- Humana (Albany, NY)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Albany, NY)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... activities include: reviews of requests for broad range of medical services including medications, medical ...and medical criteria. + Assists with training medical director colleagues and nursing staff ,… more
- Datavant (Albany, NY)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Director , CDI Department: Clinical Documentation ImprovementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The ... Clinical Documentation Improvement Director provides a key role in advancing the long...to ensure accurate and timely clinical documentation in the medical record. RESPONSIBILITIES + Responsible for CDI operations ensuring… more
- CVS Health (New York, NY)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- Kyndryl (New York, NY)
- …or documentation, or finding the way to justify a modernization financially. + Service Offering Development: A good Consulting Director will discover patterns of ... transformations that impact across the entire customer Eco-system. **Application Modernization Service Area Goals** The consulting organization that you are leading… more
- Datavant (Albany, NY)
- …professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and ... and delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer executives to… more
- Ankura (New York, NY)
- …Minimum 10 years' health care experience related to clinical care, clinical documentation, compliance, or coding of medical services + Medical coding ... evaluation of medical records, the determination of medical necessity and appropriate medical coding...Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services … more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning ... and partners across functional areas to deliver best-in-class analytic services . The director will serve as the...finance business partner for the product leaders, lead the medical economics team, and support the business on all… more