- Highmark Health (Hartford, CT)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- RTX Corporation (Hartford, CT)
- …**Role Overview:** We are seeking a highly motivated, experienced, and results-driven Associate Director - Digital Policy Management to lead the RTX Digital ... integrity, and resilience of RTX's digital assets and information systems. The Associate Director - Digital Policy Management reports to the Director … more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Sumitomo Pharma (Hartford, CT)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate** ** Medical Director , Clinical Development - Oncology** . The associate ... medical director is responsible for the leadership, development, and management...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- CVS Health (Hartford, CT)
- …a remote based (work at home) based anywhere in the US.** **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work ... ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education regarding...System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state… more
- Sumitomo Pharma (Hartford, CT)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Highmark Health (Hartford, CT)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- The Cigna Group (Bloomfield, CT)
- ** Medical Principal Job Description** **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. **Summary description ... of position** : A Medical Principal performs medical review and case...receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine… more
- CenterWell (Hartford, CT)
- …part of our caring community and help us put health first** The Director , Workforce Capacity Planning is responsible for setting and executing CenterWell's workforce ... develop strategic and operational insights for workforce decision-making. The Director , Workforce Management requires an in-depth understanding of how organization… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Director of Rural Health Projects Health Management Administrator Recruitment # 251215-2560MP-001 Location Hartford, CT Date Opened 12/16/2025 11:00:00 AM Salary ... opportunity to join our team to be the inaugural Director of Rural Health Projects. The State of Connecticut...As a state we are renowned for our top-tier medical facilities and ample opportunities for career growth and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Otsuka's federal strategies, engagement activities and policy priorities that promote access to therapies, preserve patient/provider choice, and generally protect… more
- Humana (Hartford, CT)
- …initiatives across Pharmacy, Primary Care, Home Solutions, the Office of the Chief Medical Officer, and Integrated Health. The Director and team will provide ... a part of our caring community and help us put health first** The Director , IT Portfolio Management collaborates with the business portfolio team to align the IT… more
- CenterWell (Hartford, CT)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... specific package offered will vary based on individual circumstances and company policy . **This is not a remote or work-from-home position. This position requires… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Assistant Legal Director Office/On-Site Recruitment # 251230-3438MP-001 Location Hartford, CT Date Opened 1/2/2026 12:00:00 AM Salary $111,028 - $151,386/year Job ... serve your state? Join us as an Assistant Legal Director and make an impact today! The State of...discharge orders and other appeals, WIC reviews, and emergency medical services applications; + Provide legal counsel and support… more
- CenterWell (Hartford, CT)
- …community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: ... of key performance indicators, and people management/development. The Branch Director supervises the branch/clinical staff. Direct responsibility of ensuring the… more