- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Strategy and Patient Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will...while ensuring alignment with the product's brand strategy. The Director will collaborate closely with cross-functional teams, including Brand… more
- CVS Health (Albany, NY)
- …in all details of the client relationship, including pharmacy and medical specialty contract negotiations, specialty product/program/pilot management, ... each and every day. Provides strategic direction and leadership for the specialty pharmacy benefit management (PBM) business unit, setting goals and objectives to… 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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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
- Elevance Health (Latham, NY)
- **Clinical Operations Medical Director ** **Carelon MBM** **Location:** Alternate locations may be considered. The ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- CVS Health (Albany, NY)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… 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
- 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...of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family 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 ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… 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 ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to.... Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses… more
- Evolent (Albany, NY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… 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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- CDPHP (Albany, 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 regulatory, accreditation, corporate policies, and strategic plan. The Medical Director will participate in medical...State licensure is required. + Board Certification in a medical specialty required. + Minimum of five… more
- Elevance Health (Latham, NY)
- **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the ... analytics to improve the delivery of care. The **Clinical Operations Associate Medical Director - Orthopedic Surgery** is responsible for performing… more
- YesCare Corp (Coxsackie, NY)
- …_\#LI-DT1_ **Responsibilities** Below is a list of your responsibilities as a ** Medical Director at Coxsackie Correctional Facility located in Coxsackie NY** ... **Experience & Requirements** + Graduate of an accredited medical school. + Fully licensed to practice medicine in the state of employment. + Current DEA… more