- MVP Health Care (Schenectady, NY)
- Medical Director , Clinical Review and Care Integrity 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2635 ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Clinical Review and Care Integrity** to join… more
- Bausch + Lomb (Albany, NY)
- …global team members, other B&L departments (eg, R&D/Project Management, Clinical / Medical Affairs, Biometrics, Regulatory Affairs, Quality Assurance, ... study objectives are being met and provide the operations director and/or senior management with timely updates on progress...Operations support in the timely coordination and execution of clinical study reports. + Assist in the review… more
- YAI (Amsterdam, NY)
- …Job Summary Under the direction of the Senior Director of MSA , the Director of Clinical Services serves as a key member of the Manhattan Star Academy ... ; reviews specific cases as requested to address concerns or issues identified by clinical supervisors. + Participates in the review of potential new admissions,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …proof of concept (PoC), mass balance and drug interaction studies. The Director will author/ review ** clinical pharmacology** submission documents and ... and nutraceutical products for the maintenance of everyday health As a Director , Quantitative Pharmacology, ** Clinical Pharmacology,** you will oversee all **… more
- Humana (Albany, NY)
- …in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all ... caring community and help us put health first** The Medical Director relies on medical ...Qualifications** + MD or DO degree + **Valid Florida Medical license** + 5+ years of direct clinical… more
- Humana (Albany, NY)
- …in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical scenarios, review of all ... caring community and help us put health first** The Medical Director actively uses their medical...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (Albany, NY)
- …in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical scenarios, review of all ... caring community and help us put health first** The Medical Director actively uses their medical...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (Albany, NY)
- …Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Merck (Albany, NY)
- …to ensure that they thoroughly comprehend the science behind the medicine and review further unmet medical needs to bolster collaboration and further ... our portfolio. We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating… more
- Evolent (Albany, NY)
- …providers, when available, within the regulatory timeframe of the request. + Utilizes medical / clinical review guidelines and parameters to assure consistency ... non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... clinical development plans and regulatory strategy + Provide input/ review of clinical documents, eg protocols, investigator's...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more
- Evolent (Albany, NY)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... review of service requests. Oversees the Surgery Field Medical Directors and interacts with leadership and management staff...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Evolent (Albany, NY)
- …providers, when available, within the regulatory timeframe of the request. + Utilizes medical / clinical review guidelines and parameters to assure consistency ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Albany, NY)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical / clinical review guidelines and parameters to assure consistency in ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Sumitomo Pharma (Albany, NY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... Reports (SAEs), and Product Complaints (PCs) + Contributes to medical safety of clinical trials, including monitoring...FDA and/or EU ICH safety requirements** + Expertise in medical review of medical … more
- CVS Health (Albany, NY)
- …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied ... Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as… more
- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical / clinical review guidelines and parameters to assure consistency in ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...per business needs . Active Board Certification in Adult Medical Oncology . Strong clinical , management, communication,… more
- Evolent (Albany, NY)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical / clinical review guidelines and parameters to assure consistency in ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Elevance Health (Latham, NY)
- ** Clinical Operations Associate Medical Director...attention, any case review decisions that require Medical Director review or policy ... the advancement of care for the people we serve._ The ** Clinical Operations Associate Medical Director ** is responsible for supporting the medical… 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. ... & ABILITIES:** + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical … more