- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... outcomes through deep scientific understanding and collaborative partnerships. The Director partners closely with global and regional cross-functional stakeholders -… more
- Mount Sinai Health System (New York, NY)
- …patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and ... **Job Description** ** Director Pre Appeals Management -HSO Appeals ...**Preferred Qualifications (Industry-Specific)** : + Healthcare: Experience with utilization management for medical services, procedures, or medications… more
- Centene Corporation (New York, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. This ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ... strong reputation for quality of care (18th ranked academic medical center) and research/education (22nd ranked medical ...transition to a business model focused on population health management - our goal is to keep entire communities… more
- Molina Healthcare (Albany, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Humana (Albany, NY)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- United Therapeutics (Albany, NY)
- …compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and ... is responsible for leading the Department's risk management activities. The Senior Corporate Compliance Director will develop the auditing and monitoring… more
- AECOM (New York, NY)
- …**Job Description** **AECOM Technical Services is currently looking for an experienced Program Management Director to join our team, leading on a complex program ... for ethical and safe working practices. + Drives innovation in program management approaches and methodology to achieve marketplace differentiation. + Works with… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Complete understanding of… more