- Elevance Health (Latham, NY)
- ** Plan Performance Medical Director - New York Commercial** Location: This role enables associates to work virtually full-time, with the exception of ... with live within commutable distance to our NY or NJ locations. The **New York Plan Performance Medical Director ** serves as the Chief Medical … more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- 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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- 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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- Albany Medical Center (Albany, NY)
- …payment and market opportunities in alignment with the AMHS Strategic Plan , including risk based/value-based initiatives. The Director concisely consolidates ... candidate will be required to attend and host in person meetings. The Director is responsible for overseeing as well as implementing, developing, maintaining, and… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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 to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- CDPHP (Latham, NY)
- …Management initiatives in accordance with regulatory, accreditation, corporate policies and strategic plan . The Medical Director will participate in ... you to be a part of that experience. The Medical Director will assist the VP Member... will assist the VP Member Health and Chief Medical Officer with the implementation of the Plan… more
- United Therapeutics (Albany, NY)
- …UT data is approved and ready for field use following presentation. Associate Medical Excellence & Training Director Minimum Requirements + Bachelor's Degree ... with GMA hiring managers to develop tailored on-boarding training plan for each new GMA new hire, oversee mentoring,...innovative mindset + Ability to travel up to 40% Medical Excellence & Training Director Minimum Requirements… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... **Global Scientific Communication Strategy** + Define, direct, and oversee a comprehensive medical communications strategy and tactical plan for the Nephrology &… more
- Merck (Albany, NY)
- **Job Description** **Role Summary** + The Regional Medical Scientific Senior Director Team Lead, RMSD TL, is a credentialed (ie, MD, PhD, PharmD, DO, and OD) ... + Manages, recruits, and on-boards a team of field-based medical affairs professionals + Assesses RMSD performance ...state field execution plans to the team and monitors performance to plan , aligned to: Scientific Exchange,… more
- Molina Healthcare (Albany, NY)
- …care team (ICT) activities. * Recruits, hires, trains, mentors and develops medical director staff as needed. * Ensures that authorization decisions ... plan members. * Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning,...practice experience, and at least 2 years as a medical director in managed care setting supporting… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... **Global Scientific Communication Strategy** + Define, direct, and oversee a comprehensive medical communications strategy and tactical plan for the CNS… more
- Pfizer (Albany, NY)
- …to $282,900.00. In addition, this position is eligible for participation in Pfizer's Global Performance Plan with a bonus target of 20.0% of the base salary ... **ROLE SUMMARY** The Internal Medicine Field Medical , Director is responsible for providing...assigned territory (Metro NYC, Long Island) **ROLE RESPONSIBILITIES** + Plan and execute independent Medical strategies and… more
- CenterWell (Albany, NY)
- …of business development & patient base growth, achievement of key performance indicators, and people management/development. The Branch Director supervises ... us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more