- Evolent Health (Albany, NY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- CenterWell (Albany, NY)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... and many of the delegation oversight listed above + Home infusion Therapy Accreditation and Pharmacy accreditation for infusion nursing services, NABP, URAC,… more
- Evolent Health (Albany, NY)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Ellis Medicine (Schenectady, NY)
- …of Quality and Risk, Director of Family Medicine Residency Program, Physician Advisor Utilization Management , and System Wide Chiefs. The CMO plans, organizes, ... the CMO serves as a member of the Executive Medical Staff in the overall management of Ellis Medicine and all its subsidiaries. This is a highly respected position… more