• Medical Director - Florida

    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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (09/06/24)
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  • Regional Sales Manager II - Alabama/Northern…

    EBSCO Information Services (Hartford, CT)
    …**Your Opportunity** The AMC Regional Sales Manager - Alabama and Northern Florida will sell EBSCO Information Services products to primarily Academic Institutions, ... Medical Libraries, Corporate Libraries and professionals responsible for knowledge...knowledge management in the states of Alabama and Northern Florida . Additional accounts may be added or deleted as… more
    EBSCO Information Services (09/25/24)
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  • Behavioral Health Medical Director

    Humana (Hartford, CT)
    …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...STATE LICENSES AND/OR BE ABLE TO OBTAIN: OKLAHOMA, LOUISANA, FLORIDA , OHIO, INDIANA, FLORIDA AND VIRGINA. +… more
    Humana (09/20/24)
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  • Medical Director , Durable…

    The Cigna Group (Bloomfield, CT)
    **JOB SUMMARY** I. Evernorth Business Title: Medical Director , Durable Medical Equipment Cigna Title: Utilization Review Medical Principal II. Department ... Name and Number: Product Clinical Management 2500 III. Reports to: Executive Medical Director , Durable Medical Equipment IV. Summary: The Medical more
    The Cigna Group (09/24/24)
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  • Medical Director -Appeals (Primary…

    Elevance Health (Wallingford, CT)
    ** Medical Director -Appeals (Primary Care-IM or FM)** **Location: This is a hybrid position. Candidates must live within 50 miles of an Elevance Health ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...certification in Internal or Family medicine strongly preferred. + Florida medical license or the ability to… more
    Elevance Health (09/17/24)
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  • Medical Director -Pediatric…

    The Cigna Group (Bloomfield, CT)
    Medical Director - Pediatric Cardiologist- Evicore- Remote **We have both full-time and part-time opportunities available.** Do you crave an intellectually ... and improving the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of… more
    The Cigna Group (08/21/24)
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  • Medical Director - Internal Medicine…

    The Cigna Group (Bloomfield, CT)
    …mid-level position for a physician interested in a career in health care administration. The Medical Director role is a Medical Principal who also manages 2 ... case work for Cigna Healthcare (CHC) **Summary description of position** : A Medical Principal performs medical review and case management activities. The… more
    The Cigna Group (09/18/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Hartford, CT)
    …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
    CenterWell (08/27/24)
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  • Sr. Director Implementation (Remote)

    The Cigna Group (Bloomfield, CT)
    …impacting the Client Experience across several business segments. The Senior Director of Implementation has accountability to US Employer, Cigna Global, Evernorth ... PBM implementation functions in support of new and existing growth clients. This Senior Director will drive a high performing team to execute on strategy and vision… more
    The Cigna Group (09/26/24)
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  • Director , Product Management - Digital…

    The Cigna Group (Bloomfield, CT)
    ** Director , Product Management - Digital Benefits Platform** As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the ... and capabilities. This role will report into the Product Strategy Senior Director and will be responsible for innovating, identifying opportunities and executing… more
    The Cigna Group (09/18/24)
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  • Legal Compliance Senior Director - Express…

    The Cigna Group (Bloomfield, CT)
    **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... Compliance Programs. This role reports directly to the Managing Director - Evernorth Benefits Management Compliance, coordinating closely with cross-functional… more
    The Cigna Group (07/23/24)
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  • Associate Director , Thought Leader…

    J&J Family of Companies (Hartford, CT)
    Associate Director , Thought Leader Liaison, Neurology Rare Disease - Southeast - 2406207031W **Description** Johnson & Johnson is recruiting for an Associate ... Director , Thought Leader Liaison, Neurology Rare Disease to support...treatment education + Align with field partners such as Medical Science Liaisons on complementary initiatives with shared customers… more
    J&J Family of Companies (09/07/24)
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  • Medicare Advantage Value-Based Contracting…

    The Cigna Group (Bloomfield, CT)
    …and some overnight regional travel. The Medicare Advantage Value-Based Contracting Regional Director serves as an integral member of the Medicare Advantage Expansion ... Provider Contracting Team and reports to the Provider Contracting Director . This role is a key contributor to the development of the strategic direction and is… more
    The Cigna Group (09/24/24)
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  • Individual Dental Business Development…

    The Cigna Group (Bloomfield, CT)
    The Individual Dental Strategy & Business Development Director will be responsible to maximize Cigna's performance by developing a comprehensive strategy for our ... call centers, claims, etc., strongly preferred. + Prior experience with ACA medical and ACA dental business preferred. + Business strategy experience with strong… more
    The Cigna Group (09/17/24)
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  • Business Analytics Director (Value based…

    The Cigna Group (Bloomfield, CT)
    **Summary** The Business Analytics Director will be responsible for strategizing and leading operational analytics, reporting and program implementation initiatives ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
    The Cigna Group (09/25/24)
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  • Medicare Systems IT Project Management Senior…

    The Cigna Group (Bloomfield, CT)
    …people, process, and technology. The Medicare Systems IT Project Management Senior Director is responsible for leading the delivery execution of the engineering for ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
    The Cigna Group (09/23/24)
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  • Product Management Director - Cloud, Data…

    The Cigna Group (Bloomfield, CT)
    **Job Summary:** The Product Management Director of Cloud, Data & Perimeter Security will lead the product strategy, delivery execution, and lifecycle management for ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
    The Cigna Group (07/09/24)
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  • Director , Medicaid Product Management…

    Humana (Hartford, CT)
    …providing frameworks to maximize available resources to achieve growth. The ** Director ,** **Medicaid Insurance Product Management and Wellness Strategy** will have ... qualified candidate to reside in Louisville, KY or Tampa, Florida with the ability to work in a hybrid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (09/11/24)
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  • Clinical Program Director - Cigna…

    The Cigna Group (Bloomfield, CT)
    …Responsible for the commercial formulary change process evaluating pharmacy and medical drug strategy opportunities and formulary product enhancements to drive ... (trend, underwriting, and pricing). + Partner with the Health Plan Medical organization to support discussions with professional societies about complex and/or… more
    The Cigna Group (07/30/24)
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  • Product Strategy Director (Client…

    The Cigna Group (Bloomfield, CT)
    …one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
    The Cigna Group (09/25/24)
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