• Medical Director - Claims Management

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana values… more
    Humana (10/16/25)
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  • Remote Medical Director

    Centene Corporation (New York, NY)
    …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (08/16/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
    Molina Healthcare (09/06/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Albany, NY)
    **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance to an office location. ... be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for… more
    Lincoln Financial (10/10/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Albany, NY)
    … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
    Humana (10/02/25)
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  • Medical Director - Florida

    Humana (Albany, NY)
    …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more
    Humana (10/03/25)
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  • Medical Director - Northeast Region

    Humana (Albany, NY)
    …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more
    Humana (07/25/25)
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  • Account Engineer Large Property-Risk Engineering…

    The Hartford (New York, NY)
    …Unit. This role must reside in the Northeast and can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations will have the ... an office periodically. Candidates who do not live near an office will have a remote work schedule, with the expectation of coming into an office as business needs… more
    The Hartford (09/27/25)
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