- AIG (New York, NY)
- …and setting appropriate reserves; + Developing and implementing resolution strategies including utilization of ADR; + Presentation to senior management of claim ... to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's...and other complex losses. You will be required to review coverage under Excess Commercial General liability and auto… more
- Fortress Brand (New York, NY)
- …every lifecycle stage and in any global market. About the Role: The director of performance marketing will be responsible for the continued leadership, management ... relationships with client leadership and providing escalation support to account management teams. + Collaborate with leadership across performance marketing, data,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …instructions, schedules and timeliness. . Oversee budget accountability process, including review of variance explanations and action plans. . Implement and oversee ... Cost report, Capital budgets, Iroquois Workforce Productivity, and Quarterly Patient Utilization reports. . Oversee the design, development, and maintenance of… more
- Evolent (Albany, NY)
- …review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation. **Core ... for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal...Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician… more
- SMBC (New York, NY)
- …its employees. **Role Description** Sumitomo Mitsui Banking Corporation is hiring a Director in the Subscription Secured Finance Department. This role is responsible ... products as well as complementary products such as Derivatives and Cash Management . Scope of responsibilities includes deal origination and pitching, debt arranging,… more
- Unity House (Troy, NY)
- …integration and promote best practices in recovery-oriented, trauma-informed care. + Review and monitor utilization , documentation, and billing practices for ... on Bonus Unity House is seeking a compassionate and experienced Program Director to lead our Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS)… more
- Highmark Health (Albany, NY)
- …of internal clinical and value-based evaluation committees that drive formulary and utilization management functions. + Participate in product specific Pharmacy ... of implemented initiatives. + Lead product based pharmacy trend management discussions with internal partners including senior executives. +...and Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or… more
- Travelers Insurance Company (Albany, NY)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Fresenius Medical Center (New York, NY)
- …determining project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global ... the consolidation, analysis and reporting of commercial revenue. Develops standards of review and analysis to facilitate accurate and timely analysis of all… more
- Citigroup (Getzville, NY)
- …global data initiatives across data governance, data quality, and master data management , alongside defining common intake and output templates for all inbound and ... Strong capabilities in leading and governing end-to-end data-related change management processes, ensuring smooth transitions, stakeholder alignment, and adherence… more