- 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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...ongoing board certification through an approved ABMS or AOABPS Medical Specialty is a requirement. NBPAS certification… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...ongoing board certification through an approved ABMS or AOABPS Medical Specialty is a requirement. NBPAS certification… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management** **Radiology Benefit Management** Surgery (Including: General, ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...necessity determinations for grievance and appeals appropriate for their specialty . + Ensures consistent use of medical … more
- Elevance Health (New York, NY)
- **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to work ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical … more
- Elevance Health (New York, NY)
- **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... expanding set of clinical domains, including radiology, cardiology and oncology._ The ** Medical Director , Cardiology** is responsible for supporting the … more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- BluePearl (Cheektowaga, NY)
- …to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in leadership ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more