- Humana (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)
- **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 (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
- 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
- Evolent (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
- BriteLife Recovery (West Kill, NY)
- **Brand New Facility opening in West Kill, New York MEDICAL DIRECTOR Do you work for a company that no longer aligns with your core values? Have you dreamt of ... expansion coming soon to WEST KILLS, NY What you will be doing?The Medical director will have a critical role in managing and treating individuals with… more
- 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. The ... Corporate Medical Director works on problems of diverse scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- 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...60-BED SKILLED NURSING SERVICES PROGRAM WITHIN THE COXSACKIE REGIONAL MEDICAL UNIT + Patients typically require closer monitoring and… more
- Merck (Albany, NY)
- …systems accounts + Serves as a resource for the HS MAD Team Lead, HS Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Role Summary** + The Health Systems Medical Affairs Director (HS MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Albany, NY)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director | Cardiopulmonary & Pulmonary Hypertension that can help ... drive our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director | Cardiopulmonary & Pulmonary Hypertension is a… more
- Merck (Albany, NY)
- **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- Merck (Albany, NY)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value… more
- Merck (Albany, NY)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- Sumitomo Pharma (Albany, NY)
- …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Director , Medical Affairs Strategy (Hematology/Oncology) will be a key ... member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role, individuals are responsible for Medical … more
- Sumitomo Pharma (Albany, NY)
- …. **Job Overview** The Sr. Director , Medical Strategy (Rare ... Disease) will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. The job is responsible for strategic… 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 , Medical Affairs Strategy. The job is responsible… more
- Merck (Albany, NY)
- **Job Description** **Role Summary** + The Ophthalmology Regional Medical Scientific Senior Director Team Lead, (RMSD TL aka MSL Team Lead), is a credentialed ... field environment **Planning and Project Management** + In alignment with Executive Director , Field Medical Affairs, provides project management to ensure… more
- OrthoNY (Albany, NY)
- …**Administrative:** + Responsible for reviewing and providing case costing data to the Medical Director /Board of Directors. + Assures that contracts for services ... 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
- Highmark Health (Albany, NY)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more