- Evolent (Albany, NY)
- …with a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates ... redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in… more
- Parexel (Albany, NY)
- …in high quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic ... Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology...very strong background in Ophthalmology to join our Global Medical Sciences team.** **The role can be based remo**… 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
- Humana (Albany, NY)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review ...The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more
- CenterWell (Albany, NY)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... clinical group practice management. + Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid,… more
- Molina Healthcare (Buffalo, NY)
- …work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical ... member services review assessment processes. Responsible for verifying that services are...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- MTA (Brooklyn, NY)
- …for hearings and trials. + Interact with Designated Employer Representatives (DERs), Medical Review Officers (MROs), and Physicians. + Performs diagnostic tests ... Medical Technician l Job ID: 13759 Business Unit:...Services Date Posted: Nov 14, 2025 Description JOB TITLE: Medical Technician I DEPT/DIV: Occupational Health Services WORK LOCATION:… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …leading study start-up, directing and guiding study team execution, data cleaning, medical review , database locks, handling health authority responses are also ... The Executive Medical Director, Hematology, will provide overall clinical scientific...scientific knowledge applicable to hematology clinical research. The Executive Medical Director, Hematology reports directly to the SVP, Hematology.… more
- Humana (Albany, NY)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Elevance Health (New York, NY)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... **Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables...CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed… more