• Physician Clinical Reviewer

    Evolent Health (Albany, NY)
    …matter expert in meetings, as assigned with practices and/or payers. + Perform all peer clinical review activities while located in a state or territory of the ... Directors, and health plan members and staff whenever a physician `s input is needed or required. Responsible for acting...in Required States- **Required** + Active Board Certification in Radiation Oncology - **Required** + Strong clinical ,… more
    Evolent Health (07/09/24)
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  • Medical Director - National Medicare Team

    Humana (Albany, NY)
    …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (08/29/24)
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