- GCG (Albany, NY)
- …GCG company, is currently seeking a **Utility Solutions Sales Director ** to partner with leaders on ourRenewable Energy (https://paigerenewableenergy.com/) ... market penetration, team development, and strategic supplier engagement. As our Sales Director , you will lead the charge in developing and executing a comprehensive… more
- BeOne Medicines (Albany, NY)
- …These stakeholders will consist of C-suite level (CEO's, CFO's, COO's) medical directors, practice administrators, pharmacists, and other decision makers in assigned ... (IDN, HS, and GPO accounts) + Facilitate introductions to appropriate medical affairs colleagues for research opportunities, more specifically with BeiGene's field… more
- Caris Life Sciences (Albany, NY)
- …related to pharmacology, oncology, or molecular and cellular biology. + 3+ years of management experience in Medical Affairs or managing MSLs. + Proficient in ... + As AVP, this individual will be responsible for management activities such as, but not limited to: +...+ Act as a conduit of information/feedback between the medical community and Caris Life Sciences regarding current products… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Medical Director , Behavioral Health Children's Services , to join #TeamMVP. ... be in a clinical setting). Previous experience as a medical director in a managed care/health plan...Management Programs. Actively participates in MVP training and medical directors' meetings and conference calls. Provides coverage outside… more
- MVP Health Care (Schenectady, NY)
- …care. The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. Service Authorization & Review: Conduct ... Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months after hire. At least 3 years of recent… more
- Highmark Health (Albany, NY)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... 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… more
- Humana (Albany, NY)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... 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… more
- Evolent (Albany, NY)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Humana (Albany, NY)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... **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 … more
- Humana (Albany, NY)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **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 … more
- Humana (Albany, NY)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Merck (Albany, NY)
- …partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine teams ... This role also serves as a resource for the Medical Affairs (MA) management team on strategic...resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of… more
- Evolent (Albany, NY)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- Evolent (Albany, NY)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Evolent (Albany, NY)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS- Required ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… 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 ... Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- CDPHP (Latham, NY)
- …who share these values and invites you to be a part of that experience. The Medical Director will assist the VP Member Health and Chief Medical Officer ... with the implementation of the Plan's Medical Management , Quality Improvement, and Resource Management initiatives in accordance with regulatory,… 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 ... medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… 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 ... medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
