• Medical Director - Mid West Region

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (05/14/25)
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  • Medical Director - South Central

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (07/11/25)
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  • Associate Medical Director

    Sumitomo Pharma (Albany, NY)
    …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. +… more
    Sumitomo Pharma (05/16/25)
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  • Associate Director , Insurance Ratings

    S&P Global (New York, NY)
    …US Life Insurance Ratings team is seeking a highly motivated Associate Director with excellent organizational, communication, and credit analysis skills to manage ... while getting exposure to our Global Insurance Criteria and Framework.** **As an Associate Director , you are working as part of a sector team in the North American… more
    S&P Global (07/07/25)
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  • Head of Front Office Equities Quants - Managing…

    Wells Fargo (New York, NY)
    **About this role:** The Securities Quantitative Analytics Director is a Managing Director level role within the Corporate & Investment Banking organization ... + Meet deliverables while adhering to policies, procedures, and compliance requirements + Collaborate and consult with peers, colleagues,...areas is a plus) + 8+ years of hands-on coding experience, C++ is most relevant, with an emphasis… more
    Wells Fargo (06/19/25)
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  • Computer System Manager Level 4 - Director

    CUNY (New York, NY)
    Computer System Manager Level 4 - Director of Application Development **GENERAL DUTIES** IT Computer Systems Managers manage and direct an Information Technology ... Overview** Reporting directly to the Deputy CIO and CISO, the Director of Application Development provides strategic and operational leadership over application… more
    CUNY (06/17/25)
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  • Director , Registered Nurse /Certified…

    Ankura (New York, NY)
    …Care team is a recognized leader in health care disputes, compliance , and investigations. We combine unparalleled clinical, technical, and operational expertise ... by providers, payers, and CMS. We combine in-depth operational, compliance , and clinical industry knowledge with exceptional data analytics, information-gathering,… more
    Ankura (07/15/25)
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  • Medical Director , Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area ... on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent...guidelines and medical criteria. + Assists with training medical director colleagues and nursing staff , including leadership of… more
    Excellus BlueCross BlueShield (07/01/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director , Clinical & DRG Denials provides clinical leadership and...maintains operational policies for the department and assures regulatory compliance is a priority. Specifically, develops strategies and tactics… more
    Kaleida Health (06/19/25)
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  • Front Office Equities Quant - Executive…

    Wells Fargo (New York, NY)
    …Wells Fargo is seeking a Front Office Equities Quant - Executive Director (Senior Lead Securities Quantitative Analytics Specialist) in Corporate & Investment ... experience, education **Desired Qualifications:** + 7+ years of hands-on coding experience, C++ and Java are most relevant, with...of a background check. Internal transfers are subject to compliance with 17 CFR 240.17f-2 of the Securities Exchange… more
    Wells Fargo (06/27/25)
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