• Medical Director

    Acacia Network (Albany, NY)
    Camino Nuevo Medical Director Albany, NY : 3/19/2024 Job Description Job ID#: 3842 Job Category: Camino Nuevo Position Type: Full Time Details: POSITION ... OVERVIEW: The Medical Director engages in the professional, organizational, and administrative activities of the provide quality care to clients based upon their… more
    Acacia Network (09/18/24)
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  • Medical Director - Home Health…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/06/24)
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  • Medical Director - South Central

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/08/24)
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  • Medical Director - National Medicare…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
    Humana (11/08/24)
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  • Medical Director - Acute Rehab Team

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/05/24)
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  • Medical Director - Mid West Region

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (10/29/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Albany, NY)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
    Highmark Health (09/24/24)
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  • Center Medical Director (CMD)

    CSL Plasma (Schenectady, NY)
    …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following adverse reactions in… more
    CSL Plasma (10/14/24)
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  • Medical Director - Commercial…

    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 ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
    CVS Health (11/13/24)
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  • Medical Director - New Jersey Market

    CVS Health (Albany, NY)
    …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality… more
    CVS Health (11/02/24)
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  • Field Medical Director , Cardiology

    Evolent Health (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
    Evolent Health (11/15/24)
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  • Associate Medical Director

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Mental Health, Office of Title Associate Medical Director - Psychiatrist 2 Children & Youth (NY HELPS), Central Office; Occupational Category ... Psychiatrist 2 (Child & Youth, G-38, position to act as an Associate Medical Director in the Division of Integrated Community Services for Children and Families.… more
    New York State Civil Service (10/03/24)
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  • Medical Specialist 3 ( Medical

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Mental Health, Office of Title Medical Specialist 3 ( Medical Director ), Central Office; Occupational Category Health Care, Human/Social ... of Mental Health (OMH) seeks a qualified candidate to serve as a Medical Director within the Bureau of Health Services. Specific duties to be performed may… more
    New York State Civil Service (11/09/24)
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  • Medicare Grievances and Appeals Corporate…

    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 scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (10/29/24)
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  • Behavioral Health Medical Director

    CDPHP (Albany, NY)
    …these values and invites you to be a part of that experience. The Medical Director , Behavioral Health, Child & Adolescent Programs will conduct utilization ... for behavioral health services across all lines of business. In addition, the Medical Director will be assigned to oversee the unique needs of CDPHP members 21… more
    CDPHP (11/15/24)
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  • Senior Medical Director

    Takeda Pharmaceuticals (Albany, NY)
    …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... for presentations to the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player in the preparation and presentation of… more
    Takeda Pharmaceuticals (10/18/24)
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  • Oncology Regional Medical Scientific…

    Merck (Albany, NY)
    …in the assigned territory (Boston area). **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (10/22/24)
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  • Health Systems Oncology Medical Affairs…

    Merck (Albany, NY)
    …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing professional… more
    Merck (11/14/24)
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  • Regional Medical Scientific Director

    Merck (Albany, NY)
    **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a credentialed (ie,… more
    Merck (11/13/24)
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  • Associate Director , Medical Writing…

    Takeda Pharmaceuticals (Albany, NY)
    …order to bring life-changing therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for medical ... presentation and interpretation. In addition to project responsibilities, the Associate Director , Medical Writing is responsible for non-project related… more
    Takeda Pharmaceuticals (10/05/24)
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