• Medical Director , Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …of the Medical Services area including, but not limited to, Medical and Pharmacy Utilization Management , quality management , member care management , and ... State and Federal Mandates and maintains current and working knowledge of Utilization Management Standards. + Clinical skills are excellent and evidence-based… more
    Excellus BlueCross BlueShield (09/30/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (10/25/25)
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  • Director , Division Of Space…

    City of New York (New York, NY)
    …initiatives, and the implementation of integrated systems that govern real estate asset management and space utilization . The Director leads a profession ... Space and Design, and with wide latitude for independent judgment and initiative, the Director of the Division of Space Management (DSM) oversees all technical… more
    City of New York (10/30/25)
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  • Field Medical Director , Interventional…

    Evolent (Albany, NY)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (10/29/25)
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  • Director of Nursing Professional Practice,…

    Mount Sinai Health System (New York, NY)
    …Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators and ... **Job Description** The Director of Nursing Professional Practice is a professional... Agency (FEMA) training around Incident Command and the National Incident Management System (NIMS)including but not… more
    Mount Sinai Health System (10/13/25)
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  • Medical Director

    Molina Healthcare (Rochester, NY)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (NY)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (10/17/25)
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  • Director of Project Management (New…

    Chobani (New Berlin, NY)
    Summary The Director of Project Management is a key leadership role within Chobani's Global Engineering and Project Management team, responsible for ... to project timelines and financial targets. The role reports to the Sr. Director of Engineering and Project Management . Responsibilities Lead Capital Strategic… more
    Chobani (09/02/25)
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  • Medical Director - Mid West Region

    Humana (Albany, NY)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
    Humana (09/16/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Albany, NY)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
    Evolent (10/10/25)
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