- Humana (Hartford, CT)
- **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
- Trustmark (Hartford, CT)
- …everything else that's important in life. Peace of mind to thrive. Regional Sales Director - Florida About Voluntary Benefits Trustmark Voluntary Benefits is a ... customers and with our employees. We currently have a position open the in the Florida Market for a Regional Sales Director (RSD). The Regional Sales Director… more
- The Cigna Group (Bloomfield, CT)
- Medical Director - Pediatric Cardiologist- Evicore- Remote **We have both full-time and part-time opportunities available.** Do you crave an intellectually ... and improving the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of… more
- The Cigna Group (Bloomfield, CT)
- …Reporting to the SVP PBM Account Management, the Express Scripts PBM Medical Managing Director serves as strategic clinical account visionary, constructing ... new segments, products, and clinical solutions for Express Scripts. The Express Scripts PBM Medical Managing Director will also play a critical role helping to… more
- The Cigna Group (Bloomfield, CT)
- …mid-level position for a physician interested in a career in health care administration. The Medical Director role is a Medical Principal who also manages 2 ... level case work for Cigna Medicare. **Summary description of position** : A Medical Principal performs medical review and case management activities. The… more
- MetLife (Bloomfield, CT)
- Director - Benefit Claims and Funds Recovery Location(s) + Posting Location:Bloomfield, Connecticut + Posting Location:Bridgewater, New Jersey + Posting ... Nebraska + Posting Location:Oriskany, New York + Posting Location:Tampa, Florida + Posting Location:Warwick, Rhode Island + Posting Location:West...Compliance . GOSC - MetLife offshore team . RIS Director of Risk & Controls, Director Direct… more
- J&J Family of Companies (Hartford, CT)
- Sr. Director Quality & Compliance - 2406186015W **Description** At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers ... . Johnson & Johnson is recruiting for a Sr. Director , Quality & Compliance, located in Irvine, CA, Jacksonville,...>10 years industry experience working in a regulated industry ( medical device and/or pharmaceutical preferred) with at least 5… more
- The Cigna Group (Bloomfield, CT)
- …execution of the medical cost management and strategy. The Medicare Affordability Director must be an experienced leader with a deep understanding of health plan ... The Medicare Affordability Director serves as the strategic leader responsible for...for clinical support, UM, site of care and other medical and behavioral management areas, while connecting, influencing and… more
- MetLife (Bloomfield, CT)
- Director of Reporting and Financial Controls Location(s) + Posting Location:Tampa, Florida + Posting Location:Bloomfield, Connecticut + Posting ... seeking a transformational leader for this Reporting and Financial Controls Director role, that will drive efficiencies by re-engineering E2E processes, anticipate… more
- The Cigna Group (Bloomfield, CT)
- …a leader to shape a significant component of the Medicare Growth strategy. The Director of Telesales will lead strategy and execution for the direct sales of Cigna ... Marketing, and driving strategy and execution of targeted technology investments. The Director of Telesales will build the necessary strategy and capabilities to… more
- The Cigna Group (Bloomfield, CT)
- **OVERVIEW:** The Chief Pharmacy Officer (Senior Director ) oversees and directs the creation, adoption and evaluation of clinical pharmacy programs, product and ... Health Plan book of business. + Partners with the Health Plan National Medical Officer for Pharmacy to develop and deploy clinical affordability solutions for drugs… more
- The Cigna Group (Bloomfield, CT)
- …one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
- The Cigna Group (Bloomfield, CT)
- …race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender ... employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida , Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan,… more
- The Cigna Group (Bloomfield, CT)
- **POSITION SUMMARY** The Financial Analysis Advisor will partner with the Director , Financial Analysis & Sr. Advisors with analytic support for the Finance, Product, ... documentation timely and accurately. This position will work closely with the Director to develop and distribute reporting with sufficient detail to make informed… more
- The Cigna Group (Bloomfield, CT)
- …initiatives to drive prospecting engagement and nurturing opportunities. Reporting to the Director of PBM New Sales, this senior leader will be responsible for ... ON THE FOLLOWING KEY AREAS:** + In partnership with Director of PBM New Sales, work to establish strong...color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual… more
- The Cigna Group (Bloomfield, CT)
- The Pre-Certification Specialist is responsible for supporting the Precertification Nurse, Medical Director and Director of Health Services by collecting, ... interpreting and evaluating medical information received for authorization. The Pre-cert Specialist will communicate with internal and external providers regarding… more
- The Cigna Group (Bloomfield, CT)
- …well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or grievance ... Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B and Part D drug. The Appeals… more
- J&J Family of Companies (Hartford, CT)
- …**Other Locations** NA-US-Indiana-Warsaw, NA-United States, NA-US- Florida -Palm Beach Gardens, NA-US-Pennsylvania-West Chester **Organization** ... 2406166005W **Description** DePuy Synthes, the orthopaedics company of Johnson & Johnson Medical Devices Companies, is recruiting for a dynamic Leader of ASC… more
- Vontier (Hartford, CT)
- …enterprise software program to provide a full offering to fleets. Reporting to the director of sales, the Commercial Account Manager will play a fundamental role in ... to live in the Southeast Region. Strong preference to live in Georgia, Florida , or North Carolina. + 5+ years progressive experience in distributor management and… more
- The Cigna Group (Hartford, CT)
- …This client facing Account Manager will directly report to an Operations Director , as well as being indirectly accountable to a customer's Account Executive. ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more