- Humana (Albany, NY)
- **Become 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 work assignments involve moderately complex to complex issues...additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass… more
- Merck (Albany, NY)
- …objectives. + Internal strategic excellence: In coordination with those in Executive Director Medical Affairs (EDMA), Global Director Medical ... **Job Description** The Global Medical Excellence Director (GMED) reports to...status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements… more
- Merck (Albany, NY)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Evolent (Albany, NY)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into...under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and… more
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude,… more
- Nuvance Health (Poughkeepsie, NY)
- *Description* * Medical Director , Labor and Delivery - Vassar Brothers Medical Center - Poughkeepsie, New York (75 minutes north of New York City)* Vassar ... New York City, has an excellent opportunity for a Medical Director of the Labor and Delivery...therefore eligible employees may qualify for forgiveness of certain federal student loans under the Public Service Loan Forgiveness… more
- CVS Health (Albany, NY)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- CVS Health (Albany, NY)
- …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...will be considered for employment in accordance with all federal , state and local laws. We are an equal… 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 ... inquiries. + Makes accurate and consistent interpretation of integral medical policy, contract benefits and State and Federal...and medical criteria. + Assists with training medical director colleagues and nursing staff ,… more
- Elevance Health (Latham, NY)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: ... for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...of gender, race, or any other category protected by federal , state, and local pay equity laws _._ *… more