- 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 (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
- Travelers Insurance Company (Hartford, CT)
- …adequacy, and results. Provides direction for claim technical guidance, legal, and medical issues through a continuous process of management involvement and ... Develop and implement process improvement strategies that impact indemnity, medical , and expense management , investigations, subrogation, structured settlements,… more
- Humana (Hartford, CT)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Elevance Health (Wallingford, CT)
- **JR130960 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
- CVS Health (Hartford, CT)
- …in new and exciting ways every day. Aetna is recruiting for an Executive Director , Claim Platform Quality Assurance for the Claims Center of Excellence ... 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
- 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
- CVS Health (Hartford, CT)
- …Aetna Individual and Family Plans Finance team is looking for a creative Executive Director who will build a Center of Excellence team focused on financial controls. ... This could include leading revenue management best practices for this $10B business, membership reporting...against forecast, across risk adjusted revenue and cost (eg, claims and risk score trends) + Develops the organizations… more
- 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
- Moses/Weitzman Health System (Middletown, CT)
- …**NATURE OF POSITION:** The Clinical Risk Manager leads and oversees risk management efforts at CHC and works collaboratively with the MWHS Legal Department, ... degree. Experience: Minimum 4-5 years of experience in risk management , quality, or public health is required with at...work meets the requirements for the annual Federal Tort Claims Act (FTCA) deeming application and other FTCA reporting… more
- Genesis Healthcare (Bristol, CT)
- …this position is $215000 / year. The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves the ... Attending Physician's Primary reporting relationship is to the AlignMed Partners Regional Medical Director . The Attending Physician is also accountable to both… more
- Prime Therapeutics (Hartford, CT)
- …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
- Stantec (New Haven, CT)
- …and review of formal Project documentation, such as notices and responses to claims and disputes. + Support the Director of Commercial Risk Governance ... Legal Counsel will work directly with Project teams and will also support the Director of Commercial Risk Governance. This is a great opportunity for lawyers with… more
- Fujifilm (Hartford, CT)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
- RTX Corporation (Farmington, CT)
- …Manager, Supply Chain (SC) Legal Advisor, who will report to the Associate Director , Raytheon SC Advising. The SC Advisor provides advice and drafting support for ... standard provisions. + Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing business processes, policies… more