- The Cigna Group (Bloomfield, CT)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. ... CMS, departments of insurance, or other outside regulators + Evaluate utilization trends, referral patterns, fraudulent medical practices, quality standards,… more
- Evolent Health (Hartford, CT)
- …as a clinical liaison to providers and clients as directed by the office of the Chief Medical Officer . While leading a team of Orthopedic and Spine Surgeons. ... as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as assigned… more
- CVS Health (Hartford, CT)
- …large datasets Ability To: * Lead team members in proactive analysis/research around utilization and unit cost medical costs drivers for the assigned Medicaid ... personal, convenient and affordable. **Position Summary** As a Manager, Medical Economics, Medical Expense Review, you will...drivers: Plan CEO, Plan CFO, Market Clinical Leads, Actuarial, Chief Network Officer , Operations * Work in… more
- Rep-Lite (Hartford, CT)
- …management informed of all activity, including timely preparation of reports. + Support Chief Commercial Officer as needed in leadership of Sales team acting ... Territory Manager Company Overview We are a medical device manufacturer dedicated to improving patient care...base and geography. + Ensure territory of customers increase utilization of our device on a monthly basis while… more
- HealthEdge Software Inc (Hartford, CT)
- …innovative technology to solve critical needs in healthcare. This individual will report to the Chief Medical Officer of Healthedge (HE) and ensure that our ... Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal… more
- Robert Half Office Team (Bloomfield, CT)
- …all interactions and communications with staff and external stakeholders. * Assisting the Chief Operating Officer in various tasks and projects. * Maintaining a ... of human resources activities, including background checks and management of HRMS. * Utilization of ADP Workforce Now and Ceridian to maintain accurate records and… more