- 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)
- **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
- 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
- CVS Health (Hartford, CT)
- …a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Part C Medicare Appeals. This position is ... * Provide ongoing education/ subject matter expertise regarding Medicare policy and appeals to the territory Utilization Management staff...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
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Director of Regulatory Compliance develops and implements compliance programs aimed at governmental ... requirements and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance… 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
- 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
- CenterWell (Hartford, CT)
- …of our caring community and help us put health first** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following: ... of key performance indicators, and people management/development. The Branch Director supervises the branch/clinical staff. Direct responsibility of ensuring the… 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