- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Clinical Review and Care Integrity** to join ... experience preferred. + Experience working in a matrixed healthcare environment + Previous medical director or clinical leadership experience within a health… more
- Highmark Health (Albany, NY)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Physician to lead our program at St. Mary's Hospital in Amsterdam, NY. The medical director is responsible for managing, directing and coordinating all aspects ... choice! Compensation: + $240.00 per hour (Days) + $250.00 per hour (Nights) + Medical Director Stipend: up to $15,000/month As an Emergency Medicine Medical… more
- Humana (Albany, NY)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Mount Sinai Health System (New York, NY)
- …Director for Primary Care Outpatient Clinic on Columbus Avenue!** The Administrative Medical Director provides clinical and administrative leadership for ... of the practice within the Mount Sinai Health System. The Medical Director serves as a key liaison between clinical staff, administration, and patients,… more
- Wellpath (Oswego, NY)
- …that required documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with ... will be responsible for notifying the Regional or Corporate Medical Director and Health Services ...unavailable for an extended period. **Key Responsibilities** * The Medical Director provides clinical oversight… more
- City of New York (New York, NY)
- …engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES WILL INCLUDE BUT ... is now available within the Division of Administration, Offices of Clinical Quality Management and Improvement/Employees' Health Program. We're building an Employee… more
- CVS Health (Albany, NY)
- …First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement ... of medical management programs through participation in clinical team activities. The Medical Director...providers and facilities to support the effective execution of medical services programs by the clinical… more
- CVS Health (Albany, NY)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise ... directing case management when necessary. The Medical Director will act as a business and clinical...facilities if needed, to support the effective execution of medical services programs by the clinical… more
- Callen-Lorde Community Health Center (New York, NY)
- …is seeking an experienced medical provider to join our team as a Medical Director to oversee clinical services . The Medical Director will ... and vision to Callen-Lorde, particularly to the primary care service . The Medical Director is...other managers. + Provide oversight and support to all medical services provided at the clinical… more
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