- Arvinas (New Haven, CT)
- …to the development of data collection tools, statistical analysis plans (SAPs), case report forms (CRFs) + Collaborate with cross-functional study team to ensure ... physician + Partner with Clinical Operations, Translational Medicine, Pharmacovigilance, Data management and other functional team members at assure quality and… more
- Parexel (Hartford, CT)
- …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...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- Nuvance Health (Danbury, CT)
- …our entire community makes this a truly special place to work. Summary: The Director of Case Management provides strategic leadership and operational ... oversight for the hospital case management program. This role is responsible...care coordination, discharge planning, and transitions of care. The Director ensures compliance with regulatory requirements, promotes patient-centered care,… more
- Elevance Health (Wallingford, CT)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Elevance Health (Wallingford, CT)
- …considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for ... **Utilization Management Medical Director - NC Medicaid** Location:...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Humana (Hartford, CT)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Hartford, CT)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Hartford, CT)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Hartford, CT)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Hartford, CT)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- PagerDuty (Hartford, CT)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Highmark Health (Hartford, CT)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Hartford, CT)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Hartford, CT)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- The Salvation Army (Hartford, CT)
- …for direct oversight of the Pathway of Hope (POH) Program, an intensive case management program to end generational poverty. Manage the ServicePoint client ... software database. Assist the Social Ministries Director with the oversight of the service extension program...a related field is required. + Previous supervisory and case management experience is required. + A… more
- Fair Haven Community Health Care (New Haven, CT)
- …in regular clinical management meetings with other SMDs, Nursing and Operations management , and the Director of Medicine + Oversight of regular site-based ... of ability to pay. Job purpose Reporting to the Director of Medicine, the Site Medical Director ...management meetings with site nursing management (charge nurse or nurse manager), front desk lead,… more
- Evolent (Hartford, CT)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Elevance Health (Wallingford, CT)
- **Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... unless an accommodation is granted as required by law. The **Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health… 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 ... Monday - Friday. Half day Saturday rotation, once a month.** The **Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- Datavant (Hartford, CT)
- …**You Will:** + Reporting to the Head of Commercial GTM, the Director , Sales Enablement will develop client-facing messaging, design sales training programs, and ... and analyze full-funnel metrics to find insights and assist management in making sound decisions + Set up &...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
