- Excellus BlueCross BlueShield (Buffalo, NY)
- … medical care + Fosters Clinical Practice Guideline implementation and evidence- based medical practice. + Develops and implements performance and quality ... standards and issue. + Ensures that other Behavioral Health medical directors reviewing pediatric cases review those...QM/UM. + Ability to identify, analyze and resolve complex medical issues. + Skills in evidence based … more
- CVS Health (New York, NY)
- …has an exciting opportunity for a Medical Director (Spine) that can be remote based , work from home . The Medical Director (Spine) will be a Subject ... use of health care resources. **This is a remote based (work at home ) based ...including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the… 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 ... Brothers Medical Center, located 75 minutes north of New York...midwifery, anesthesia, and neonatology to ensure the highest quality, evidence- based care. This position will be 0.8 clinical as… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle / Medical Billing Analyst - Oncology Team- Albany, NY - FT** If you are looking ... New Scotland Avenue, Albany, NY. Searching for a motivated medical biller for our oncology departments. Coding a plus...5 days a week and 1 allowed work for home day a week. **Position Highlights:** + Quality of… more
- Humana (Albany, NY)
- …a 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… more
- Mount Sinai Health System (New York, NY)
- …registration. 7. Assist in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms). 8. ... **Job Description** The Senior Offsite Medical Secretary provides secretarial support to the supervising...refill requests on behalf of the physician, subject to review and approval. 5. Maintains logging system as required… more
- City of New York (New York, NY)
- …inequity across community and healthcare systems in partnership with community, faith- based , and health care organizations. CHECW's work focuses on social ... all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Office of the Chief Medical...Division of Mental Hygiene. Work with programs to regularly review behavioral health and programming data. Use data to… more
- Molina Healthcare (Albany, NY)
- …corrective actions if needed. + Fosters Clinical Practice Guideline implementation and evidence- based medical practice. + Utilizes IT and data analysts to ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. +… more
- Humana (Albany, NY)
- …clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed ... **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 … more
- Albany Medical Center (Albany, NY)
- …Must be comfortable in the collection of financial responsibility from the patient based on eligibility response or estimate for services. For Access Center and ... and timely coordination of release of body to Funeral Home . Apheresis and Infusion: This team is responsible for...cost of the specialty drugs being offered at Albany Medical Center. Understanding diagnosis, the prescribed drugs and authorization… more