• Provider Network Management

    Elevance Health (Wallingford, CT)
    ** Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of an Elevance Health location. The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
    Elevance Health (09/18/24)
    - Save Job - Related Jobs - Block Source
  • Executive Director , Medicaid…

    CVS Health (Hartford, CT)
    …new and exciting ways every day. Aetna is recruiting for an Executive Director , Medicaid Provider Experience Standardization who is responsible for ensuring the ... and execution of process mapping, workflows, audit, and controls for core Network processes such as Intake, Credentialing, Provider Data Loading, Rosters,… more
    CVS Health (09/25/24)
    - Save Job - Related Jobs - Block Source
  • Executive Director , Actuarial - Medicare…

    CVS Health (Hartford, CT)
    …a market level- data cubes, HCIC (health care information center), curation of a network , and overall provider performance. + Participating in state specific RFP ... CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and… more
    CVS Health (09/06/24)
    - Save Job - Related Jobs - Block Source
  • Network Economic Financial Consultant

    Prime Therapeutics (Hartford, CT)
    …ability to adjust focus **Reporting Structure** + Reports to Director or Senior Director in the Network Management or Pricing Planning & Analysis ... our passion and drives every decision we make. **Job Posting Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads… more
    Prime Therapeutics (09/15/24)
    - Save Job - Related Jobs - Block Source
  • Director II of Account Management

    Elevance Health (Wallingford, CT)
    …reports, and achieving significant business outcomes. + Experience in behavioral health provider network management , pricing, and underwriting. + Strong ... insightful analytics to improve the delivery of care. The Director of Account Management will lead and...that take at least a year to impact. + Provider Network Partnerships: Work with network more
    Elevance Health (09/19/24)
    - Save Job - Related Jobs - Block Source
  • Senior Director , Unified Endpoint…

    Marriott (Hartford, CT)
    …or project budgets, capital expenditures or other cost/resource estimates as requested **Service Provider Management ** + Own outcomes of the aligned Service ... Management **JOB SUMMARY** We are seeking a Sr. Director of Unified Endpoint Management to lead...including: + 6+ years managing direct reports and Service Provider teams + 5+ years experience delivering large-scale endpoint… more
    Marriott (09/20/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Advantage Value-Based Contracting…

    The Cigna Group (Bloomfield, CT)
    …contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities in states ... as an integral member of the Medicare Advantage Expansion Provider Contracting Team and reports to the Provider Contracting Director . This role is a key… more
    The Cigna Group (09/24/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director Case Management

    CVS Health (Hartford, CT)
    …of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying ... members' physical, behavioral and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management leadership to… more
    CVS Health (09/19/24)
    - Save Job - Related Jobs - Block Source
  • Associate Director , Clinical Coding…

    CenterWell (Hartford, CT)
    …of our caring community and help us put health first** The Associate Director , Coding Education identifies opportunities to improve provider documentation and ... creates an education plan tailored to each assigned provider . The Associate Director , Coding Education requires...for value-based, senior care model in the primary care network . The Associate Director , Clinical Coding Education… more
    CenterWell (08/27/24)
    - Save Job - Related Jobs - Block Source
  • Product Management Director - Cloud,…

    The Cigna Group (Bloomfield, CT)
    **Job Summary:** The Product Management Director of Cloud, Data & Perimeter Security will lead the product strategy, delivery execution, and lifecycle ... management for cloud, data & perimeter security across the...by instilling trust, showing courage and driving accountability. Leverage network & relationships to drive outcomes and operate with… more
    The Cigna Group (07/09/24)
    - Save Job - Related Jobs - Block Source
  • Sr Director , Partner Operations

    Evolent Health (Hartford, CT)
    …through and maintaining trust. + Experience identifying and deploying initiatives across a provider network to drive clinical and financial outcomes. + Strong ... client and organizational objectives. **What You Will Be Doing:** **Account/ Relations Management ** - provide corporate, executive and overall account … more
    Evolent Health (09/25/24)
    - Save Job - Related Jobs - Block Source
  • Associate Medical Director - General…

    Hartford HealthCare (New Britain, CT)
    *Associate Medical Director - General Psychiatry - New Britain, CT* *Hartford HealthCare's Behavioral Health Network (HHC BHN), has* *new opportunity available ... Britain, CT *Some highlights of this opportunity include:* . Provide psychiatric services for adult, adolescent and child clients.... Monitor risk indicators and act to address risk management issues in a timely manner to ensure client,… more
    Hartford HealthCare (07/23/24)
    - Save Job - Related Jobs - Block Source
  • Director , Quality Management - PET

    Cardinal Health (Hartford, CT)
    …scheduling patient doses. Doses we manufacture are delivered when you need them. The Director , Quality Management - PET will be responsible for leading a team ... PET radiopharmaceutical doses per year through the largest US network of nuclear pharmacies. Cardinal Health PET manufacturing facilities...Regional Quality Managers and their direct reports and will provide direction & management of the QA… more
    Cardinal Health (09/17/24)
    - Save Job - Related Jobs - Block Source
  • Director ISRM - Attack Surface…

    Highmark Health (Hartford, CT)
    …leadership to the organization's information security programs including vulnerability management , application security, endpoint security, network security, and ... responsibilities of the job - passion, empowerment, accountability, collaboration and ethics. + Provide oversight of all aspects of project management to ensure… more
    Highmark Health (07/27/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager, Dental Network

    CVS Health (Hartford, CT)
    …Summary** **The Senior Manager, Dental Network , manages a team of DSO Network Liaisons and reports to the Lead Director . This position has oversight ... to the working relationships between Network Liaisons and DSO Executives. The Senior Manager has...provider communication.** **Required Qualifications** **Team Lead or project management experience to lead or participate in projects and… more
    CVS Health (09/18/24)
    - Save Job - Related Jobs - Block Source
  • Health Systems Oncology Medical Affairs…

    Merck (Hartford, CT)
    **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical Affairs - NorCal, NV, AZ** The Health Systems Oncology Medical Affairs Director ... professional relationships with healthcare decision makers across key payer and provider organizations. The HSO MAD provides accurate information across the full… more
    Merck (09/27/24)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Medical Director

    CVS Health (Hartford, CT)
    …person-centered care. The Medical Director will be responsible for provider education regarding best clinical practices, utilization management , care ... strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical coverage and policies.… more
    CVS Health (08/31/24)
    - Save Job - Related Jobs - Block Source
  • Provider Relations Manager - Remote

    Prime Therapeutics (Hartford, CT)
    …+ Develop and maintain relationships with internal and external stakeholders regarding the management and development of Network Management strategies + ... solving and analytical skills **Preferred Qualifications** + Previous experience in pharmacy network management , legal or compliance + Previous project … more
    Prime Therapeutics (09/26/24)
    - Save Job - Related Jobs - Block Source
  • Lead Director - Observability Governance

    CVS Health (Hartford, CT)
    …care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic planning for ... to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and operations… more
    CVS Health (08/31/24)
    - Save Job - Related Jobs - Block Source
  • Director of Talent Acquisition

    Hartford HealthCare (Farmington, CT)
    … / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** * Director of Talent Acquisition* **Location:** *Connecticut-Farmington-9 Farm Springs Rd ... invite you to become part of Connecticut's most comprehensive healthcare network . Hartford HealthCare's unified culture enhances access, affordability, equity and… more
    Hartford HealthCare (07/17/24)
    - Save Job - Related Jobs - Block Source