- Parexel (Hartford, CT)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the best and brightest in the industry and assist our clients in… more
- National Health Care Associates (Stafford Springs, CT)
- …invite you to join our team! **-** **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS) assessments necessary for developing ... this exceptional opportunity. Join our team as an MDS Director in an organization where your expertise and dedication...and billing process + Knowledge and understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare… more
- Revelyst (Hartford, CT)
- …is humanly possible in the outdoors. We seek a skilled **Regional Sales Director (Southeast)** to join our Revelyst Golf Technology platform. The ideal candidate ... our Key Accounts, all outside and inside sales representatives. The Regional Sales Director will partner with all Sales management teams to lead the strategies for… more
- GCG (Hartford, CT)
- …GCG company, is currently seeking a **Utility Solutions Sales Director ** to partner with leaders on ourRenewable Energy (https://paigerenewableenergy.com/) ... team development, and strategic supplier engagement. As our Sales Director , you will lead the charge in developing and...and electric co-ops + **Comprehensive Health Coverage** : Multiple medical plan options (CDHP and PPO) to get you… more
- Commonwealth Care Alliance (Springfield, MA)
- …performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and Provider Engagement. The Provider Engagement team ... and utilization management systems and workflows for populations with complex medical , behavioral health, and/or social needs. + Strong understanding of **Medicare,… more
- CenterWell (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical … more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… 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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… 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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… 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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… 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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… 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
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case-by-case… more
- CVS Health (Hartford, CT)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The… 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 ... this knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… 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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… 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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Moses/Weitzman Health System (New Britain, CT)
- **Job Description Summary:** **Job Description:** The Medical Director works in close collaboration with the Senior Leadership Team, playing a key role in ... and builds the expertise of our staff and advanced practice trainees. The Medical Director supervises services provided by the agency's medical staff and… more
- Evolent (Hartford, CT)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Hartford, CT)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
