- 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
- CenterWell (Albany, NY)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Ryder System (Albany, NY)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Albany, NY)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
- MTA (Brooklyn, NY)
- …TA/OA Department: Law Division/Unit: Torts Reports to: Assistant General Counsel / Director of Claims Work Location: 130 Livingston Street, Brooklyn Hours ... damage claims brought against MTA agencies. Review claims and relevant factual and medical records...Preferred: * Extensive knowledge of NYCT bus and subway operations is strongly preferred. * A baccalaureate degree from… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- MTA (Brooklyn, NY)
- …reduce overall costs. Some of the major responsibilities include supervising the TPA's claims management and medical provider networks as well as coordinating ... Assistant Director - Workers Compensation (Case Management) Job ID:...Management), is responsible for effective management of worker compensation claims for their assigned area of responsibility. This person… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... late-breaking sessions + Sponsored symposia and educational sessions + Medical booth design and operations + Press...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- CVS Health (Albany, NY)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... members and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical … more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ... the US with a strong reputation for quality of care (18th ranked academic medical center) and research/education (22nd ranked medical school). Our health system… more
- Centene Corporation (New York, NY)
- …quality accreditation standards. + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …you, we encourage you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Molina Healthcare (Albany, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more