Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medical Director, Utilization & Care Management

$227.6k - $385k

Highmark Health

Highmark Health seeks a physician for utilization management responsibilities in Albany, NY. The role involves reviewing cases in accordance with clinical standards and participating in a multidisciplinary team for case management. Essential qualifications include an MD or DO with at least 5 years of clinical experience. The position offers a competitive salary ranging from $227,600 to $385,000, emphasizing collaboration, critical thinking, and effective communication skills. #J-18808-Ljbffr Highmark Health

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medical Director, Utilization & Care Management in Albany, NY vacancy
  • $70.07k - $108.61k

     ...position provides overall administrative management of a variety of business-related functions...  ...mission of high quality provision of care for patients. ~ Human Resources - Process...  ...working in a management capacity in a medical office or clinical setting. Must project... 
    Suggested
    Work at office
    Shift work

    Albany Med

    Albany, NY
    2 days ago
  • $227.6k

     ...part of a physician team, ensures that utilization management responsibilities are performed in accordance...  ...cases electronically and using Medical Policy criteria sets to evaluate the medical...  ...to help support and improve the care of our members. Essential Responsibilities... 
    Suggested
    Private practice
    Work at office
    Local area

    Highmark Health

    Albany, NY
    5 days ago
  • $227.6k

     ...part of a physician team, ensures that utilization management responsibilities are performed in accordance...  ...cases electronically and using Medical Policy criteria sets to evaluate the medical...  ...to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES... 
    Suggested
    For contractors
    Private practice
    Work at office
    Local area

    Highmark Health

    Albany, NY
    8 days ago
  • $100k

     ...difference! Step into a Director role where your...  ...employer match , along with Medical, dental, and vision insurance...  ...Support Center that manages HR, recruiting, billing...  ...on trauma-informed care and generational trauma...  ...collaborative culture Utilize data to guide clinical... 
    Suggested
    Flexible hours

    Autism Learning Partners

    Albany, NY
    5 days ago
  • $278k

     ...St. Peters Health Partners is seeking to recruit a full-time Nursing Home Medical Director/ Physician to lead and provide care at our nonprofit Skilled Nursing Homes in the Capital Region of Upstate New York. About The Eddy: The Eddy, located in the Capital Region... 
    Suggested
    Full time
    Relocation package
    Shift work

    Hiring & apply

    Albany, NY
    1 hour ago
  • $94.4k - $293.8k

     ...clinical outcomes. As a Clinical Manager you will l ead care delivery and clinical operations transformations that improve throughput, utilization, and frontline performance for providers...  ...suite of benefits including medical, dental, vision, life, and long-term... 
    Live in
    Work at office
    Local area
    Worldwide

    Accenture

    Albany, NY
    5 days ago
  • $278k

     ...St. Peters Health Partners is seeking a compassionate and visionary Physician Medical Director to lead medical care at Eddy Village Green in Cohoes, NY- a nationally recognized nursing home that pioneered the Green House model in New York State. This is a flexible opportunity... 
    Full time
    Part time
    Relocation package
    Flexible hours
    Shift work

    Hiring & apply

    Cohoes, NY
    1 hour ago
  • $120 - $135 per hour

     ...conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented...  ...Minimum 20 hours per week. As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make... 
    Full time
    Part time
    Work at office
    Immediate start

    Evolent

    Albany, NY
    4 days ago
  • $94.4k - $293.8k

    Responsibilities Design and implement care delivery models, workflows, and utilization management solutions Drive measurable improvements in patient flow, capacity...  ...a market competitive suite of benefits including medical, dental, vision, life, and long‑term disability... 
    Work at office
    Local area
    Worldwide

    Accenture

    Albany, NY
    4 days ago
  •  ...Job Description This is professional medical work providing supervision of professional...  ...Activities: Aligns with the American Medical Directors Association (AMDA/PALTC) “Roles of the...  ...to providing the highest quality of care to our residents. Our mission is to provide... 
    Immediate start
    Flexible hours

    Shaker Place Rehabilitation & Nursing Center

    Albany, NY
    29 days ago
  • 3. Opportunity Details - Nurse Home Medical Director - Physician - Cohoes, NY# Nurse Home Medical Director - Physician - Cohoes, NY## OPPORTUNITY...  ...those aspects that make private practice work well in the care of patients. It is one of the largest multi-specialty physician... 
    Full time
    Part time
    Private practice
    Work at office
    Relocation
    Relocation package
    Flexible hours
    Shift work

    St. Peter's Health Partners

    Cohoes, NY
    16 hours ago
  •  ...Association is seeking a full-time Specialty RN to provide in-home care for patients in the Troy area. Work days are typically Monday...  ...role offers training in wound care, IV therapy, and disease management, with orientation and support to address the whole patient in a... 
    Full time
    Monday to Friday
    Flexible hours

    Eddy SeniorCare

    Albany, NY
    1 day ago
  •  ...nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor...  ...families Represent the unit's interests with the upper-level management Requirements: Must hold valid State RN License 3 years Long... 

    Centers Health Care

    Albany, NY
    8 hours ago
  •  ...Troy Center is hiring a Registered Nurse (RN) Unit Manager in Troy, NY. Responsibilities Handle all supervisory duties for assigned unit...  ...nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor... 

