- Highmark Health (Albany, NY)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more
- Stony Brook University (Stony Brook, NY)
- …Patient Throughput may include the following but are not limited to:** + Meet regularly with Medical Director of the CTO, AVP of Operations of the CTO and AVP of ... Administrative Director of Patient Throughput **Position Summary** At Stony...implement strategies to reduce length of stay, improve resource utilization , and enhance the patient experience. **Duties of an… more
- Merck (Albany, NY)
- **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... educational or risk management) to support appropriate and safe utilization of Our Company medicines or vaccines. **Required Qualifications,...Decision Making, Empathy, Market Access, Medical Affairs, Medical Research, Medical Review , … more
- Catholic Health Services (West Islip, NY)
- …with Hospital Conditions of Participation. Implements care management programs, including utilization review , intake and discharge planning. Evaluates patient ... Overview The Director of Care Management is responsible for providing...Care Management: Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and… more
- Compass Group, North America (New York, NY)
- Waveguide **Position Title: TECHNOLOGY HOSPITALITY DIRECTOR ** **Salary: $130000-$150000 / year** Founded in 1996, Waveguide LLC is an internationally renowned ... flexible + **O** wnership - Always trusted That's where the Technology Hospitality Director comes in. The Technology Hospitality Director 's main role is to… 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 ...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
- Sunrise Senior Living (Mount Vernon, NY)
- …NAME** Sunrise at Fleetwood **Job ID** 2025-229230 **JOB OVERVIEW** The Executive Director is responsible for overall leadership, management, and success of the ... and services to seniors better than anyone. The Executive Director creates, in alignment with our mission and values,...achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer… more
- BAE Systems (Endicott, NY)
- …that we support: https://www.baesystems.com/en-us/capability/avionics BAE Systems is seeking a Director of Program Quality Engineering, reporting to the Sr. ... Director of Quality of the Controls and Avionics Solutions...of program quality engineers to accomplish the following: + Review and assess customer/contractual quality requirements for compliance and… more
- Mount Sinai Health System (Long Island City, NY)
- …The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate the case ... to influence other services by focusing on patient processes. 8.Develops and implements Utilization Review (UR) based on internal data collection, data received… more
- Mount Sinai Health System (New York, NY)
- …the lab and to molding the next generation of healthcare professionals. The Director directs, plans and manages the comprehensive affairs of the Department of ... and support the various missions of the Department of Medicine (DOM). The Director is the primary contact for the MSM/W Hospital administration for all operational… more