- CVS Health (Hartford, CT)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CVS Health (Hartford, CT)
- …In the Medical Director role, you will provide oversight for medical policy implementation. You will support the Medical Management staff ensuring ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… 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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- The Cigna Group (Bloomfield, CT)
- Medical Director - Pediatric Cardiologist- Evicore- Remote Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise ... others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth...receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... + At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical… more
- CVS Health (Hartford, CT)
- …Summary:** Aetna, a CVS Health Company has an outstanding opportunity for an Executive Medical Director (Medicaid). The Executive Medical Director ... methods, reimbursement methods, and treatment protocols. + Develops, implements, and interprets medical policy including medical necessity criteria, clinical… more
- Sumitomo Pharma (Hartford, CT)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary:** + The Regional Director Medical Affairs (RDMA) is responsible for driving execution of scientific & medical affairs ... cross-functional teams, including regional Commercial, Center of Real-World Evidence (CORE), Policy and Market Access. They engage with their network of scientific… more
- CVS Health (Hartford, CT)
- …is a remote based (work at home) based anywhere in the US. Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education regarding...System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state… more
- Evolent (Hartford, CT)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... to improve decision-making and care outcomes. + Assist in **research, policy interpretation, and guideline development** to refine the delivery of cardiology… more
- Highmark Health (Hartford, CT)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- CenterWell (Hartford, CT)
- …promoting effective communication and collaboration. + Work collaboratively with National Medical Director to ensure the delivery of high-quality, ... the Director will collaborate closely with clinical, operations, analytics, medical economics, technology, and finance teams to optimize program design, enhance… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- We are seeking a Senior Director , Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... President, Government Affairs & Public Policy , within the Corporate Affairs function. As the strategic...member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an… more
- Sumitomo Pharma (Hartford, CT)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient ... support program & HUB operations supporting the rare disease product(s). The Director leads the design and execution of program operations, systems, metrics, and… more
- Athena Health Care Systems (Granby, CT)
- We are hiring an Assistant Director of Nursing to join our dynamic care team at MeadowBrook of Granby! MeadowBrook of Granby is a 90-bed skilled nursing facility ... you to grow within the company. As the Assistant Director of Nursing, the primary purpose of your job...to state, federal, local and corporate standards and regulations, policy and procedure, and scope of practice. Maintain familiarity… more
- RTX Corporation (East Hartford, CT)
- …Systems Externals and Nacelles (MSEN) Engineering Design and Product Definition (PD) Director (M7)** at our East Hartford, Connecticut location! **What You Will ... Do:** The MSEN Engineering Design and Product Definition (PD) Director is responsible for providing strategic leadership and technical execution for the Design and… more