- MTA (Brooklyn, NY)
- …on the Paratransit Eligibility Appeals Board. The physician will provide medical expertise and support in the review of Access-A-Ride application documents ... Department of Occupational Health Services is seeking a full-time medical physician to provide coverage to New...(1) year of this experience. + Required to obtain Medical Review Officer (MRO) certifications within 6… more
- Mount Sinai Health System (Jamaica, NY)
- **Job Description** Under the general supervision of a licensed and Board-Certified Physician , evaluates and treats adult patients having medical , psychiatric, ... entries in patients' charts. 5. Completes and documents participation in continuing medical education required of Physician Assistants in order to meet… more
- Mount Sinai Health System (New York, NY)
- …presence as well as a broad ambulatory network-seeks a seasoned and strategic physician leader to serve as System Vice Chair of Clinical Operations. This leadership ... work closely with Departmental leaders-including Vice Chairs, Division Chiefs, Medical Directors, and site-based teams-to drive measurable improvements across… more
- STG International (Kingston, NY)
- …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
- STG International (Dunkirk, NY)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
- STG International (Auburn, NY)
- …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , ... structure, processes, and membership. + Oversee the activities of physician advisors and other medical directors. +... review studies and evaluates adverse trends in utilization of medical services, unusual provider practice… more
- Centene Corporation (New York, NY)
- … management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician... review studies and evaluates adverse trends in utilization of medical services, unusual provider practice… more
- Evolent (Albany, NY)
- …education and findings with matrixed Physician Business Manager. + Provides medical direction to the support services review process. Responsible for the ... of the Medical leadership team, providing timely medical review of service requests. Oversees the...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …II (in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of ... recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests for broad range… more