- 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 provides medical interpretation… 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...**Required Qualifications** + MD or DO degree + **Valid Florida Medical license** + 5+ years of… more
- Merck (Hartford, CT)
- **Job Description** **Job Description:** The Regional Medical Scientific Director (RMSD), Virology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic ... the person **must reside in the indicated territory** (South Florida - Tampa, Fort Lauderdale, Miami). Up to 50%...& Development Division's leadership. + Reports to the Regional Medical Scientific Director (RMSD) Team Leader- within… more
- The Cigna Group (Bloomfield, CT)
- ** Medical Director - Radiation Oncology** **Location: Work at Home, open to all US locations/states** Do you crave an intellectually stimulating job that allows ... and improving the lives of others? Then look no further! As a Radiation Oncology Medical Director at eviCore, part of Evernorth Health Services, a division of… more
- The Cigna Group (Bloomfield, CT)
- Summary: The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization ... review criteria and renders a clinical opinion about the medical service under review while located in a state or territory of the United States. . Responsibilities… more
- Public Consulting Group (Hartford, CT)
- …+ Business Enablement + Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector projects while continuing to ... of projects in our Technology Consulting Practice Area. The Director will work with senior client executives implementing or...one of the following locations (North Carolina, South Carolina, Florida , Georgia) + At least 10 years of experience… more
- The Cigna Group (Bloomfield, CT)
- …for Cigna Healthcare (CHC) -- Cigna. **Summary description of position** : A Medical Principal performs medical review and case management activities. The ... administration. **Major responsibilities and required results:** + Performs benefit-driven medical necessity reviews for coverage, case management, and claims… more
- The Cigna Group (Bloomfield, CT)
- …(CHC) Clinical Leadership team, this role will report directly to the Chief Medical Officer (CMO) for Cigna Healthcare and will be responsible for leading CHC's ... + **Enable strategic growth goals:** Lead teams of national account and market-based medical executives and nurse executives in support of driving key business and… more
- The Cigna Group (Bloomfield, CT)
- **Role Summary** Reporting to the Operations Enablement Managing Director , the Operations Readiness Senior Director role is a critical, strategic and ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- The Cigna Group (Bloomfield, CT)
- **Job Description Summary:** The Managing Director of the Pharmacy Benefit Management (PBM) Customer Service Operations will be responsible for leading and ... for enhancing the customer experience. **Scope of Job:** The Managing Director will collaborate extensively with key stakeholders, including business owners, call… more
- The Cigna Group (Bloomfield, CT)
- …US Markets, including by not limited to major markets in: New York, Illinois, Texas, Florida , Colorado or corporate HQ in Hartford, CT If you will be working at home ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- The Cigna Group (Bloomfield, CT)
- …one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
- The Cigna Group (Bloomfield, CT)
- …race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender ... employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida , Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan,… more
- The Cigna Group (Bloomfield, CT)
- …race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender ... employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida , Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan,… more
- The Cigna Group (Bloomfield, CT)
- …is responsible for primary care center. Requires an MD, DO or DC. SUMMARY: The Medical Director performs medical review and case management activities. The ... Implements medical policy. Establishes and implements policies and standards,...employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida , Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan,… more
- The Cigna Group (Bloomfield, CT)
- …support resolution transparency. + Provide weekly and monthly reporting to the director on escalation trends, backlog status, and team performance health. + ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- The Cigna Group (Bloomfield, CT)
- …modeling with little to no modeling oversight by Sr. Manager/Clinical Director + Identifies and recommends process improvement to streamline formulary consulting ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- The Cigna Group (Bloomfield, CT)
- …across domains or functions, own their analysis, and present to senior (Senior Director +) audiences. This role will be highly visible, and the individual will be ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- The Cigna Group (Bloomfield, CT)
- …for the administration of employee benefits programs in the US including: + Medical (including prescription) + Dental + Vision + Flexible Spending Accounts + COBRA ... + Board of Director benefit offerings + Works closely with senior leadership,...color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual… more
- The Cigna Group (Bloomfield, CT)
- The Project Manager/Delivery Lead will report to the Program Office Senior Director as part of the Global Workplace/Real Estate (GWP) team. This position is tasked ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more