manager** for Shockwave Medical Inc. located in **Albany, NY** . At Johnson...(IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of… more
    J&J Family of Companies (11/21/25)
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  • Senior Compliance Officer

    Albany Medical Center (Albany, NY)
    …of noncompliance. This senior position is an integral component of Albany Medical Center's Corporate Compliance's leadership team. All professional positions ... implementing an effective Compliance program which promotes the attainment of Albany Medical Center's goals and objectives while adhering to applicable laws, rules… more
    Albany Medical Center (11/01/25)
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  • Regional Medical Scientific Director,…

    Merck (Albany, NY)
    …the foundational elements of diversity + Consistent adherence to field and corporate policies and Global Medical Scientific Affairs (GMSA) strategy, including ... **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director | Cardiopulmonary & Pulmonary Hypertension that can help… more
    Merck (11/27/25)
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