- CVS Health (Hartford, CT)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **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 ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- …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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- …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 problems of diverse...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CVS Health (Hartford, CT)
- …Summary:** Aetna, a CVS Health Company has an outstanding opportunity for an Executive Medical Director (Medicaid). The Executive Medical Director ... methods, reimbursement methods, and treatment protocols. + Develops, implements, and interprets medical policy including medical necessity criteria, clinical… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... + At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical… more
- Sumitomo Pharma (Hartford, CT)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
- The Cigna Group (Bloomfield, CT)
- Medical Director - Gastroenterology - Evicore by Evernorth - Remote **We have both full-time and part-time opportunities available.** Do you crave an ... of others? Then look no further! As a Gastroenterology Medical Director at eviCore, part of Evernorth...receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** The HR Policy and Compliance Team is looking for a dynamic leader to join their team. This ... maintain the year over year strategy for the HR Policy and Compliance org + Be responsible for providing...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary:** + The Regional Director Medical Affairs (RDMA) is responsible for driving execution of scientific & medical affairs ... cross-functional teams, including regional Commercial, Center of Real-World Evidence (CORE), Policy and Market Access. They engage with their network of scientific… more
- CVS Health (Hartford, CT)
- … Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation ... of clinical/ medical programs and expand Aetna's medical management programs to address member needs across the continuum of care. You will support the Medical… more
- CVS Health (Hartford, CT)
- …is a remote based (work at home) based anywhere in the US. Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education regarding...System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state… more
- Evolent (Hartford, CT)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... to improve decision-making and care outcomes. + Assist in **research, policy interpretation, and guideline development** to refine the delivery of cardiology… more
- Highmark Health (Hartford, CT)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- We are seeking a Senior Director , Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... President, Government Affairs & Public Policy , within the Corporate Affairs function. As the strategic...member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …mission, health care, and policy . They are accountable to the Health Care System Medical Director and are an integral part of the senior leadership team. The ... Summary The Registered Nurse - Associate Director for Patient Care Services (ADPCS)/Nurse Executive (NE)...for large groups of Veterans through their influence over policy development and decisions at the local, regional, state… more
- University of New Haven (West Haven, CT)
- Deputy Director of Athletics - Senior Woman Administrator Department:Athletic Administration Location:West Haven, CT Deputy Director of Athletics - Senior ... long-standing commitment to collaborative, interdisciplinary, project-based learning. The Deputy Director of Athletics/Senior Woman Administrator provides leadership and oversight… more
- RTX Corporation (East Hartford, CT)
- …Systems Externals and Nacelles (MSEN) Engineering Design and Product Definition (PD) Director (M7)** at our East Hartford, Connecticut location! **What You Will ... Do:** The MSEN Engineering Design and Product Definition (PD) Director is responsible for providing strategic leadership and technical execution for the Design and… more