- Merck & Co. (New York, NY)
- Job DescriptionAssociate Director , Field Access ManagementThe Associate Director , Field Access Management serves as the leader to a team of subject-matter ... the field access strategy and oversee the success of the Field Access Management Team for which you are responsible.- Understand Regional Payor and Medicaid coverage… more
- Cipla (Central Islip, NY)
- Job Title: Director - Procurement, Cipla North America Reports to: Head SCM, Cipla North America Job Purpose The Director of Procurement is responsible for ... ensure avoidance of all actual and potential conflicts of interest Risk management Minimize impact of supplier shortages by proactively identifying and resolving… more
- Taiho Oncology (New York, NY)
- …opportunity within the Commercial team at Taiho Oncology Inc. As a Regional Business Director (RBD), you will play a crucial role in guiding and developing the ... in the Northeast region to drive business success. The Regional Business Director will reside within the Northeast Region.Position Summary: This position is… more
- Eisai, Inc (New York, NY)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... effectively implement those plans at local level. Keep senior management updated on all key issues at account(s) in...marketplace within which they operate. Work closely with Medicaid Director and other cross-functional teams to review and analyze… more
- Highmark Health (Albany, NY)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management ** **Radiology Benefit Management ** Surgery (Including: ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Elevance Health (New York, NY)
- …**Clinical Operations Medical Director ** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to… more
- Centene Corporation (New York, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
