• Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • Medical Director - OneHome

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
    Humana (10/30/25)
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  • Medical Director - Medicaid Team - FL/SC

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/28/25)
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  • OneHome - Medical Director - Part Time

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
    Humana (10/17/25)
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  • Medical Director - Medicare Pharmacy…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues... will collaborate with clinicians and support staff to provide Humana members with optimal value-based care in accordance… more
    Humana (11/04/25)
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  • Medical Director of Transplant Institute

    University of Rochester (Rochester, NY)
    …(https://www.urmc.rochester.edu/medicine/about-medicine.aspx) is seeking a Medical Director of the Transplant Institute. ... (https://www.urmc.rochester.edu/transplant.aspx) **Nature and Scope:** The Medical Director of the Transplant Institute will function at the Division Chief level and… more
    University of Rochester (08/07/25)
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  • Director Security

    WMCHealth (Kingston, NY)
    …and maintenance of access control systems and protocols throughout the system, including credentialing . + In collaboration with the Network Director of Security ... Director Security Company: HealthAlliance Hospital City/State: Kingston, NY...+ Directs investigations in order to mitigate theft and provide loss prevention. Collates metric data to assess, analyze,… more
    WMCHealth (09/12/25)
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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 ... and concerns of their regional medical community, as well as support our Provider Relations team as requested. This position is occasionally required to work… more
    Excellus BlueCross BlueShield (09/30/25)
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  • Medical Director - Claims Management

    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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/01/25)
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  • 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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
    Humana (09/16/25)
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