- The Cigna Group (Bloomfield, CT)
- …departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise . The CMO is ... areas of the organization and outcomes monitors focusing on potential over- and under- utilization of delegated services + Oversee clinical policy development via… more
- Humana (Hartford, CT)
- …us put health first** Humana Healthy Horizons is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and executing strategy ... across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, assess, and translate state… more
- The Cigna Group (Bloomfield, CT)
- …you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then ... look no further! As a Clinical Biochemical Genetics or Clinical Molecular Genetics...to help ensure patients receive proper care via evidence-based decision making. **What you'll enjoy about working here:** +… more
- CVS Health (Hartford, CT)
- …cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as ... cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as… more
- CVS Health (Hartford, CT)
- …you will define, develop and provide information and analysis to drive the decision making process for internal leadership related to Medical Economics - Medical ... is to provide accurate, relevant data and analysis for utilization and unit cost management to support each Plan...act on the drivers: Plan CEO, Plan CFO, Market Clinical Leads, Actuarial, Chief Network Officer, Operations * Work… more
- Hartford HealthCare (Farmington, CT)
- …department's own information systems which may integrate throughout the hospital enterprise to provide business solutions which will improve the effectiveness and ... to define, analyze, produce and deliver required analytics to enable effective utilization of human capital and drive business decisions. This position has a… more