- CenterWell (Hartford, CT)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Director , High Risk Patient Management. Responsibilities will include: + Lead comprehensive clinical pharmacy service development, execution, and operations… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. Position Summary The Lead Director will be focused on developing and advancing the Caremark ... trade business for CVS Health. Leveraging CVS Health's size and...the forefront. Through key engagements with teams such as clinical , legal, finance, and operations, this role will identify… more
- CVS Health (Hartford, CT)
- …with respective States. + Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same. + Identify ... high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business . **A Brief Overview** The primary focus of this role will be… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical ...line of business . The Medical Director conducts Utilization Management… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...line of business . The Medical Director conducts Utilization Management… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...line of business . The Medical Director conducts Utilization Management… more
- Elevance Health (Wallingford, CT)
- …be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health medical services,… more
- J&J Family of Companies (Hartford, CT)
- … as a whole. Cross functional partners include R&D, GSM, US marketing, Business Development, Medical Affairs, Clinical Research, Regional HEMA & Marketing, ... Director , Health Economics and Market Access - Robotics...Profiles and value propositions that reflect the needs of non- clinical stakeholders for their respective platforms. * Lead… more
- Humana (Hartford, CT)
- …or Corporate Medical Director , depending on size of region or line of business . The Medical Director conducts Utilization Management of the care received by ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Hartford, CT)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
- Highmark Health (Hartford, CT)
- …of care, care plans and through patient centered evaluation and engagement. The medical director will serve as a clinical champion - promoting and representing ... medical education needs in cooperation with the Executive Medical Director + Serve as a clinical champion...view in all interactions. + Superior communication skills to lead the team in care coordination across multiple settings… 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 ... and implement varied projects, programs and plans that support the achievement of business unit and enterprise goals. The work here will be Test Program Management… more
- CVS Health (Hartford, CT)
- …not included in the aligned plan's service array. + Serves as a key clinical lead in developing and implementing evidence-based clinical policies and ... and appeals, policies and procedures, and responsible health care expenditure to improve clinical outcomes. They will help lead continued quality improvement and… more
- CVS Health (Hartford, CT)
- …of medical management programs through participation in clinical team activities. The Medical Director will act as lead business and clinical liaison ... Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement...management when necessary. In this role you will provide clinical expertise and business direction in support… more
- Cardinal Health (Hartford, CT)
- …and solution/product leaders to plan, build, execute and deliver the roadmap for the Navista business . The Director will lead a diverse team of technology ... our experienced team is passionate about helping oncology practices navigate the future. The Director , IT Practice Operations will join forces with business … more
- Fair Haven Community Health Care (New Haven, CT)
- …regardless of ability to pay. Fair Haven Community Health Care (FHCHC) The Clinical Director of Quality represents an exciting opportunity at the intersection ... departments. Job purpose Reporting to the Vice President of Clinical Affairs, the Clinical Director ...improvement projects as appropriate and serve as the organizational lead for the institutional quality improvement council, all using… more
- J&J Family of Companies (Hartford, CT)
- Associate Director , Thought Leader Liaison, Neurology Rare Disease - Great Lakes - 2406207035W **Description** Johnson & Johnson is recruiting for an Associate ... Director , Thought Leader Liaison, Neurology Rare Disease to support...Neurology Rare Disease portfolio. The TLL is an exceptional business leader with deep neurology experience who will work… more
- Humana (Hartford, CT)
- …making on complex case reviews, works under minimal supervision; and partners with clinical peers and leaders to meet team's business goals. **Schedule is ... PHI / HIPAA information This is a remote position reporting to Grievance and Appeals Director or MD Team Lead **Scheduled Weekly Hours** 40 **Pay Range** The… more
- CVS Health (Hartford, CT)
- …management programs through participation in clinical team activities You'll act as lead business and clinical liaison to network providers and ... Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from...directing case management. In this role you will provide clinical expertise and business direction in support… more
- Norstella (Hartford, CT)
- …to accelerate the development and connection of our products across Norstella business units. The Senior Director , Product Management will be responsible ... Senior Director , Product Management Company: Panalgo Location: Remote, United...health plans, and provider groups to better understand the clinical outcomes and value of various patient care strategies.… more