- Humana (Hartford, CT)
- …frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management and Wellness Strategy** will have ... Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the...+ 3+ years of management experience or management consulting + Deep working knowledge of Medicaid… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... of actuarial and business needs for specific product lines. The Director , Actuarial requires an...organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be… more
- CVS Health (Hartford, CT)
- …+ 10+ years actuarial and/or health insurance experience. + Expert knowledge of Medicaid products. + 5+ years of management experience required. + Broad ... 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 (Hartford, CT)
- … business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- CVS Health (Hartford, CT)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and… more
- Arvinas (New Haven, CT)
- …As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and executing ... include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing...capability and organization to prepare for current and future product launches. + Design and develop pricing models to… more
- Prime Therapeutics (Hartford, CT)
- …and Account Management Staff). + Serves as Preferred Drug List product lead for program implementation including developing relationships, RFP support, and other ... drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West...+ 10+ years' professional experience in managed care and/or Medicaid . + 5+ years' experience in account management… more
- HealthEdge Software Inc (Hartford, CT)
- …(National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other State ... support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care … more
- Daiichi Sankyo Inc. (Hartford, CT)
- …areas centered around rare diseases and immune disorders. **Summary:** The Associate Director Field Reimbursement (ADFR) is a critical front-line member of the DSI ... The primary purpose of this role is to serve as a field-based product access specialist that provides appropriate reimbursement support to HCPs to help facilitate… 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 ... transformation efforts focused on defining the product architecture standards and governance for API development across the enterprise. This role will bring together… more
- Elevance Health (Wallingford, CT)
- **JR124224 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. + Job Description + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
- Humana (Hartford, CT)
- …application solutions for Humana. This person will also need to provide secondary management support as needed. If this sounds like you, then we encourage you ... Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on… more
- Prime Therapeutics (Hartford, CT)
- …their team delivers on daily production goals and support of key product offerings (Benefit Design, e-Prescribe, Claims Processing, Integrated Product Solutions, ... Consumer Directed Health Plan). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter… more