- Zurich NA (Albany, NY)
- …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- Humana (Albany, NY)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... 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 … more
- Trinity Health (Malta, NY)
- … of Business Development leads the development of growth strategies, and directs the EHIS Pharmacy Director and Eddy VNRA RN Manager of Home Infusion Services to ... the development of growth strategies, and directs the EHIS Pharmacy Director and Eddy VNRA RN Manager...trends, and market needs. + Works in conjunction with clinical leadership to develop and promote new programs and… more
- Merck (Albany, NY)
- …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) oncology expert who… more
- Molina Healthcare (Albany, NY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. +… more
- Norstella (Albany, NY)
- Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
- Travelers Insurance Company (Albany, NY)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
- CenterWell (Clifton Park, NY)
- …to sit on-site at our** **Clifton Park, NY** **branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by ... clinical personnel. This role is a focused on both...outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue… more
- CenterWell (Albany, NY)
- …Home health experience, required. Previous experience in branch leadership (Branch Director /Administrator or Clinical Manager) required. + Multi-site home health ... health first** $5,000 Sign-on Bonus* Reports To: RVP or Area Executive of Clinical Quality FLSA: Exempt **Work Schedule** : Full-time/40 Hours **Position Type** :… more
- Grifols Shared Services North America, Inc (Albany, NY)
- … Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account-based selling skills (including group presentations) with ... with key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology/Acute SSR… more
- United Therapeutics (Albany, NY)
- …Who you are You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential things like account ... foster Trade Relations between United Therapeutics Corporation ("UTC") and Specialty Pharmacy Distribution entities. This role will contribute to UT interaction with… more