- Excellus BlueCross BlueShield (Buffalo, NY)
- …you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... Accountabilities: Level I + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... coordination of care to improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers… more
- Evolent (Albany, NY)
- …a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Molina Healthcare (NY)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Evolent (Albany, NY)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way… more
- Evolent (Albany, NY)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way… more
- Evolent (Albany, NY)
- …Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as...+ On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- 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...prior experience participating in teams focusing on quality management, utilization management, or similar activities **Preferred Qualifications:** + Current… more
- Outreach Development Corporation (Brentwood, NY)
- Assistant Director /Clinical Coordinator-$75K, flexibility in schedules available. ON CALL. Outreach Development Corporation Outreach is a non-profit organization ... and training. For more information, please visit www.opiny.org. Position: Assistant Director The Assistant Director /Clinical Coordinator is responsible for… more
- Sysco (Albany, NY)
- **Position Summary:** The Director of Local Sales is a member of the senior sales leadership team. This position will be included in all strategic planning, ... sales. The senior sales leadership team will consist of the VP, Region Sales, Director , Local Sales, Director , New Business Development, Director , Sales… more