    Troy Center

    Albany, NY
    5 days ago
  • $26.41 - $61.79 per hour

    A healthcare provider is seeking a Remote BH Care Manager LCSW, LMFT, or LMHC in New York to provide support for care management and coordination activities. The role requires at least 2 years of health care experience, preferably in behavioral health. The Care Manager... 
    Hourly pay
    Remote work

    Molina Healthcare

    Albany, NY
    3 days ago
  • $82.5k - $166.1k

     ...decisions and better patient care. We want people just as dedicated...  ...will lead to achieved value. Manage ongoing relationships with...  ...focusing on customer success in utilizing Oracle's solutions. Using...  ...which includes the following: # Medical, dental, and vision insurance,... 
    Temporary work
    Work experience placement
    Local area
    Remote work
    Flexible hours

    Oracle

    Albany, NY
    4 days ago
  •  ...to performing visits and completing coordination of client care, the RN Case Manager is the point of contact for all disciplines involved with...  ...care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported... 
    Work at office

    RMCE WYOMING HOME HEALTH AND HOSPICE LLC

    Latham, NY
    8 hours ago
  •  ...Description The Hospice RN Case Manager is responsible for coordinating and managing the care of patients in a hospice...  ...including pain and symptom management, medication administration, and patient...  ...duties assigned by the Hospice Director or designated supervisor. Requirements... 
    Full time
    Shift work
    Weekend work
    Weekday work

    Advanced Health Care

    South Bethlehem, NY
    4 days ago
  • $186.49k - $278.88k

     ...Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management...  ...development where necessary. • Serves as contact for Medical Affairs/PBS related to medical information requests,... 
    Contract work
    Temporary work
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Albany, NY
    3 days ago
  • $150.03k - $224.25k

     ...Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight...  ...business days. Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company... 
    Contract work
    Temporary work
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Albany, NY
    1 day ago
  • $190.8k - $300.3k

     ...We are seeking a Growth and Improvement minded Regional Medical Scientific Director (aka Medical Science Liaison, MSL) in Inflammatory Bowel...  ...scientific education and dialogue Excellent stakeholder management, communication, and networking skills Thorough comprehension... 
    For contractors
    Work at office
    Remote work
    Relocation
    Visa sponsorship
    Flexible hours
    Shift work

    Merck

    Albany, NY
    4 days ago
  •  ...compassionate full‑time Registered Nurse Case Manager to join our healthcare team. In this rewarding...  ...will coordinate and oversee the individualized care of patients, ensuring they receive the highest standard of medical services in their home environment. This position... 
    Full time
    Work from home
    Flexible hours
    Day shift
    Weekday work

    Advanced Health Care

    South Bethlehem, NY
    4 days ago
  • $223.8k - $313.1k

     ...Overview Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS...  ...opportunities for medical management operational improvements...  ...Intermediate to advanced skills utilizing Microsoft Office and Internet... 
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Monday to Friday

    Jobleads-US

    Albany, NY
    3 days ago
  • $150.03k - $224.25k

    Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka... 
    Contract work
    Local area

    Otsuka America Pharmaceutical Inc.

    Albany, NY
    3 days ago
  • $81.2k - $111.65k

     ...provider of evidence-based mental health care, serving more than 20 million people...  ...communication, written communication, project management, and quantitative abilities.  You...  ...~Successfully negotiating with medical directors, administrators, network contracting, finance... 
    Full time
    Contract work
    Remote work

    Lyra Health

    Albany, NY
    a month ago
  •  ...Clinical Data Management Leader Provide leadership, strategic planning, direction and implementation...  ...Make decisions and chart course through careful evaluation of risks and benefits with...  ...for clinical development programs with medical devices leading toward FDA filing /... 

    Katalyst HealthCares & Life Sciences

    Albany, NY
    5 days ago
  •  ...Administrator for the Medicine - General department. This role provides overall administrative management, budget development, and staff leadership to ensure high-quality patient care and efficient operations. You will supervise administrative and clinical staff, oversee... 

    Albany Medical Center

    Albany, NY
    1 day ago
  • $95k - $105k

     ...RN Unit Manager – Skilled Nursing Registered Nurse Unit Manager overseeing daily nursing...  ...operations, staff supervision, and resident care in a skilled nursing facility. Employer:...  ...Benefits Weekly pay 401(k) with company match Medical, dental, and vision insurance Paid time... 
    Weekly pay
    Full time
    Monday to Friday
    Day shift
    Weekday work

    The Grand Healthcare System

    Albany, NY
    5 days ago
  • $98.21k - $144.71k

     ...Sr. Practice Solutions Relationship Manager The Practice Solutions team is highly focused...  ...dental, optometry, veterinary and medical specialty practices. Providing the unparalleled...  ..., flexible spending, and dependent care accounts; adoption assistance; an employee... 
    Work experience placement
    Local area
    Flexible hours

    UMB Bank

    Albany, NY
    3 days ago
  • $76.52k - $163.9k

     ...Sr. Practice Solutions Relationship Manager The Practice Solutions team is highly focused...  ...managed dental, optometry, veterinary and medical specialty practices. Providing the unparalleled...  ..., flexible spending, and dependent care accounts; adoption assistance; an employee... 
    Work experience placement
    Local area
    Flexible hours

    UMB Bank

    Albany, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medical Director, Utilization & Care Management. Be the first to apply!