- CVS Health (Albany, NY)
- …for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on ... rework projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to… more
- Molina Healthcare (Albany, NY)
- …Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review , and/or other utilization management ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual / MCG guidelines. **Preferred… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services. + Support the effective implementation of performance improvement initiatives for… more
- Travelers Insurance Company (Albany, NY)
- …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical review policies. Works in close collaboration with the Claim leaders and in partnership with other … more
- Sedgwick (Albany, NY)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20...+ Member of a client Disability Pension Board + Review of identified appeal cases for quality assurance purposes… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Sumitomo Pharma (Albany, NY)
- …including pre- and post-marketing US FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety ... dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on… more
- Sumitomo Pharma (Albany, NY)
- …Initiated Study and Collaborative Research program. + Provide detailed and compliant medical review and approval of external resources, communications, and ... us on LinkedIn (https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=2504638834&u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsumitomo-pharma-america%2F&a=LinkedIn) . Job Overview The Director, Medical Strategy (Prostate Cancer) will be a key member… more
- City of New York (New York, NY)
- …HCF, identify problem areas, and take corrective action as needed. - Serve as a Medical Review Officer for DSNY's drug and alcohol testing program. - Educate ... vehicles from City streets. DSNY is seeking a Deputy Medical Director for the Department's Medical Division....a Deputy Medical Director for the Department's Medical Division. The Division includes an occupational Health Care… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …program + Provides scientific and medical leadership and is responsible for medical review and approval of external and internal scientific content for ... The Study Medical Director, Clinical Sciences is responsible for facilitating...and conduct issues. This role reports into the Senior Medical Director-Oncology Clinical Development, Clinical Sciences and is expected… more