- Humana (Hartford, CT)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Hartford, CT)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… 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...maintain passing scores in all assessments. + Assist in reviewing case determinations from clients responding to a provider… more
- Athena Health Care Systems (Middletown, CT)
- We are hiring an Assistant Director of Nursing to join our dynamic care team at Wadsworth Glen Health Care and Rehabilitation Center in Middletown! Wadsworth Glen is ... you to grow within the company. As the Assistant Director of Nursing, the primary purpose of your job...potential of each employee supervised. + Assists with maintaining, reviewing and has input to development of all clinical… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Position Highlights: + DIVISION: Office of the Commissioner (OOC), Medical Director 's Office + LOCATION: Hartford , CT ... coordinator for mental health. + Responsible and provides support to State-wide DMHAS Medical Director in complex case conferences. + Responsible for follow up… more
- RTX Corporation (Hartford, CT)
- …beyond?** We have an exciting **remote** opportunity for a highly motivated **Associate Director , Counsel - Global Trade Programs** to join our team! **What You Will ... Do:** As Associate Director and Counsel, Global Trade Programs, the selected candidate...compliant Global Trade advice to support business needs + Reviewing and negotiating contracts + Providing sanctions support and… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Hartford, CT)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Osmose Utilities Services (Manchester, CT)
- Osmose is currently seeking a Director Production Engineering. The Director Production Engineering is a critical member of Osmose's Underground Services business ... ensure continuity in Engineering, Operations, Quality and Safety. The Production Engineering Director will be responsible for staying engaged with the Business to… more
- Stanley Black and Decker (New Britain, CT)
- ** Director , In-house Trade Controls Counsel - Remote** **Come build something that matters.** It takes great people to achieve greatness. People with a sense of ... BLACK+DECKER(R), CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** As a Director , In-house Trade Controls Counsel, you'll be part of our Ethics &… more
- Amentum (Hartford, CT)
- …than 53,000 employees in approximately 80 countries across all 7 continents. The ** Director of IT SOX Compliance** is responsible for ensuring Amentum IT's SOX ... matrices, etc.), ensuring it is kept current. + Collaborates with the Company's Director of Internal Controls & SOX Compliance to evaluate IT system SOX scoping… more
- RTX Corporation (East Hartford, CT)
- …have an exciting hybrid opportunity for an Operations Attorney! Reporting to the Director & Senior Counsel, Operations in Pratt & Whitney's legal organization, the ... manufacturer (OEM) and aftermarket servicing sites around the globe. The Associate Director and Counsel advises business leaders on a variety of contractual and… more
- Moses/Weitzman Health System (Hartford, CT)
- …steps to ensure that productivity goals are met. Works collaboratively with on site Medical director to ensure patient access to safe, appropriate, high quality ... **Job Description Summary:** The on-site Behavioral Health Director is responsible for providing over-all leadership and supervision of the Behavioral Health… more
- Ryder System (Hartford, CT)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- NASCO (Hartford, CT)
- …you will function as the primary operational leader and deputy to the Director of Technical Operations, responsible for ensuring the reliability and efficiency of ... system health and minimizing downtime risks. As a key partner to the Director , this role provides regular updates to Directors and executive-level stakeholders on… more
- Evolent (Hartford, CT)
- …Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . + Appropriately identifies potential ... You Will Be Doing:** The Clinical Letter Writer is responsible for reviewing adverse determination decisions against criteria and policy, escalating questions to the… more
- Hartford HealthCare (Farmington, CT)
- …Health Information Management (HIM) Physician Practice Liaison is responsible for reviewing electronic medical records for physician/provider deficiencies based ... with physicians and other providers regarding the status of their incomplete medical records, monitoring and verifying physician record completion to assure that… more
- Cardinal Health (Hartford, CT)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. This role reports to the Lead Director , HR Selection & Engagement, and will drive the enterprise employment testing strategy as ... conducting focus groups, observing employees, interviewing subject matter experts or reviewing competency models. The ideal candidate would be familiar with… more