- Humana (Albany, NY)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… 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
- New York State Civil Service (Albany, NY)
- …five statutory colleges at Cornell and Alfred Ceramics, and three academic medical centers. The Assistant Director for Budget Research and Development ... NY HELP No Agency SUNY System Administration Title Assistant Director for Budget Research and Development Occupational Category Financial, Accounting, Auditing… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Albany, NY)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- EFI Global (Albany, NY)
- …to learn more about EFI Global. **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting ... on issues and trends impacting programs. + Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies… more
- Robert Half Finance & Accounting (Schenectady, NY)
- …and other deductions. * Implement and maintain payroll processing systems, consistently reviewing them to guarantee timely and accurate processing. * Ensure all ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- New York State Civil Service (Albany, NY)
- …Yes Telecommuting allowed? Yes County Albany Street Address Division of State Emergency Medical Services 875 Central Avenue City Albany State NY Zip Code 12206 ... Support Specialist 1 within the Division of State Emergency Medical Services, Central Administration Branch, provides comprehensive administrative support across… more
- Elevance Health (Latham, NY)
- …+ May process a medical necessity denial determination made by a Medical Director . + Refers complex or non-routine reviews to more senior nurses ... responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant… more
- Ryder System (Albany, NY)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- New York State Civil Service (Albany, NY)
- …the Appeals Unit Manager is absent for extended periods;* Assisting the Legal Appeals Director by reviewing and analyzing selected Board Panel and Full Board ... Duties Description Responsibilities include, but are not limited to:* Reviewing the merits of appeal requests by analysis of...Leave Accruals. * Paid State and Federal Holidays.* Full Medical , Vision, and Dental. * Retirement Options. * Public… more
- CenterWell (Albany, NY)
- …expenditures. Generates specific market quality assessment reports along with monitoring, reviewing , and managing patient satisfaction data. MEO will work closely ... the assigned area. + May oversee backfill for Branch Director and fill-in when Branch Director role...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Equinox, Inc (Albany, NY)
- …specific locations such as hospitals, jails, and other facilities + Receiving and Reviewing Client Referrals: Receive and review client referrals to ensure they meet ... including admissions, discharges, and residential waitlist updates. Use the Evolv Medical Record System to track client documentation, including entering client… more
- Intermountain Health (Albany, NY)
- …with all research billing regulations and policies. This role involves reviewing research billing plans, overseeing the billing process for research studies, ... of Research, research teams and billing departments. This position reports to the Director of the Human Research Protection Program. For this role we are… more
- New York State Civil Service (Albany, NY)
- …five statutory colleges at Cornell and Alfred Ceramics, and three academic medical centers. The Senior Fiscal Analyst for Program Budget and Support will ... and SUNY initiatives. The incumbent will report directly to the University Budget Director , supervise the Fiscal Analyst for Program Budget and Support, and work… more
- The Research Foundation for SUNY at the University at Albany (Albany, NY)
- …for carrying-out pre-award administration functions and tasks including: reviewing program solicitations, interpreting and communicating sponsor requirements and ... proposed project costs with sponsor, University, and Research Foundation policies; reviewing and confirming approval of internal campus documents for proper… more
- St. Catherine's Center for Children (Albany, NY)
- …the philosophy and mission of St. Catherine's Center for Children. + Responsible for reviewing all pertinent documentation and emails at the start of each shift. + ... directives as requested by the Program Manager, Treatment Team and the Director , Residential Services. + Attend all required Agency trainings, (eg, New Employee… 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
- St. Catherine's Center for Children (Albany, NY)
- … medical providers. + Keep contact with client caseload consistent; Include: reviewing and communicating pertinent past and present medical information with ... ill children; providing referrals to the ER or other medical providers as needed. + Plan for and perform...Additional position-related duties and responsibilities as assigned by the Director . What We Offer You*: + Competitive Pay with… more