- The Cigna Group (Bloomfield, CT)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... of both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a… more
- Elevance Health (Wallingford, CT)
- **Utilization Management Medical Director - NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required ... supports work-life integration, and ensures essential face-to-face onboarding and skill development . Please note that per our policy on hybrid/virtual work,… more
- CenterWell (Hartford, CT)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Director , Product Management Conceives of, develops, delivers, and manages products for customer use. ... The Director , Product Management requires an in-depth understanding of how...Optimizer, Customer Journey Analytics, and AI Agents. + Translate business goals and customer needs into a clear product… more
- Humana (Hartford, CT)
- …the broader business objectives. You will champion automation across the development lifecycle to minimize manual toil and improve efficiency. You will build ... community and help us put health first** The Associate Director of DevOps Engineering is a strategic and technical...partnerships across the software development and operations engineering teams and be a conduit… more
- CVS Health (Hartford, CT)
- …executed in partnership with senior leadership + Leading research associated with business issues and plan formulation, including development of business ... dynamic, fast-moving profession; related experience within management consulting, corporate development , business analytics, financial analysis, public policy,… more
- Sumitomo Pharma (Hartford, CT)
- …to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on ... a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face… more
- CVS Health (Hartford, CT)
- …subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business . Includes Dual Eligible, HIDE/FIDE Integrated, and Chronic plans. The SNP ... opportunity to get into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape the role in your own… more
- Baylor Scott & White Health (Hartford, CT)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- Humana (Hartford, CT)
- …and help us put health first** We're looking for an experienced and passionate Director of AI Engineering to lead a team focused on building agentic AI capabilities ... about accelerating the adoption and impact of agentic AI across diverse business domains. **Key Responsibilities** **Team Leadership:** Lead and grow a team of… more
- Cardinal Health (Hartford, CT)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- Hartford HealthCare (Hartford, CT)
- …review and/or investigation of Compliance Line reports as requested by the Manager or Director . . Assists with the development and revision of HHC and Department ... Work Plan or as requested by the Manager or Director . . Maintains organized files to support audit observations...upon standards in a timely manner. . Collaborates with business owner to develop agreed-upon action plans to address… more
- Humana (Hartford, CT)
- …total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver ... projects and initiatives, with an emphasis on Medicare Advantage strategy development . As a Senior Strategy Advancement Professional, you will deconstruct issues… more
- Prime Therapeutics (Hartford, CT)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting ... plan and Prime client engagement leadership teams across all lines of business . This position interacts directly with Prime's clients, account leaders and internal… more