• Medicare Grievances and Appeals…

    Humana (Hartford, CT)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (06/18/25)
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  • Medical Director - National…

    Humana (Hartford, CT)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (07/21/25)
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  • Medical Director - Medicare

    Humana (Hartford, CT)
    **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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (07/23/25)
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  • Principal Data Scientist - Aetna Medicare

    CVS Health (Hartford, CT)
    …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
    CVS Health (07/02/25)
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  • Medical Director - South Carolina SE…

    Humana (Hartford, CT)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
    Humana (07/22/25)
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  • Medical Director - Mid West Region

    Humana (Hartford, CT)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
    Humana (05/14/25)
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  • Medical Director - NorthEast Region

    Humana (Hartford, CT)
    …adapt and the courage to innovate **Additional Information** Typically reports to a Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare more
    Humana (07/25/25)
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  • AVP, Clinical Operations

    Aveanna Healthcare (Plainville, CT)
    …establishes and participates in program development and implementation. The Area Clinical Director team members report up through the Area Vice President who ... Communicates formally and informally (in person or phone) with Corporate Representatives ( corporate level) and Area Clinical...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (07/27/25)
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