• Medical Director - Mid West Region

    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 (10/29/24)
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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...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
    Humana (11/08/24)
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  • Executive Director Head of Medical

    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
    Sumitomo Pharma (12/05/24)
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  • Medical Director

    YesCare Corp (Coxsackie, NY)
    …Veterans._ **Responsibilities** Below is a list of your responsibilities as a ** Medical Director at Coxsackie Correctional Facility located in Coxsackie NY** ... **Experience & Requirements** + Graduate of an accredited medical school. + Fully licensed to practice medicine in the state of employment. + Current DEA… more
    YesCare Corp (12/19/24)
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  • Director of Ambulatory Surgery

    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
    OrthoNY (12/22/24)
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  • Director , Regulatory Affairs

    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
    Sumitomo Pharma (11/28/24)
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  • Principal Scientist/ Director , Regulatory…

    Merck (Albany, NY)
    **Job Description** As the Director /Principal Scientist in Devices and Drug-Device Combinations CMC (Chemistry, Manufacturing & Controls), you will report to the ... Director of Device Regulatory Affairs for Autoinjector Development Programs....+ Collaborate with partner groups in the authoring and reviewing process to ensure compliance, scientific excellence, accuracy and… more
    Merck (01/14/25)
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  • Director Investor Relations

    Hilton (Albany, NY)
    …corporate office in McLean, VA\*\*\*_ **WHAT WILL I BE DOING?** The Director , Investor Relations works directly with the Senior Vice President, Investor Relations ... investment community research on our organization; including aggregating and reviewing sell\-side financial and valuation models + Maintain consensus database… more
    Hilton (01/08/25)
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  • Associate Director , Regulatory Affairs

    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 ... specific to product development in the pharmaceutical industry + Experience reviewing CMC documentation (eg CMC information/data) and contribute to content as… more
    Sumitomo Pharma (11/21/24)
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  • Director , Risk Management

    Western Digital (Albany, NY)
    …ability to stay calm and collected under pressure. + Proficiency in reviewing and analyzing transaction documentation for risk considerations and collaborating on ... dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender… more
    Western Digital (12/27/24)
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  • Director Global Regulatory Affairs…

    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
    Takeda Pharmaceuticals (12/06/24)
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  • Claims Coding Specialist

    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
    Whitney Young Health Center (11/09/24)
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  • Medical Management Clinician Associate

    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
    Elevance Health (01/15/25)
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  • Assistant Attorney 1/ Assistant Attorney 2/…

    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
    New York State Civil Service (01/09/25)
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  • Assistant Claims Manager (Military Move)

    HomeSafe Alliance (Albany, NY)
    …awareness of any settlement practices, trends, or areas of concern to the Director of Claims. Responds to internal and external customer disputes and inquiries ... prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any...Analyze, process, and settle incoming Military Claim Office demands. Reviewing that proper settlement practices were followed. + Addressing… more
    HomeSafe Alliance (01/15/25)
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  • Junior Production Artist

    FranklinCovey (Albany, NY)
    …& Department:** Corporate Product **Status:** Full-Time Hourly **Reports to:** Creative Director **Location:** Remote - Anywhere in the contiguous United States ... to impact millions around the globe. Your primary responsibility will be reviewing and adjusting layouts to brand standards, print requirements, and adjustments to… more
    FranklinCovey (01/15/25)
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  • Broadcast Engineer (5-6 Months)

    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
    System One (12/21/24)
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  • Environmental Program Specialist 1 / Trainee 1 / 2…

    New York State Civil Service (Albany, NY)
    …H&S Director with oversight and coordination of the DEC Medical Monitoring (MM) Program. Review Program medical service requests/enrollment changes, ... to consultants, public officials, and facility managers; collecting data, reviewing alternatives, performing qualitative or quantitative policy analyses; writing… more
    New York State Civil Service (01/04/25)
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  • New Legal Support Analyst Opportunity w/the…

    New York State Civil Service (Albany, NY)
    …recent college graduates and experienced professionals and reports to the Regional Director .The Medicaid program provides health coverage to millions of New Yorkers, ... to resolve a Medicaid fraud investigation involving Medicaid overpayments for "up-coded" medical services, and a $7.6 Million settlement with a health insurer for… more
    New York State Civil Service (01/16/25)
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  • Sourcing Contracts Manager

    Meta (Albany, NY)
    …or publishing partner, will assess and address redlines in consultation with the Director of Sourcing, the Game Sourcer and Oculus Publishing legal partners. This ... 11. Manage contract close-out, extension, or renewals while drafting and reviewing , negotiating and finalizing certain forms of contracts, such as confidentiality… more
    Meta (01/15/25)
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