- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... across the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve… more
- CVS Health (Hartford, CT)
- …actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- Arvinas (New Haven, CT)
- …**Position Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function ... responsibilities of this role include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing and reimbursement… more
- CVS Health (Hartford, CT)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can… more
- Hartford HealthCare (Southington, CT)
- …practices for each skilled nursing community (owned and managed) within Hartford HealthCare Senior Servies. The Regional Director is responsible for oversight of ... Senior Services at Southington Care Center* **Title:** *Regional Director of SNF Operations* **Location:** *Connecticut-Southington-80 Meriden Ave Southington CMC… more
- Elevance Health (Wallingford, CT)
- …and Medicaid Services to transform federal health programs. **The Director of Contracts & Procurement** is responsible for Elevance Health's federal government ... ** Director of Contracts & Procurement** **Location:** This position...National Government Services (NGS) and sits on the NGS Senior Leadership Team, reporting directing to the federal business'… more
- Cardinal Health (Hartford, CT)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building a ... and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Elevance Health (Wallingford, CT)
- **JR124224 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... + 8+ years of experience in the PBM domain (Commercial/ Medicaid /Medicare) including claims processing, enrollment, and benefit administration. +...skills. + Ability to prepare status and metrics to senior leadership team. + Ability to work in a… more
- Masonicare (Wallingford, CT)
- …work on-time, use time off appropriately, and complete annual education & medical requirements. + Performs related and other duties as required. Minimum ... school of nursing. Experience: Knowledge of State Regulations, Medicare and Medicaid standards as related to Hospice services. Certificates, Licenses, Registrations:… more
- Conviva (Hartford, CT)
- …team under the CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line reporting to divisional ... years coding training experience + A minimum of two years experience in medical coding collaboration with healthcare providers + Medical record review knowledge… more