- Evolent (Albany, NY)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...MD review process to reflect appropriate utilization and compliance with… more
- Cardinal Health (Albany, NY)
- … Medical Drug Information, including any MSL presentations and Medical /Safety Review Committees + Provides pharmacovigilance support through collaboration ... they can focus on their patients. **What a Senior Medical Science Liaison contributes to Cardinal Health** : The...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Humana (Albany, NY)
- …clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed ... **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
- Catholic Health Services (West Islip, NY)
- …in pediatrics, medical management and related areas through CME programs, medical literature review and medical staff conferences Qualified candidates ... West Islip, NY * Full Time Good Samaritan Hospital Medical Center West Islip, New York The Department of...throughout the Catholic Health System, as well as supporting medical student education for students rotating from across the… more
- Albany Medical Center (Albany, NY)
- …for the review and distribution of all referrals and associated medical records; review , accurate labeling and accurate distribution to Pre-Service ... from patients and providers, via telephone and fax, and review and assess how to manage the incoming information....minimal error Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Northwell Health (Staten Island, NY)
- …and implementing plans for patient care.May record patient history for medical staff review . 11.Performs measurement and screening procedures according ... **Req Number** 165698 Job Description Leads and guides Medical Assistants in the performance of duties. Administers...of patient clinic charts. Job Responsibility 1.Leads and guides Medical Assistants in the performance of duites. 2.Provides input… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of managed ... you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …study start-up, directing and guiding study team execution, data cleaning, medical monitoring/ review , database locks. + Experience with regulatory filings ... The Senior Medical Director, Clinical Development, will play a key...and related comorbidities. This role serves as Scientific and Medical Lead for Clinical team(s) working closely with Operational… more
- MTA (Brooklyn, NY)
- …may be substituted for one (1) year of this experience. + Required to obtain Medical Review Officer (MRO) certifications within 6 to 12 months of hire. PREFFERED ... the Paratransit Eligibility Appeals Board. The physician will provide medical expertise and support in the review ...provide medical expertise and support in the review of Access-A-Ride application documents and hearings for people… more
- Molina Healthcare (Yonkers, NY)
- …administrative incentives + Supervises and manages Medical Directors + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** ... Utilization/Quality Program management + Previous leadership experience + Peer review , medical policy/procedure development, and provider contracting experience… more