• Medical Director -- Claims

    Humana (Hartford, CT)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (01/28/25)
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  • Medical Director - Cigna…

    The Cigna Group (Bloomfield, CT)
    Job Title: Cigna Supplemental Benefits (CSB) Medical Director **Job Summary:** Cigna Supplemental Benefits (CSB) provides peace-of-mind and financial security ... the lives of the individuals we serve. The CSB Medical Director will work closely with CSB's...products, such as Preventive Care, vendor solutions, and other medical management initiatives. **Minimum Qualifications** **Education &… more
    The Cigna Group (01/24/25)
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  • Medical Director - Gulf South

    Humana (Hartford, CT)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/03/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Hartford, CT)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
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  • Oncology Regional Medical Scientific…

    Merck (Hartford, CT)
    …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
    Merck (01/10/25)
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  • Director , US Benefits

    Cardinal Health (Hartford, CT)
    …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
    Cardinal Health (01/11/25)
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  • Director of International, Global Household…

    HomeSafe Alliance (Hartford, CT)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • Executive Director , Claim Platform Quality…

    CVS Health (Hartford, CT)
    …an Executive Director for Claim Platform Quality Assurance within the Claims Center of Excellence Automation team. This role involves owning the design and ... CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and… more
    CVS Health (01/24/25)
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  • Director , Global Labeling Strategy Lead

    Takeda Pharmaceuticals (Hartford, CT)
    …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
    Takeda Pharmaceuticals (01/26/25)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Hartford, CT)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (01/15/25)
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  • VP/ Director of Finance

    Robert Half Finance & Accounting (Hartford, CT)
    …includes tasks such as accounts payable, accounts receivable, bank reconciliations, claims billing, revenue cycle management , patient services operations and ... Services sector in Manchester, Connecticut. We are seeking a VP/ Director of Finance to join our team in a...a variety of responsibilities related to accounting, finance, and management . Responsibilities: * Overseeing the operations of both the… more
    Robert Half Finance & Accounting (01/23/25)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Hartford, CT)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
    HomeSafe Alliance (01/01/25)
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  • Billing and Systems Tech

    Baystate Health (Springfield, MA)
    We are a 716-bed independent academic medical center. We are the community's major referral hospital, and we provide a wide range of services, including: + Cancer ... weekends or hospital observed holidays **LOCATION** : + Baystate Medical Center + Springfield, MA **THE ADVANTAGES OF WORKING...Tech reports to the manager of cardiac rehabilitation and Director of Heart & Vascular (H&V) Imaging and Diagnostics,… more
    Baystate Health (01/10/25)
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  • Principal Client Solution Architect - State…

    Mathematica (Hartford, CT)
    …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
    Mathematica (01/04/25)
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  • Clinical Letter Writer

    Evolent (Hartford, CT)
    …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
    Evolent (02/01/25)
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