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  •  ...right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical...  ...on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. Makes accurate and consistent interpretation... 
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    Excellus BCBS

    Latham, NY
    4 days ago
  •  ...Rico. Join us! POSITION OVERVIEW The Medical Director engages in the professional,...  ...efficiently and reviews scheduling with supervisor daily. Develops and reviews all medical...  ...of ICD-10 diagnosis and procedure coding. WHY JOIN US Acacia Network provides... 
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    Full time
    Local area

    Acacia Network

    Albany, NY
    9 days ago
  •  ...initiatives Develop intervention plans, and share ideas about network and risk management issues Work alongside pharmacists on medication management Implement an individualized patient care plans Timely response in chart completions and pharmacy recommendations... 
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    InSync Healthcare Recruiters

    Albany, NY
    17 days ago
  • $230k - $250k

     ...Job Description Job Description Incredible Medical Director Opportunity! A successful and growing company is seeking a qualified Medical Director to join its team to provide compassionate and quality care to all patients in their skilled nursing facilities within... 
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    Medlead Careers

    Albany, NY
    17 days ago
  •  ...marketed assets. As we continue to develop innovative medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets within the broader CNS TA portfolio Medical... 
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    Otsuka America Pharmaceutical Inc.

    Albany, NY
    17 hours ago
  • St. Peters Health Partners Medical Associates is seeking to recruit a full-time Hematologist Oncologist to serve as Medical Director for our outstanding and well-established Cancer Care program at St. Peters and Samaritan Hospital in Albany and Troy, New York. Our multi... 
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    Trinity Health

    Albany, NY
    2 days ago
  • Overview JOB DESCRIPTION Job Summary: Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services.... 
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    Molina Healthcare

    Albany, NY
    4 days ago
  • $223.8k - $313.1k

     ...part of our caring community and help us put health first. The Medical Director actively uses their medical background, experience, and...  ...with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals... 
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    Humana Inc

    Albany, NY
    2 days ago
  • $246.1k - $344.2k

    Become a part of our caring community and help us put health first The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging... 
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    10 hours per week
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    Humana Inc

    Albany, NY
    4 days ago
  • $202k - $303k

    Medical Director, Children's Services (SafetyNet & Behavioral Health) Join to apply for the Medical Director, Children's Services (SafetyNet...  ...Companies’ mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs.... 
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    Excellus BCBS

    Latham, NY
    5 days ago
  • Overview JOB DESCRIPTION Provides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy... 
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    Molina Healthcare

    Albany, NY
    5 days ago
  • $223.8k - $313.1k

    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... 
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    Humana Inc

    Albany, NY
    3 days ago
  • Join to apply for the Medical Director role at CFG Health POSITION SUMMARY The Corrections Site Medical Director is responsible for...  ...Reasonable accommodations may be made upon written request to your supervisor for individuals with disabilities to perform the essential... 
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    CFG Health

    Albany, NY
    2 days ago
  •  ...and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. The Medical Director will assist the VP Member Health and Chief Medical Officer with the implementation of the Plan's Medical Management,... 
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    CDPHP

    Latham, NY
    5 days ago
  • $223.8k - $313.1k

     ...our caring community and help us put health first Overview The Medical Director relies on medical background and reviews health claims...  ...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes... 
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    Humana Inc

    Albany, NY
    4 days ago
  •  ...utilization management and case management programs for mental health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs. Provide... 
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    Molina Healthcare

    Albany, NY
    4 days ago
  •  ...but not required. The firm offers a competitive base salary commensurate with experience, and a wide array of benefits, including medical, dental, vision, life insurance, flexible spending accounts, long term disability, short term disability, and a 401(k) plan. In... 
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    Oak Ridge Legal Search LLC

    Albany, NY
    26 days ago
  • $84.2k - $96.8k

     ...healthcare management ~ Strong knowledge of clinic operations, medical office management, and experience in clinical supervision and...  ...performance metrics and clinical performance management including coding, quality and billing ~ Proven ability to analyze and... 
    Full time
    Temporary work
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    Immediate start
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    Honest Health

    Albany, NY
    9 days ago
  • $10 per hour

     ...excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and... 
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    Interim role
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    Sovah Health - Danville

    Albany, NY
    2 days ago
  •  ...Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director PRIMARY PURPOSE : To evaluate medical reports escalated due to deficient information utilizing evidence based criteria; to... 
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    Sedgwick

    Albany, NY
    5 days ago
  • Director, Environmental Health & Safety The Director, Environmental Health and Safety will lead Plug’s EHS strategy and execution for its North America Manufacturing Team. This role will be responsible for ensuring compliance with local, state, and federal EHS regulations...
    Local area

    Plug Power

    Albany, NY
    1 day ago
  • $75k - $88k

    Job Description Job Description POSITION TITLE: Director of Program, Health Programming CLASSIFICATION: Full-Time, Exempt LOCATION: Headquarters office Albany, NY/ Flexible - at any SONY office REPORTS TO: Vice President, Program COMPENSATION: $75,000 -...
    Full time
    Seasonal work
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    Local area
    Flexible hours
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    Afternoon shift

    Special Olympics New York, Inc.

    Albany, NY
    25 days ago
  •  ...realm of staffing solutions. Job Overview/Summary We are seeking a highly experienced Senior Clinical Research Director to provide medical expertise, strategic oversight, and regulatory leadership for clinical studies and registries. The role involves supporting end-to-... 

    Pulivarthi Group (PG)

    Albany, NY
    4 days ago
  •  ...Responsible for the overall clinical management of the practice and program assigned, including direct supervision of all providers (medical) and monitoring practice and on-site programs to meet organizational productivity goals, quality performance measures, regulatory... 
    Full time

    The Institute for Family Health

    Albany, NY
    4 days ago
  • $170k

     ...The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate medical necessity and appropriateness...  ...legal standards and behavioral expectations as set forth in the code of business conduct and company policies. Employees may have... 
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    Private practice
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    Highmark Health

    Albany, NY
    4 days ago
  • $92.3k

     ...working in provider partnerships Experience with data analytics and medical economics SKILLS Organizational skills and detail orientation...  ...legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job... 
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    Highmark Health

    Albany, NY
    4 days ago
  • $97.3k - $227.68k

    Job Description The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. Responsibilities...
    Work experience placement

    Molina Healthcare

    Albany, NY
    4 days ago
  • $70k

     ...Seeking an ED Critical Care Medical Director to work at St. Peter's Hospital, Samaritan Hospital, Albany Memorial Hospital, and Ellis Hospital in New York. Stipend: $70K/yr Clinical hours: minimum 80/month. Credentialed at St. Peter's Hospital and Ellis Hospital.... 
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    US Acute Care Solutions

    Albany, NY
    17 hours ago
  • $120 - $130 per hour

     ...Evolent for the mission. Stay for the culture. What You’ll Be Doing: What You Will Be Doing: Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging... 
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    Evolent

    Albany, NY
    4 days ago
  • $94 - $99 per hour

     ...providing better health outcomes. Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be... 
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    Immediate start

    Evolent

    Albany, NY
    2 days ago