- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary:** The Chief Medical Officer (CMO) serves as the senior clinical executive for ... the MLTC plan, responsible for overseeing all medical management functions, ensuring regulatory compliance, and driving quality...of clinical experience, with at least 5 years in managed care or health plan leadership. * Deep understanding… more
- Trinity Health (Albany, NY)
- …Day Shift **Description:** **POSITION PURPOSE** The Pharmacy Director - Regional / Chief Pharmacy Officer is a licensed registered pharmacist accountable ... programs that support direct or indirect patient care. The Pharmacy Director - Regional/ Chief Pharmacy Officer promotes and advocates for patients, pharmacists /… more
- Molina Healthcare (Albany, NY)
- …including clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program ... management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity of services provided to plan members - targeting… more
- CDPHP (Latham, NY)
- …of that experience. The Medical Director will assist the VP Member Health and Chief Medical Officer with the implementation of the Plan's Medical ... persuasive and negotiating skills are required. + Commitment to managed health care. Excellent standing in the medical... managed health care. Excellent standing in the medical community is required. + Demonstrated ability to execute… more
- Molina Healthcare (Albany, NY)
- …committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer . + Evaluates authorization requests in timely support ... and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization… more
- Elevance Health (Latham, NY)
- …NJ locations. The **New York Plan Performance Medical Director** serves as the Chief Medical Officer for the health plan's Commercial business. This ... **Plan Performance Medical Director- New York Commercial** Location: This role...medical license after hire. + 3 years of managed care experience preferred. + Consulting experience preferred. +… more
- Molina Healthcare (Albany, NY)
- …as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer . * Evaluates authorization requests in timely ... JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and ...Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified… more
- Molina Healthcare (Albany, NY)
- …Coverage). * Reviews medically appropriate clinical guidelines and other appropriate criteria with chief medical officer on denial decisions. * Resolves ... * Prepares and presents cases in conjunction with the chief medical officer for administrative...clinical nursing experience, with at least 1 year of managed care experience in the specific programs supported by… more
- Trellix (Albany, NY)
- …. **_Role Overview:_** Reporting to the Chief Revenue Officer , the Vice ... enablement to our customers and Channel partners. **Role Overview:** Reporting to the Chief Revenue Officer , the Vice President, Global Sales Engineering will… more
- Coinbase (Albany, NY)
- …you'll be doing (ie. job duties):* * Serve as trusted partner to the Chief Compliance Officer , driving strategic and operational alignment across the Compliance ... the CCO's effectiveness by ensuring priorities are executed efficiently, resources are managed effectively, and processes run with consistency and rigor. *What… more
- Molina Healthcare (Albany, NY)
- …+ Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer , national Risk Adjustment teams and strategic ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Cognizant (Albany, NY)
- …structuring, and leading digital engagements for a $50M+ business unit and be the chief growth officer for that portfolio. . Partner with practices and delivery ... and involves supporting proactive and reactive business opportunities such as managed services, transformation etc across all verticals. The individual will be… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12205 Duties Description Under the direction of the Chief Information Officer (CIO) and Assistant Director ofInformation Technology Servies, ... will drive NYSIF's innovation and growth, ensuring cloud-based applications are managed efficiently and securely. The AMISCA will design cloud-based application… more