- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
- Grifols Shared Services North America, Inc (Manhattan, NY)
- …operational/executional requests and solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and North ... groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and medical schools. Acts as an… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
- Humana (Albany, NY)
- **Become a 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 health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- City of New York (New York, NY)
- …INCLUDE BUT NOT BE LIMITED TO: - Act as principal advisor to the Medical Director on the development, execution, and monitoring of high-profile priority projects ... and programs. Support the Medical Director in...not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status,… more
- Albany Medical Center (Albany, NY)
- …candidate will be required to attend and host in person meetings. The Director is responsible for overseeing as well as implementing, developing, maintaining, and ... stakeholders to optimize contracts or mediate issues requires the Director to possess exceptional leadership, organizational, analytic, and communication… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- University of Rochester (Rochester, NY)
- …Center, Department of Medicine (https://www.urmc.rochester.edu/medicine/about-medicine.aspx) is seeking a Medical Director of the Transplant Institute. ... (https://www.urmc.rochester.edu/transplant.aspx) **Nature and Scope:** The Medical Director of the Transplant Institute will function at the Division Chief level… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and… more
- Merck (Albany, NY)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more