- The Cigna Group (Bloomfield, CT)
- …state or territory; advanced degree a plus + Previous experience in developing clinical programs related to Formulary and Utilization management required + ... Plan clients + Responsible for the development of complex utilization management strategies and drug utilization review programs to enhance formulary strategies… more
- Fallon Health (Springfield, MA)
- …service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an alternative to ... specific safety and emergency evacuation plans. + In collaboration with the SE Director of Facilities Management , oversees maintenance of the facility to meet… more
- CenterWell (Hartford, CT)
- …for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, design, and deploy the ... team of role-based trainers and training facilitators. The Associate Director , Clinical Coding Education (RN) role will...clinical education projects and programs as needed, as program or project manager. + As a team leader… more
- CenterWell (Hartford, CT)
- …This role reports to the National Director , High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service ... practice/primary care practice. + 5-7+ years of progressive clinical pharmacy program leadership experience as a manager, director , or higher overseeing … more
- Hartford HealthCare (Hartford, CT)
- … / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** * Director of Clinical Value Analysis* **Location:** *Connecticut-Hartford-100 ... the financial targets of the organization. Fostering collaboration between Supply Chain, clinical staff, and hospital administrative leaders, the Director will… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description ... onsite client presentations + Leads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and… more
- Prime Therapeutics (Hartford, CT)
- …- Healthcare **Certifications** Certifications - Required: Certifications - Preferred: LCSW - Licensed Clinical Social Worker - Care Mgmt - Care Mgmt , ... and drives every decision we make. **Job Posting Title** Director of Quality - Remote in the California market...Description Summary** Responsible for all aspects of the quality program for a business unit within a Strategic Business… more
- The Cigna Group (Bloomfield, CT)
- …others? Then look no further! As a Clinical Biochemical Genetics or Clinical Molecular Genetics and Genomics Medical Director at eviCore, part of Evernorth ... Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of… more
- Cardinal Health (Hartford, CT)
- …team is passionate about helping oncology practices navigate the future. The Director , Clinical Research & Strategy executes innovative strategies for programs ... perspectives. + Responsible for development of annual and multi-year program strategic roadmaps for a portfolio of clinical...years after launch. Presents business cases to the senior management of the business unit. + Engages with member… more
- CVS Health (Hartford, CT)
- …commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. - Directors will ... in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior...program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews.… more
- J&J Family of Companies (Hartford, CT)
- Physician Program Director , Boston, MA - 2406212343W **Description** Johnson & Johnson is currently seeking a Physician Program Director to join our ... Am Abiomed | I Am Heart Recovery | Patients First!** The **Physician Program Director ** focuses on establishing formal Impella programs through sustainable… more
- Northeast Family Services (West Springfield, MA)
- …independently licensed clinician to join our growing Massachusetts team as Assistant Program Director for Outpatient Therapy. The Outpatient Assistant Program ... guidelines. The APD of outpatient therapy will work under the guidance of the Program Director . We work collaboratively with clients to help them access their… more
- Highmark Health (Hartford, CT)
- …delivery and complex case management for our community-based palliative care program . In addition, this role will provide clinical leadership and guidance ... The medical director will serve as a clinical champion - promoting and representing the program...the interdisciplinary team.Devote their best ability to the proper management of the program + Assure that… more
- Baystate Health (Springfield, MA)
- …to the University of Massachusetts Medical School - Baystate seeks a ** Program Director ** to lead our **Behavioral Health Services.** **Position Highlights:** ... services and work with BMP leadership to optimize provider clinical time and ensure achievement of monthly budget and...multidisciplinary team of professionals. A major strength of our program is our specialty team focus in both inpatient… more
- Elevance Health (Rocky Hill, CT)
- …program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... policy development, program development/implementation, and overseeing clinical /non- clinical activities.} + Supports clinicians to ensure timely and… more
- Northeast Family Services (West Springfield, MA)
- …and independently licensed clinician to join our growing Massachusetts team as the Program Director of Outpatient Services. If you are a dedicated mental ... that genuinely cares for their employees and clients. The Program Director of Outpatient Therapy, in partnership...and oversee the daily operations of the Outpatient therapy program . Qualifications: + Independent clinical license in… more
- J&J Family of Companies (Hartford, CT)
- Director , Health Economics and Market Access - Robotics and Interventional Solutions - 2406204289W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Robotics and Interventional… more
- Evolent Health (Hartford, CT)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a...in Orthopedic Spine Surgery is highly preferred + Strong clinical , management , communication, and organizational skills +… more
- CVS Health (Hartford, CT)
- …strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical coverage and policies. ... medical decisions, including after-hours consultation as needed. + Leads all major clinical , population health management , and quality improvement components of… more
- Bausch + Lomb (Hartford, CT)
- …advancement of eye health in the future. **Position** **Summary** The Medical Affairs Director provides support to the Medical Affairs/ Clinical Affairs Group for ... (Internal And** **External)** + **Internal:** US Medical Affairs, Regulatory Affairs, Clinical Operations, Research & Development/Life Cycle Management project… more