- Prime Therapeutics (Hartford, CT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible for providing...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Merck (Hartford, CT)
- …with all groups within GCTO, especially with Clinical Sciences and Study Management (CSSM), Clinical Quality Managers (CQMs) and Regional Operations ... **Job Description** The Clinical Research Director (CRD) is the...ensure appropriate scientific and operational training for staff members. ** Clinical Operation Management :** + Ensures a single… more
- Humana (Hartford, CT)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Hartford HealthCare (Hartford, CT)
- …to the Regional VP, Medical Affairs and in collaboration with the System Chief Quality Officer, the Medical Director is a member of the Regional Executive ... Leadership Team. As part of the regional Quality leadership dyad with the Director ...requirements, and accreditation standards. * Advanced degree in healthcare management , quality improvement, or a related field.… more
- Humana (Hartford, CT)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... decisions to internal associates, and possible participation in care management . The clinical scenarios arise from outpatient,...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- Humana (Hartford, CT)
- …analysis and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation ... Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could...10 weekends per year. **Additional Information** + The Medical Director conducts clinical reviews of the care… more
- University of Connecticut (UConn) (Storrs, CT)
- …training, sports performance, mental health, nutrition and sports science. + Directs clinical quality improvement initiatives pertaining to sports medicine and ... pleased to announce the search for the position of Director of Sports Medicine and Head Team Physician, UConn...clinical practice; participates in the evaluation of the quality of care through a peer review process as… more
- Evolent (Hartford, CT)
- …impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and … more
- Humana (Hartford, CT)
- …as an MBA, MHA, MPH + Prior experience participating in teams focusing on quality management or utilization management . **Additional Information** Reports to ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Prefer Medical...a Lead Medical Director . The Medical Director conducts Utilization Management of the care… more
- Hartford HealthCare (Mansfield Center, CT)
- …on the Natchaug Hospital campus. The primary duties of the Associate Medical Director include direct clinical care, supervision of the inpatient medical staff, ... *_Associate Medical Director - Inpatient Services, Natchaug Hospital - Mansfield,...responsible for the following: . Monitor and evaluate the quality and appropriateness of services provided by the inpatient… more
- Humana (Hartford, CT)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization ...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Hartford, CT)
- …communication of decisions to internal associates, and possible participation in care management , with clinical scenarios arising from outpatient or inpatient ... license, if required . At least five years of experience post-training providing clinical services . Experience in utilization management review and case … more
- Evolent (Hartford, CT)
- … Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...Vascular Surgery or Adult Congenital Heart Disease + Strong clinical , management , communication, and organizational skills +… more
- Merck (Hartford, CT)
- **Job Description** The Executive Director (ED) for Field Medical Affairs in the US understands our Company's corporate and products/portfolio strategies and work ... and successfully in a highly matrixed environment is critical. The Executive Director provides strategic and tactical direction to the field Regional Medical… more
- Hartford HealthCare (Mansfield Center, CT)
- …which include program operations, quality improvement, fiscal and budgetary management and regulatory compliance. The Director , working closely with ... (ART), Emotional Freedom Technique and Trauma-informed yoga. *_Position Summary_* The Director will provide clinical and administrative leadership for Journey… more
- Evolent (Hartford, CT)
- … and next generation idea and value creation. + Provide ** clinical ** **expertise** **in** **utilization** ** management (UM),** ensuring high-value care ... policies and regulatory requirements. + Collaborate with cross-functional teams, including ** clinical reviewers, management , and senior leadership,** to improve… more
- CVS Health (Hartford, CT)
- …Leads all aspects of utilization review/ quality assurance, directing case management Provides clinical expertise and business direction in support of ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...medical management programs through participation in clinical team… more
- CSL Plasma (Manchester, CT)
- …as or delegates to another appropriate physician the duties of "laboratory director ", "technical consultant", or " clinical consultant" as prescribed by the ... as the primary center physician registered as the Laboratory Director with the Food and Drug Administration (FDA). **Job...that cGMPs are adhered to through involvement with center management , center quality unit, and overall center… more
- Evolent (Hartford, CT)
- … Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in ... culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the...needs + Active Board Certification in Pulmonology + Strong clinical , management , communication, and organizational skills +… more
- The Cigna Group (Bloomfield, CT)
- …in a post-acute care facility, focusing on discharge planning, complex medical care management , quality of care, appropriate level of care, and appropriate ... **Summary:** The Medical Director provides timely expert medical review of medical...timely expert medical review of medical necessity requests for clinical services that do not meet utilization review criteria… more