- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- CVS Health (Albany, NY)
- …to drive real change and improve the health of millions are endless. As Lead Director , Enterprise Strategy, you play a pivotal role helping to shape strategy for one ... a dynamic, fast-moving profession; related experience within management consulting, corporate development, business analytics, financial analysis, public policy, product… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Humana (Albany, NY)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Albany, NY)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Molina Healthcare (Albany, NY)
- …the state health plan. Works with direct management, senior leadership/management, Corporate , and staff to develop and implement standardized provider contracts and ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- CVS Health (Albany, NY)
- …every day. **Position Summary** Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation, and prosecution of ... for compliance with state and federal regulations mandating the reporting of corporate fraud-related activities and the preparation of the Corporate Anti-Fraud… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR ... and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology… more