- Humana (Albany, NY)
- … care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with ... Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted...- North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care … more
- Humana (Albany, NY)
- …, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... caring community and help us put health first** The Medical Director relies on medical ...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- CVS Health (Albany, NY)
- …robin based on "same or similar specialty " needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. * The medical director ... services to its membership. Aetna is looking for a medical director to be part of a...DO; Board certification in an ABMS or AOA recognized specialty is required. Active and current state medical… 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
- 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 ... the Medical Director include **upholding medical quality standards** (patient care , client and...healthy lifestyle while working in a fast-paced emergency and specialty care environment. In addition, access to… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery… 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
- 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