- 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 ... using utilization, quality, and member experience metrics. + Collaborate with Business Intelligence, Finance, Quality, and Contracting to develop and disseminate… more
- The Cigna Group (Bloomfield, CT)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... of both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a… more
- Humana (Hartford, CT)
- …Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Director , Data Technology Solutions requires an in-depth ... organization capabilities interrelate across the function or segment. The Director , Data Technology Solutions, acts as a liaison and...etc, act as a trusted advisor and liaison among business , product & development teams + Help… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using ... internal and external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a solid understanding of how… more
- Humana (Hartford, CT)
- …the broader business objectives. You will champion automation across the development lifecycle to minimize manual toil and improve efficiency. You will build ... community and help us put health first** The Associate Director of DevOps Engineering is a strategic and technical...partnerships across the software development and operations engineering teams and be a conduit… more
- CVS Health (Hartford, CT)
- …executed in partnership with senior leadership + Leading research associated with business issues and plan formulation, including development of business ... dynamic, fast-moving profession; related experience within management consulting, corporate development , business analytics, financial analysis, public policy,… more
- Humana (Hartford, CT)
- …platform capabilities and products that support enterprise goals. The Associate Director will ensure project alignment with business objectives, champion ... of our caring community and help us put health first** The Associate Director of Project Management will support Product and Platform Enablement. This strategic… more
- CVS Health (Hartford, CT)
- …subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business . Includes Dual Eligible, HIDE/FIDE Integrated, and Chronic plans. The SNP ... opportunity to get into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape the role in your own… more
- Baylor Scott & White Health (Hartford, CT)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- Prime Therapeutics (Hartford, CT)
- …in healthcare, pharmacy benefit management (PBM), pharmaceutical sales, analytical contracting or business development ; also to include: 4 years Trade / Rebates, ... with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations...internally to evaluate rebate and formulary opportunities for Prime's business + Support client alignment and adoption of strategies;… more
- Fallon Health (Springfield, MA)
- …and community referral sources. + Develops and implements their own territory business development plan and carries out activities to penetrate accounts ... who have MassHealth Standard, and may have Medicare. It combines MassHealth ( Medicaid ) and Medicare benefits, including prescription drug coverage. At Fallon Health,… more
- CVS Health (Hartford, CT)
- …events, supporting sales training development , and collaborating across Medicaid and Medicare business units. Created executive-level presentations and ... and participate in: + Projects that contribute to the success of our business + Community service activities + Professional development workshops + Mentorship… more
- Hartford HealthCare (Hartford, CT)
- …review and/or investigation of Compliance Line reports as requested by the Manager or Director . . Assists with the development and revision of HHC and Department ... Work Plan or as requested by the Manager or Director . . Maintains organized files to support audit observations...upon standards in a timely manner. . Collaborates with business owner to develop agreed-upon action plans to address… more
- Humana (Hartford, CT)
- …health first** The Senior Supply Chain Professional will report to the Associate Director of Enterprise Print Management and will be involved in the specifying, ... Responsibilities** + Creates integrated processes among internal functions such as business owners, operations, purchasing and logistics, and outside print vendors +… more
