- Travelers Insurance Company (Albany, NY)
- … capabilities to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … 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
- CDPHP (Latham, NY)
- …Health and Chief Medical Officer with the implementation of the Plan's Medical Management , Quality Improvement, and Resource Management initiatives in ... accordance with regulatory, accreditation, corporate policies and strategic plan. The Medical Director will participate in medical advisory committees, provide… more
- CVS Health (New York, NY)
- …Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the ... continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization… more
- Healthfirst (NY)
- …and quality data + Partner with departments across Healthfirst, including Medical Management , Population Health, Clinical Quality, Delivery Systems Engagement ... being in managed care + Progressive leadership experience in medical and behavioral health care management including work experience in a senior management … more
- Catholic Health (Buffalo, NY)
- …Summary: The social worker, as an active member of the Care Management and interdisciplinary care team provides comprehensive social work and discharge services ... as a social work intern in an acute hospital, medical rehab unit, primary care setting or sub-acute unit...needs of patients and families and of the Care Management Department + May be required to work at… more
- Molina Healthcare (NY)
- …for strategic analysis, profitability, financial analysis, utilization patterns and medical management . + Interfaces and maintains positive interactions ... Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying… more
- Sumitomo Pharma (Albany, NY)
- …support for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product ... dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on… more
- Elevance Health (New York, NY)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management /Utilization** **Review**… more
- Guthrie (Corning, NY)
- …PCMH Care Coordinator has the responsibility and accountability for coordinating the medical management of patients, using an outcomes‐based approach. In ... in Primary Care will serve as a practice support in the Patient Centered Medical Home development and process. The position is an integral part of the Patient… more