- The Cigna Group (Bloomfield, CT)
- …learning sessions, etc. + ** Management :** Directs all operations relative to Clinical Quality Improvement to assure that Cigna operates in an environment ... of staff to establish national, market-level and measure specific clinical quality and patient experience initiatives for... leader with a minimum of 5 years of quality management experience in the healthcare industry,… more
- Prime Therapeutics (Hartford, CT)
- …fuels our passion and drives every decision we make. **Job Posting Title** Specialty Clinical Program Director II - Remote **Job Description** The Specialty ... Clinical Program Director leads the overall clinical strategy, portfolio...to pharmaceutical manufacturing partners, providing expertise in specialty medication management and patient care + Collaborate with clinical… more
- Hartford HealthCare (Hartford, CT)
- …relationships within clinical teams and Executive leadership to drive expense management and quality improvements * Develops initiative pipeline and supports ... Management / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** * Director of Clinical Value Analysis* **Location:** *Connecticut-Hartford-100… more
- Takeda Pharmaceuticals (Hartford, CT)
- …to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director , Global Patient Safety Clinical Operations in Cambridge, MA, where ... the Pharmacovigilance Operations team, you will report to the Director , PV Clinical Operations and will be...compliance + Liaise with and advise study teams including Clinical Science, Data Management , Regulatory Affairs, and… more
- Prime Therapeutics (Hartford, CT)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services - Remote Nevada **Job Description Summary** Plays ... 8+ years of pharmacy experience. + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service. + Working… more
- The Cigna Group (Bloomfield, CT)
- …others? Then look no further! As a Clinical Biochemical Genetics or Clinical Molecular Genetics and Genomics Medical Director at eviCore, part of Evernorth ... Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of… 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
- 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
- Fallon Health (Springfield, MA)
- …rated among the nation's top health plans for member experience, service, and clinical quality . Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive ... of transportation services for all site participants. Responsible for all site facilities management , working closely with Director of Facilities to ensure all… 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 management… more
- Takeda Pharmaceuticals (Hartford, CT)
- …to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director , Signal Management Process Excellence in Cambridge, MA, where you ... implement process excellence strategies to enhance the efficiency and quality of signal management activities. As part...Innovation (SMI) team, you will report to the Senior Director , Head, Signal Management and Innovation (SMI).… more
- Humana (Hartford, CT)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- United Therapeutics (Hartford, CT)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight ... approval for five medicines, we are always conducting new clinical trials, and we are working to create an...management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in… 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
- Humana (Hartford, CT)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… 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
- Hartford HealthCare (Hartford, CT)
- …administrative standpoint for providers and hospital administration. * Reviewing cases from clinical care management and quality standpoint, reviewing ... ADs and administrative staff in the day to day management including clinical operations of the division,...clinical manager to deliver timely, safe, effective, high quality patient care while ensuring the department meets hospital… more
- Hartford HealthCare (Hartford, CT)
- …within a healthcare setting addressing health disparities, Health Equity promotion, program management & development, quality , safety & population health as is ... Management / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** * Director of Equity Integration* **Location:** *Connecticut-Hartford-100 Pearl Street Hartford… more
- University of Connecticut (UConn) (Storrs, CT)
- …a Psychiatric Advanced Practice Registered Nurse (APRN) for the position of Director , Psychiatric Medication (Services Student Clinical Mental Health Services ... practice, performing acts of diagnoses and health care management as described in Public Act 99-168; interacting with...+ Meets regularly with and reports to the Associate Director , Mental Health to establish and discuss clinical… more
- Prime Therapeutics (Hartford, CT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Director Account Management , PACE - Remote **Job Description** + Owns overall ... clinical outcomes. + Book of Business and Financial Management : Ensures revenue goals are met, cost of care...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more