- Elevance Health (Wallingford, CT)
- ** Medical Director - Medical Policy ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. Alternate locations may be considered. The ** Medical Director - Medical Policy ** is responsible for the administration of… more
- CVS Health (CT)
- …In the Medical Director role you will collaboratively implement medical policy . You'll participate in the development, implementation, and evaluation of ... clinical/ medical programs and promote Aetna's medical management programs and the Employer's (Plan Sponsor's) resources to address member needs across the… more
- RTX Corporation (Hartford, CT)
- …**Role Overview:** We are seeking a highly motivated, experienced, and results-driven Associate Director - Digital Policy Management to lead the RTX Digital ... integrity, and resilience of RTX's digital assets and information systems. The Associate Director - Digital Policy Management reports to the Director … 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, SNF, DME, dual Medicare/Medicaid 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
- Hartford HealthCare (Mansfield Center, CT)
- *_Associate Medical Director - Inpatient Services, Natchaug Hospital - Mansfield, CT_* Work where every moment matters. Every day, almost 30,000 Hartford ... part of Connecticut's most comprehensive healthcare network. *_Job Description_* The Associate Medical Director of Psychiatric Services at Natchaug Hospital is… more
- Elevance Health (Wallingford, CT)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as… 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 reviewing of all...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 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
- CenterWell (Hartford, CT)
- …a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position ... high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership...day one. **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
- Elevance Health (Wallingford, CT)
- **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Friday. Half day Saturday rotation, once a month.** The **Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the administration of… more
- Elevance Health (Wallingford, CT)
- ** Medical Director -Cardiology Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...an accommodation is granted as required by law. The ** Medical Director -Cardiology Appeals** is responsible for the… 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
- Elevance Health (Wallingford, CT)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... in North Carolina but not required. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management… more
- Hartford HealthCare (Norwich, CT)
- …become part of Connecticut's most comprehensive healthcare network. Position Summary: The Regional Director of Medical Staff Services leads the Medical Staff ... collection, review and follow through of peer review activities in accordance with policy * Directs, manages and coordinates the Medical Staff Corrective Action… more
- Elevance Health (Wallingford, CT)
- ** Medical Cost AI Intelligence Director (IT Strategy & Planning Director )** Location: This role requires associates to be in-office **3 days per week** , ... dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...resides within a commutable distance from an office._ The ** Medical Cost AI Intelligence Director ** is responsible… more
- Philips (Stamford, CT)
- **Associate Director , Field Medical Lead** The Associate Director , Field Medical Lead develops and implements strategic medical plans aligned with ... objectives and regulatory requirements while building strong relationships with medical and scientific stakeholders and communicating complex information effectively.… more
- Elevance Health (Wallingford, CT)
- ** Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering)** Location: This role requires associates to be in-office **3** **days per week** , ... dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...resides within a commutable distance from an office._ The ** Director II Medical Cost Intelligence AI &… more