- CVS Health (Hartford, CT)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... of members' physical, behavioral and socioeconomic needs.* Partner closely with the Executive Director of Duals and other Duals Care Management leadership to… more
- Trinity Health (Hartford, CT)
- …professional? Saint Francis Hospital is seeking a visionary leader to join our team as the ** Director of Case Management ** . In this pivotal role, you will ... oversee and optimize the case management process, ensuring the highest quality.... + **Knowledge** : Familiarity with statistical analysis, DRG's/ICD9/10, medical necessity criteria, JCAHO, CMS requirements for discharge planning,… more
- Humana (Hartford, CT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Hartford, CT)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Hartford, CT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... and work is performed without direction. The Behavioral Health Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- The Cigna Group (Bloomfield, CT)
- …Cigna Medicare. **Summary description of position** : A Medical Principal performs medical review and case management activities. The physician provides ... interested in a career in health care administration. The Medical Director role is a Medical...Performs benefit-driven medical necessity reviews for coverage, case management , and claims resolution, using benefit… more
- Trinity Health (Hartford, CT)
- …Case Management Team. The Manager of Social Work is responsible for assisting the Director of Case Management with the case management ... time **Shift:** Day Shift **Description:** **Saint Francis Hospital and Medical Center** is looking for a **Manager of Social...+ staffing levels, competency and educational needs of the case management staff and effectively coordinates and… more
- Elevance Health (Wallingford, CT)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On ... set of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director supporting our Medical Oncology team** is… more
- Elevance Health (Rocky Hill, CT)
- …an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including ... appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary** + The US Associate Director Payer & Access Strategy Lead, Medical Affairs (US AD PASL) role supports the Global Medical ... integrated Field Medical (FM) plan process in collaboration with US HSO Executive Director (US HSO ED), US HSO Field Medical Alignment Director (FMAD),… more
- Merck (Hartford, CT)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... the territory. **Role Summary** + The Health Systems Oncology Medical Affairs Director (HSO MAD) is a...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… more
- Elevance Health (Wallingford, CT)
- … Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...relevant clinical guidelines. + Provides clinical leadership for Utilization Management , Case Management , Disease … more
- Elevance Health (Wallingford, CT)
- … Medical Benefits Management is looking to hire a National Medical Director . This high-performing individual contributor will be responsible for serving ... health of the people we serve, influencing product strategy and design and medical management approaches that impact healthcare quality, cost, and outcomes, and… more
- The Cigna Group (Bloomfield, CT)
- Medical Director - Pediatric Cardiologist- Evicore-...evidence-based medical case reviews for medical necessity on eviCore's case management ... the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna… more
- J&J Family of Companies (Hartford, CT)
- Director , Project Management - Central Utility Plant (1 of 2) - 2406184668W **Description** Johnson & Johnson is recruiting a Director , Project Management ... our business to best serve our customers and patients. These positions for Director , Project Management will be accountable for the construction and delivery… more
- J&J Family of Companies (Hartford, CT)
- Director , Project Management - Admin & Laboratory Building (1 of 2) - 2406184666W **Description** Johnson & Johnson is recruiting a Director , Project ... our business to best serve our customers and patients. This position for Director , Project Management will be accountable for the construction and delivery… more
- J&J Family of Companies (Hartford, CT)
- Director , Project Management - Drug Substance Manufacturing - 2406184665W **Description** Johnson & Johnson is recruiting for a Director , Project ... which enable our business to best serve our customers and patients. The Director , Project Management Drug Substance Large Molecule is accountable for the… more
- Merck (Hartford, CT)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... help drive our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a… more
- Elevance Health (Wallingford, CT)
- …Operations Associate Medical Director ** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management ** _A proud member of the Elevance Health ... family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health,...including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director of Neurosurgery** responsible for performing… more