- Elevance Health (Latham, NY)
- **Plan Performance Medical Director - New York Commercial ** Location: This role enables associates to work virtually full-time, with the exception of required ... Medical Director ** serves as the Chief Medical Officer for the health plan's Commercial ...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations,… more
- 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… 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 ... Medical Director work assignments involve moderately complex to complex issues...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- Merck (Albany, NY)
- **Job Description** Associate Director , Field Access Management The Associate Director , Field Access Management serves as the leader to a team of subject-matter ... of patient enrollment process, payer coverage policies, prior authorization process, appeals process, patient support programs, and Hub operations to Field Access… more
- Access: Supports For Living (Middletown, NY)
- Revenue Cycle Director Location: Middletown, NY, United StatesDate Posted: Nov 26, 2025 Share: share to e-mail Apply Now Save JobSaved Description ... New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance. Key Responsibilities + Lead and supervise a billing team… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …by the accounts receivable manager. Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA, Tricare, UHC, Aetna, Cigna, NYS Medicaid and ... up is to be done bi-monthly on assigned controls to include corrected claims, appeals , phone calls, or provider rep assistance to assure any missing or incorrect… more