- 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
- 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 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 ... 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
- CVS Health (Hartford, CT)
- …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... and can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing… more
- Evolent (Hartford, CT)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
- Trinity Health (Hartford, CT)
- …vision and technology, we are growing and shaping the future of healthcare! **Hospice Medical Director ** **Position Summary** Hospice Medical Director is ... the overall medical direction of patient and family services. The Hospice Medical Director will work with the Executive Director , Director of… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs, CNS Early Assets will be responsible… more
- Hartford HealthCare (Bristol, CT)
- *Title:*Regional Medical Director , Primary Care Introducing an exciting opportunity to be a physician leader with Hartford HealthCare's highly respected, ... care are prioritized within a supportive, collaborative work environment. ** *Regional Medical Director , Primary Care Position Summary:* * * * *Role*:… more
- CVS Health (Hartford, CT)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- CVS Health (Hartford, CT)
- …of the Medical Directors will be a part of the rotation. The Medical Director will be responsible for overseeing the utilization review for health systems ... have experience performing in-hospital utilization reviews and other quality activities. The Medical Director will be required to have a New England state … more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … 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
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Grifols Shared Services North America, Inc (Hartford, CT)
- …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... of human disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the United States (non-California), is $170,000.00 -… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- Hartford HealthCare (Hartford, CT)
- …Cardiovascular Disease*experience to*lead*a team of highly trained cardiovascular specialists as* Medical Director of the Inherited Cardiovascular Disease ... HealthCare Medical Group Specialists* **Title:** *Cardiologist - Medical Director Inherited Cardiovasular Disease * **Location:** *Connecticut-Hartford-85… more