- Humana (Hartford, CT)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial ... + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business...financial analysis. **Business Performance & Partnerships** + Partner with Pharmacy , Actuarial, Clinical, Network, and Trade teams to evaluate… 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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Merck (Hartford, CT)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- The Cigna Group (Bloomfield, CT)
- ** Medical Principal Job Description** **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. **Summary description ... of position** : A Medical Principal performs medical review and case...and consultant to utilization management, case management, network, contracting, pharmacy , and service operations (claims). This is an entry… more
- Option Care Health (Shelton, CT)
- …nursing department. Coordinates all patient care and services in cooperation with the Director of Pharmacy . Facilitates a clinical networking system for the ... maintained. The Nurse Manager is responsible for assisting the Director of Operations and/or Area Director of...guidelines for disciplines. Serves as office administrator with the pharmacy manager in the absence of the Operations Manager… more