- Evolent (Albany, NY)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Merck (Albany, NY)
- **Job Description** **Position Responsibilities** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and ... communication, and networking skills + A thorough comprehension of FDA, OIG, HIPAA , and other ethical guidelines, laws, and regulations relevant to the… more
- Access: Supports For Living (Middletown, NY)
- IDD Quality Assurance & Compliance Director Location: Middletown, NY, United StatesDate Posted: Aug 19, 2025 Share: share to e-mail Apply Now Save JobSaved ... Work plans + Knowledge of NY State, Part 521 Compliance Regulations + Knowledge of HIPAA (the...Word, Excel, PowerPoint, Microsoft Teams, WebEx and/ or Zoom remote meeting host and participant tools + Ability to… more
- Highmark Health (Albany, NY)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- GMHC (New York, NY)
- Managing Director , Housing WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) Description TheManaging Director , Housingis a senior ... by HIV/AIDS. Reporting to theVice President, Housing & Operations, the Managing Director supervises a team of senior housing leaders and provides strategic oversight… more
- NASCO (Albany, NY)
- …strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA , HITRUST, CMS). This person leads Data Architects, ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...including ethics, model management and explainability, bias mitigation, and compliance with evolving regulations + Reviews and gains approval… more
- GMHC (New York, NY)
- …notes and service plans in adherence to regulatory requirements. + Confidentiality and compliance with HIPAA and other legal protections. WORK ENVIRONMENT & ... Director , Residence Management WFH Flexible * New York,...Management is also responsible for housing budget management, leasing compliance , and maintaining housing quality and census. ESSENTIAL JOB… more
- Humana (Albany, NY)
- …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Sumitomo Pharma (Albany, NY)
- …seeking a highly motivated and experienced individual for the position of ** Director , Patient Services** . Primary responsibilities include leading and developing a ... strategic framework for patient support services, aligned with brand imperatives. The Director has oversight of patient services operations and manages within the… more
- Humana (Albany, NY)
- …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position. **Scheduled weekly hours** **:** ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more