- Conviva (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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Albany, NY)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Albany, NY)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations… more
- 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...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Albany, NY)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Albany, NY)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...Dynamic leadership skills. + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- OrthoNY (Albany, NY)
- …+ Responsible for reviewing and providing case costing data to the Medical Director /Board of Directors. + Assures that contracts for services are reviewed ... Become the Director of our Ambulatory Surgery Center and guide...Risk Management as needed. + Responsible for oversight of Medical Staff and Ancillary Staff credentialing; ensures that credentialing… more
- Sumitomo Pharma (Albany, NY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director Regulatory Affairs** . The Director is part of the Global ... activities and submissions + May be responsible for creating and reviewing SOPs and regulatory department operating procedures. **Key Core Competencies** +… more
- Cardinal Health (Albany, NY)
- **JOB TITLE:** Director , Compensation **Track / Level:** M3 **At Cardinal Health, we're developing the innovative products and services that make healthcare safer ... and communicates policies to managers throughout the enterprise. The Director , Compensation will drive broad-based and sales compensation for Pharma/Specialty… more
- Sumitomo Pharma (Albany, NY)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Regulatory Affairs** . The Associate Director is part of the ... promotional materials review committee (PMRC) along with Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of in advertising and… more
- Takeda Pharmaceuticals (Albany, NY)
- …and building appropriate global regulatory strategy. + Preferred experience includes reviewing , authoring, or managing components of both drug and device regulatory ... or long-term incentives. US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company match, short-term and… more
- Whitney Young Health Center (Albany, NY)
- …(http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to ... other requirements; identifies performance issues and brings them to the attention of the Director of Revenue Cycle. + Evaluates medical record and coding to… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The Albany VA Medical Center is looking for (5) Medical Support Assistants for the Assistant Director 's Office. Responsibilities The MSA works ... VA Handbook complaints; interacting with both internal and external customers; reviewing and documenting medical outpatient and inpatient electronic health… more
- WM (Albany, NY)
- …guidance, direction and recommendations to field operations by preparing and reviewing compliance reports, permit applications and draft permits. The team supports ... tracking and updates; and training. This position will report to the Senior Director of Air Programs and take direction from, coordinate with and/or assist Senior… more
- Ellis Medicine (Schenectady, NY)
- …then guides staff toward improved efficiency, performance and care. Informs Director of Nursing/Nurse Educator of apparent learning needs. * Interviews, disciplines, ... in the profession. Policy and Procedure. * Takes an active part in writing, reviewing and rewriting policies and procedures. * Informs staff of new or rewritten… more
- NBT Bank (Canajoharie, NY)
- …the Bank's Fair Lending and UDAAP programs. Reporting directly to the Fair Banking Director & CRA Officer, this role works independently and interacts daily with VP ... expectations. This role works closely with the Fair Banking Director and CRA Officer to ensure all HMDA, CRA...projects, contributing to evaluations of products and services and reviewing customer complaints. As a member of the CRA… more
- System One (Albany, NY)
- …for federal grant consideration, under the direction of the Senior Director , Media Technology & Service Strategies. **Duties & Responsibilities** + Evaluates ... documentation. + Strong analytical skills, with attention to detail in reviewing technical budgets, identifying variances, and providing solutions. + Excellent… more
- Evolent (Albany, NY)
- …at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client ... clinical team, which includes our Nurse, Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively with other Clinical Operation Leaders… more
- Evolent (Albany, NY)
- …operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: ... work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be...also be available. **What You Will Be Doing:** + Reviewing internal workflows and policies to determine if submitted… more
- The Research Foundation for SUNY at the University at Albany (Albany, NY)
- …Fri Dec 13 2024 Job Description: Under the general direction of the Director for Pre-Award Services, the Contracts Coordinator is responsible for the coordination ... to Research Administrators as needed during the proposal development process when reviewing Federal Acquisition Regulation (FAR) clauses and other special terms and… more