- 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… 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
- Fujifilm (Albany, NY)
- …to working OT to handle workload and meet required metrics/expectations. ** Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission ... effectively communicate with our customers, and document the interactions within a case . + Works cross-functionally with other Synapse teams/products as required and… more
- Travelers Insurance Company (Albany, NY)
- …**What Is the Opportunity?** Investigate, evaluate, reserve, negotiate and resolve the company 's most severe and/or complex Life Science medical products, ... Do?** + CLAIM HANDLING: + Directly handle assigned severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims, as well as… 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
- Fujifilm (Albany, NY)
- …the team as necessary in the absence of the Manager and or LPO. ** Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for ... (MRD). + Product Requirements Definition (PRD), as appropriate. + User Story, Use Case Scenarios and Use Case support documentation. + Development team and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has overall accountability for BH ... Health Carve-In program following NYS directives and guidelines. + Completes medical necessity reviews and peer-to-peer calls in timely manner and provides… more
- J&J Family of Companies (New York, NY)
- …conferences to gather and understand new scientific information relevant to the company and the external scientific community + Medical insights: Actively ... employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life… more