- CVS Health (Hartford, CT)
- …deliver solutions to make health care more personal, convenient and affordable. The ** Lead Director ,** ** Medicaid Provider Experience Standardization** ... is responsible for ensuring the variations that currently exist across multiple Medicaid Health plans specific to provider contracting, credentialing, … more
- CVS Health (Hartford, CT)
- …and deliver solutions to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and ... all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns policies… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve as the… more
- Humana (Hartford, CT)
- …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Clinical Pharmacy Provider Engagement Associate Director , HPS Clinical Program Strategy, partners with ... for Humana health plans by creating advocacy through key Provider Groups. This role will lead a...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (Springfield, MA)
- …and must live in Massachusetts _** **Job Description** **Job Summary** The Director , LTSS Partnerships plays a critical role in the development and implementation ... financial, clinical, quality, member satisfaction, compliance, and growth goals. The Director will be working within a highly matrixed organization focused on… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Lead Director , National VBS Development who will develop innovative and ... strategic provider relationships as part of the National VBS Business...strategies across multiple lines of business, including Medicare Advantage, Medicaid , ACA, and Commercial. + Develops relationships with providers… more
- Cardinal Health (Hartford, CT)
- …patient throughout the continuum of care. The team's mission is to provide exceptional clinical, supply chain, analytics, and operational expertise to improve ... for hospital pharmacies. This position serves as one of Cardinal Health's Lead 340B Consultants within our Innovative Delivery Solutions (IDS) business. The … more
- Humana (Hartford, CT)
- …as directed. May participate on project teams or organizational committees. Reports to a Lead Medical Director . **Required Qualifications** + MD or DO degree + ... on quality management or utilization management. **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Hartford, CT)
- …an impact** Additional Information Typically reports to a Regional/Associate Vice President, Lead , or Corporate Medical Director , depending on size of region ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Hartford, CT)
- …requests received by members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Hartford, CT)
- …caring community and help us put health first** The Associate Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... to provide accurate and timely information for strategic and operational...medium and long-term financial and competitive position. The Associate Director , Actuarial Analytics/Forecasting requires a solid understanding of how… more
- Humana (Hartford, CT)
- … leading-edge solutions to drive enhanced data business decision-making. The Associate Director , Cloud Architecture will lead team development and core ... our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and… more
- National Health Care Associates (Storrs, CT)
- …join our newest team at the Mansfield Center for Nursing & Rehabilitation! **-** MDS Director **What You'll Do:** As an MDS Director , you will manage the Minimum ... federal regulations for MDS completion and coding conventions. **Key Responsibilities:** + Lead and oversee the MDS program, ensuring compliance and accuracy in… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading the technology ... **architectures** , and patterns including any interim/transition states + Lead creation of standard **integration** products, capabilities and architecture patterns… more
- Elevance Health (Wallingford, CT)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plan and ensures testing activities planned stay on track and under budget. + May provide direction and guidance to team members and serves as an expert for the… more
- Public Consulting Group (Hartford, CT)
- …intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with counterparts + ... + Partner on business development initiatives, including: demonstrations, proposals ( lead proposal writing teams, including writing sections, coordinating efforts,… more
- Humana (Hartford, CT)
- …help us put health first** You have the unique opportunity to contribute as a lead for a technology team that is focused on delivering modern mobile solutions for ... one of the leading healthcare organizations. Reporting to the Associate Director of our Experience Team and partnering with Architecture and Product teams, you will… more