• Medical Director - Florida

    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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (09/06/24)
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  • Medical Director -Pediatric…

    The Cigna Group (Bloomfield, CT)
    Medical Director - Pediatric Cardiologist- Evicore- Remote **We have both full-time and part-time opportunities available.** Do you crave an intellectually ... and improving the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of… more
    The Cigna Group (08/21/24)
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  • Medical Director - Internal Medicine…

    The Cigna Group (Bloomfield, CT)
    …mid-level position for a physician interested in a career in health care administration. The Medical Director role is a Medical Principal who also manages 2 ... case work for Cigna Healthcare (CHC) **Summary description of position** : A Medical Principal performs medical review and case management activities. The… more
    The Cigna Group (09/18/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Hartford, CT)
    …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
    CenterWell (08/27/24)
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  • Director , Product Management - Digital…

    The Cigna Group (Bloomfield, CT)
    ** Director , Product Management - Digital Benefits Platform** As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the ... and capabilities. This role will report into the Product Strategy Senior Director and will be responsible for innovating, identifying opportunities and executing… more
    The Cigna Group (09/18/24)
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  • Legal Compliance Senior Director - Express…

    The Cigna Group (Bloomfield, CT)
    **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... Compliance Programs. This role reports directly to the Managing Director - Evernorth Benefits Management Compliance, coordinating closely with cross-functional… more
    The Cigna Group (07/23/24)
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  • Associate Director , Thought Leader…

    J&J Family of Companies (Hartford, CT)
    Associate Director , Thought Leader Liaison, Neurology Rare Disease - Southeast - 2406207031W **Description** Johnson & Johnson is recruiting for an Associate ... Director , Thought Leader Liaison, Neurology Rare Disease to support...treatment education + Align with field partners such as Medical Science Liaisons on complementary initiatives with shared customers… more
    J&J Family of Companies (09/07/24)
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  • Individual Dental Business Development…

    The Cigna Group (Bloomfield, CT)
    The Individual Dental Strategy & Business Development Director will be responsible to maximize Cigna's performance by developing a comprehensive strategy for our ... call centers, claims, etc., strongly preferred. + Prior experience with ACA medical and ACA dental business preferred. + Business strategy experience with strong… more
    The Cigna Group (09/17/24)
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  • Product Management Director - Cloud, Data…

    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 ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
    The Cigna Group (07/09/24)
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  • Senior Director Clinical Strategy - Express…

    The Cigna Group (Bloomfield, CT)
    **Job Description** The Senior Director , Clinical Consulting serves as a clinical strategy leader and trusted advisor for Prime Therapeutics within the clinical ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
    The Cigna Group (09/18/24)
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  • Sr. Director , Product Strategy (Hybrid)

    The Cigna Group (Bloomfield, CT)
    …solutions that drive efficiency, effectiveness, and operational excellence. As the Senior Director of Product Strategy, you will lead both strategy and execution, ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
    The Cigna Group (08/20/24)
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  • Director , Medicaid Product Management…

    Humana (Hartford, CT)
    …providing frameworks to maximize available resources to achieve growth. The ** Director ,** **Medicaid Insurance Product Management and Wellness Strategy** will have ... qualified candidate to reside in Louisville, KY or Tampa, Florida with the ability to work in a hybrid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (09/11/24)
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  • Clinical Program Director - Cigna…

    The Cigna Group (Bloomfield, CT)
    …Responsible for the commercial formulary change process evaluating pharmacy and medical drug strategy opportunities and formulary product enhancements to drive ... (trend, underwriting, and pricing). + Partner with the Health Plan Medical organization to support discussions with professional societies about complex and/or… more
    The Cigna Group (07/30/24)
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  • Sr. Director , Software Engineering

    The Cigna Group (Bloomfield, CT)
    …race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender ... employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida , Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan,… more
    The Cigna Group (09/19/24)
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  • Director - Revenue Management, Nekajui,…

    Marriott (Hartford, CT)
    …**Location** CALA Regional Office, 1200 S. Pine Island Road, Plantation, Florida , United States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N ... receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care flexible… more
    Marriott (09/19/24)
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  • Senior Medical Science Liaison…

    Takeda Pharmaceuticals (Hartford, CT)
    …advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director , MSL. The Southeast territory includes ... the best of my knowledge. **Job Description** **About the role:** The Senior Medical Science Liaison is a field-based, external customer-facing member of the US… more
    Takeda Pharmaceuticals (08/21/24)
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  • Home Care Physician - Minneapolis - Sign-On…

    The Cigna Group (Bloomfield, CT)
    …relationships; + Performing other duties as assigned by the practice manager or medical director . + Perform HRA (health risk assessments) on patient panel ... The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous… more
    The Cigna Group (07/03/24)
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  • Strategic Sourcing & Procurement Senior Advisor…

    The Cigna Group (Bloomfield, CT)
    …Directors and Managers of projects that align to strategic initiatives + Senior Director , Director and Senior Advisor staff within Global Procurement & ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more
    The Cigna Group (09/14/24)
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  • Pharmacist Care Navigator - 32 hours/week…

    The Cigna Group (Bloomfield, CT)
    …and support trend management. + Collaborates with case management, behavioral clinician, Medical Director , and member's provider to provide whole-person health ... perform thorough internet research, clinical reference materials, and evidence-based medical literature. **Preferred requirements:** + Successful completion of an… more
    The Cigna Group (09/11/24)
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  • Case Management Analyst (Every Other Weekend)

    The Cigna Group (Bloomfield, CT)
    …well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or grievance ... it was denied + Identify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate… more
    The Cigna Group (08/14/24)
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