• Novo Nordisk Inc. (Jamaica, NY)
    …Sales portfolio. Works closely with the Regional Business Director, peer managers, and cross-functional internal stakeholders. External relationships include health ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Required Travel: 0-25%. Development of People Supervisory.… more
    HireLifeScience (11/06/25)
    - Related Jobs

  • Medical Peer Reviewer

    Healthfirst (NY)
    **Duties//Responsibilities:** + The Medical Peer Reviewer will assess// review requests for authorization, and claims payment, based on medical ... Healthfirst information and make informed clinical judgments and recommendations. + The Medical Peer Reviewer will render determinations in the format and… more
    Healthfirst (11/13/25)
    - Related Jobs

  • Plan Performance Medical Director- New York…

    Elevance Health (Latham, NY)
    …clinical guidelines and supports new policies based on changes in the healthcare or medical arena. + Conducts peer -to- peer clinical reviews with attending ... **Plan Performance Medical Director- New York Commercial** Location: This role...physicians or other providers to discuss review determinations. + May conduct peer -to-… more
    Elevance Health (11/01/25)
    - Related Jobs

  • Clinical Reviewer , Nurse…

    Evolent (Albany, NY)
    …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : include the...patients as directed by the office of the Chief Medical Officer. Responsible for clinical conversations with providers and… more
    Evolent (11/20/25)
    - Related Jobs

  • Medical Director - Medical Oncology

    Elevance Health (New York, NY)
    …an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care. + Perform ... physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical ...necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer -to- peer … more
    Elevance Health (11/14/25)
    - Related Jobs

  • Director Medical Affairs Operations-…

    Mount Sinai Health System (New York, NY)
    …chairs, division chiefs and CMOs across the system on all matters related to medical staff governance, credentialing, peer review and performance management; ... **Job Description** **Director Medical Affairs Operations- Medical Staff Services -Full-Time...credentialed providers; + Development and maintenance of a system peer review process that is inclusive of… more
    Mount Sinai Health System (10/19/25)
    - Related Jobs

  • Physician

    Chenega Corporation (Niagara Falls, NY)
    …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews. + Use Philosophy Known as "Red Carpet Treatment" + Comply ... A 1099 INDEPENDENT CONTRACTOR POSITION** The **Physician** shall perform medical histories, physical examinations, as well as review... medical histories, physical examinations, as well as review of required medical tests and documents… more
    Chenega Corporation (11/20/25)
    - Related Jobs

  • Physician

    Koniag Government Services (Albany, NY)
    …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews. + Use Philosophy Known as "Red Carpet Treatment" + Comply ... and more. The Physician is responsible to perform a review of military service applicants' medical histories,...perform a review of military service applicants' medical histories, perform medical evaluations, and conduct… more
    Koniag Government Services (09/19/25)
    - Related Jobs

  • Nurse Practitioner PRN

    Chenega Corporation (Niagara Falls, NY)
    …+ Abide by and follow IAW, Privacy Act and HIPPA + Participate in MEPS local, medical peer reviews + Use Philosophy Known as "Red Carpet Treatment" + Comply with ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to consultations and medical histories… more
    Chenega Corporation (09/17/25)
    - Related Jobs

  • Medical Director, Behavioral Health

    Molina Healthcare (Buffalo, NY)
    …License, free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting ... treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for...for quality compliance. * Implements clinical practice guidelines and medical necessity review criteria * Tracks all… more
    Molina Healthcare (10/17/25)
    - Related Jobs