- Commonwealth Care Alliance (Springfield, MA)
- …performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and Provider Engagement. The Provider Engagement team ... using utilization, quality, and member experience metrics. + Collaborate with Business Intelligence, Finance, Quality, and Contracting to develop and disseminate… more
- 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
- Humana (Hartford, CT)
- …of how organization capabilities interrelate across department(s). The Associate Director , Technology Solution Implementation gathers and documents business ... + Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies + Experience in IT business analysis, including artifacts … more
- Elara Caring (Chicopee, MA)
- …+ Partner with internal stakeholders-including Clinical Operations, Sales, and Business Development -to streamline referral pathways and support growth ... Care, at the Right Time, in the Right Place. **Job Description:** ** Director of Intake - Home Care (Massachusetts)** **Location:** Massachusetts (Hybrid/Remote with… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using ... internal and external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a solid understanding of how… 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
- Humana (Hartford, CT)
- …platform capabilities and products that support enterprise goals. The Associate Director will ensure project alignment with business objectives, champion ... of our caring community and help us put health first** The Associate Director of Project Management will support Product and Platform Enablement. This strategic… 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
- Fallon Health (Springfield, MA)
- …and community referral sources. + Develops and implements their own territory business development plan and carries out activities to penetrate accounts ... who have MassHealth Standard, and may have Medicare. It combines MassHealth ( Medicaid ) and Medicare benefits, including prescription drug coverage. At Fallon Health,… more
- CVS Health (Hartford, CT)
- …events, supporting sales training development , and collaborating across Medicaid and Medicare business units. Created executive-level presentations and ... and participate in: + Projects that contribute to the success of our business + Community service activities + Professional development workshops + Mentorship… 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
