- Datavant (Buffalo, NY)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Buffalo, New York 14215 + Full time benefits including medical , dental, vision, 401K, tuition reimbursement + Paid time...holidays) + Onsite - Opportunity for growth within the company **You will:** + Receive and process requests for… more
- Datavant (Albany, NY)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security… more
- Highmark Health (Albany, NY)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required.… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute… more
- Humana (Albany, NY)
- …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 ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- 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 ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Datavant (Albany, NY)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Albany Medical Center (Albany, NY)
- …hours and hours worked are dictated by donor activity. In the event of heavy case load, all efforts will be made to utilize staff listed on the call schedule. ... the needs of off-call staff being called in, however case load factors may limit accommodations. Off call staff...position while promoting a team environment. + Travel by company vehicle, personal vehicle, small and medium sized chartered… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …processor experience with a minimum of one year experience working in an insurance company or medical care setting required. + Working knowledge of medical ... Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate...minimum of three years' experience working in an insurance company or medical care setting required. +… more
- Sumitomo Pharma (Albany, NY)
- …FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety reports and aggregate safety reports + ... Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in...motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will… more