- Evolent (Albany, NY)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Highmark Health (Albany, NY)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Albany, NY)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... **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
- Humana (Albany, NY)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **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
- Humana (Albany, NY)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management /Utilization** ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
- ICON Clinical Research (Farmingdale, NY)
- …in a high-complexity clinical laboratory, with at least 2 years in a Team Lead, Management , or Medical Director role. + Proven track record of compliance ... Medical Director , Laboratory- Farmingdale, New York... Medical Director , Laboratory- Farmingdale, New York ICON plc is...New York, you are responsible for the overall oversight, management , and direction of medical and scientific… more
- City of New York (New York, NY)
- …engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES WILL INCLUDE BUT ... blood testing, return to duty exams, handles employee referrals for medical /psychological conditions, training and management . -Assess, plan, implement,… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... 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… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... 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… more