- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The National Medical Director for Home -Based Care Programs is a key clinical leadership ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- BAYADA Home Health Care (Hauppauge, NY)
- **BAYADA Home Health Care** is currently seeking a ** Director ** in our **Hauppauge, NY Adult Nursing Home Care** office. Are you looking for an ... making a real difference in people's lives? We're BAYADA Home Health Care-a leading home health care...highest quality care to our clients. **Responsibilities for a Director :** + Fully responsible for the management and services… more
- Parexel (Albany, NY)
- …Parexel!** In anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences ... to grow our Global Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with some of the best and… 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… 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...you healthy while serving New Yorkers. - Work From Home Policy: Depending on your position, you may be… 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)
- …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 problems of diverse...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid… 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
- 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 ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … 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
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Albany, NY)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- City of New York (New York, NY)
- …to support the health and safety of students. Role Overview: CMS II (Assistant Medical Director of High Schools) High school students represent one of the ... specialty providers, making school-based health services essential. The Assistant Medical Director of High Schools provides high-level...you healthy while serving New Yorkers. - Work From Home Policy: Depending on your position, you may be… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Albany, NY)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
- Nuvance Health (Poughkeepsie, NY)
- *Description* * Medical Director , Labor and Delivery - Vassar Brothers Medical Center - Poughkeepsie, New York (75 minutes north of New York City)* Vassar ... New York City, has an excellent opportunity for a Medical Director of the Labor and Delivery...and private school options. The Mid-Hudson Valley is also home to many fine colleges and universities, including Vassar… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... and medical criteria. + Assists with training medical director colleagues and nursing staff ,...including fluorescent lighting. + Ability to work in a home office for continuous periods of time for business… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- YAI (Burlington, NY)
- …Job Summary: Under the direction of the region's START leadership, the Medical Director - START provides medical oversight and ... + Participates in regular START network learning opportunities, including quarterly Medical Director Practice Group sessions. + Provides on-site consultation… more