- CVS Health (Hartford, CT)
- …personal, convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and ... internal partners such as: Marketing, Compliance, Regional Sales Directors, National Sales Directors , Medicare VPs, Stars...Regional Sales Directors, National Sales Directors , Medicare VPs, Stars team, Medicaid team and various other… more
- The Cigna Group (Bloomfield, CT)
- The Medicare Affordability Director serves as the strategic leader responsible for designing and activating innovative solutions across the Medicare ... execution of the medical cost management and strategy. The Medicare Affordability Director must be an experienced...Local Markets, Enterprise Affordability and other key domains + Lead the Medicare Affordability team and facilitate… more
- The Cigna Group (Bloomfield, CT)
- …a leader to shape a significant component of the Medicare Growth strategy. The Director of Telesales will lead strategy and execution for the direct sales of ... - United States** **Summary** The Direct to Consumer (DTC) Medicare channel is a significant driver of current and...driving strategy and execution of targeted technology investments. The Director of Telesales will build the necessary strategy and… more
- CVS Health (Hartford, CT)
- …Enterprise Economics, the Strategy team supporting Medicare , as well as the core Medicare Finance team. This Executive Director will also: + Be a strategic ... all the data for the monthly close, budgeting, and forecasting from the various Medicare product lines. + Lead the financial strategic and self-funded … more
- CVS Health (Hartford, CT)
- …strategic leadership and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial analysts, coordinating budgeting ... budget presentations for senior leadership, and day-to-day ad-hoc analyses + Medicare Experience. EducationBachelor or similar work experience This is a hybrid… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and related ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations...up to 3,000 enrolled members. In addition, they will lead our Labor Relations team, ensuring effective alignment and… more
- CVS Health (Hartford, CT)
- …Stars, and Revenue Integrity teams for each of the 4-5 regions that Medicare operates under. This organization will help strengthen the teams that currently support ... will also play an important part in helping to align and communicate the Medicare Local Market teams around current performance, and the forecasts and Budgets that… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. A Brief OverviewThis lead director will lead the Medicaid reserve process. This ... financial reporting materials across the Medicaid business to be consistent with the Medicare and Commercial blocks. Work with your reserve actuary peers in the… more
- Humana (Hartford, CT)
- …by members of the Medicare population and reports to the Lead Medical Director . Other duties: + Identify medical management operational improvements, ... 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 reviewing… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid, ... determined by the plan leadership for NCQA and audits.* Lead the Medicaid markets national SAI ideation,...of health care industry. Preferred industry depth in a Medicare and/or Medicaid line of business* Strategic thinking with… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... 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 … more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... 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 … more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CenterWell (Hartford, CT)
- …a part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Care function under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + … more
- Humana (Hartford, CT)
- …**Additional Information:** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Option Care Health (Hartford, CT)
- …conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for ... developing, and retaining a diverse workforce. **Job Description Summary:** The Director , Compliance Investigations is responsible for developing and maintaining a… more
- CenterWell (Hartford, CT)
- **Become a part of our caring community and help us put health first** ** National ** ** Director of Transitional Care and High-Risk Patient Management** The ... Director of Transitional Care and High-Risk Patient Management (TCM...goals and objectives consistent with PCO Strategic Initiatives. Will lead and oversee the strategic planning, development, and execution… more
- NASCO (Hartford, CT)
- **Overview** Under general direction, the Executive Director , Compliance will lead and provide oversight and management of Compliance and Privacy functions and ... Compliance Office. This role will have oversight responsibility for Medicare Advantage and ACA Exchanges strategy and executive relationship responsibility… more
- Elevance Health (Wallingford, CT)
- …for leading the development and implementation of complex product strategies for Commercial National /Local Large Accounts and Medicare product lines across the ... **Health Benefits Executive Director ** **Location:** This position will work a hybrid...Skills, Capabilities and Experiences:** + MBA preferred. + Commercial National /Local Large Accounts and Medicare claims… more