- 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)
- **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 reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Merck (Hartford, CT)
- **Job Description** **Role Summary** + The Cardiovascular & Metabolism Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) ... from SLs, including questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Highmark Health (Hartford, CT)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP... medical cost management, care management, quality and medical policy + Experience working in a… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- … Centers also offer advanced services. Responsibilities The Deputy Executive Director , Medical Center's managerial duties and responsibilities involve final ... in the facility's/system's patient care programs and activities. The Deputy Executive Director , Medical Center in collaboration with the Executive Director… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Merck (Hartford, CT)
- …in the assigned territory (Boston area). **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... SLs, including questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Takeda Pharmaceuticals (Hartford, CT)
- …order to bring life-changing therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for medical ... presentation and interpretation. In addition to project responsibilities, the Associate Director , Medical Writing is responsible for non-project related… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Merck (Hartford, CT)
- **Job Description** The Regional Medical Scientific Associate Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... and directs SL inquiries on issues outside of Regional Medical Scientific Director scope (eg, grants) to...publication **NOTICE FOR INTERNAL APPLICANTS** In accordance with Managers' Policy - Job Posting and Employee Placement, all employees… more
- The Cigna Group (Bloomfield, CT)
- **JOB SUMMARY** I. Evernorth Business Title: Medical Director , Durable Medical Equipment Cigna Title: Utilization Review Medical Principal II. Department ... Number: Product Clinical Management 2500 III. Reports to: Executive Medical Director , Durable Medical Equipment...receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine… more
- Takeda Pharmaceuticals (Hartford, CT)
- …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player..."remote" in accordance with Takeda's Hybrid and Remote Work policy . **Takeda Compensation and Benefits Summary** We understand compensation… more
- The Cigna Group (Bloomfield, CT)
- Medical Director - Gastroenterology - Evicore by Evernorth - Remote **We have both full-time and part-time opportunities available.** Do you crave an ... of others? Then look no further! As a Gastroenterology 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
- ThermoFisher Scientific (Guilford, CT)
- …is seeking a highly motivated and experienced individual to join our team as Global Medical Director , Allergy on the Medical and Scientific Affairs (MSA) ... developing a global strategy to drive growth within the medical domain of allergy. You will play a crucial...team, and/or individual performance results in accordance with company policy . We offer a comprehensive Total Rewards package that… more
- CVS Health (Hartford, CT)
- …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 ... Strategy support * 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
- 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
- The Cigna Group (Bloomfield, CT)
- Implements policies and standards, evaluate new treatments, and conduct medical research to ensure the quality of the medical care provided to patients. ... utilization trends. Requires an MD or DO. SUMMARY: The Medical Principal performs medical necessity review and...receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine… more