- Highmark Health (Hartford, CT)
- …This job implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria ... consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with… more
- Burns & McDonnell (Wallingford, CT)
- **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …a Supervisory Health Systems Specialist (organizational title is Credentialing and Privileging Manager ) and is assigned to the Medical Staff Office, which is under ... provide oversight for the VAMC C&P program. The C&P Manager is also responsible to ensure that the Medical...in FPPE, OPPE, VA policies, regulations and accreditation health care industry standards Serves as the primary consultant for… more
- Elevance Health (Wallingford, CT)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager Senior** **Location: This is a virtual position....claims or service issues. + Assists with development of utilization / care management policies and procedures, chairs and… more
- Masonicare (Wallingford, CT)
- …with administration). + Conducts clinical record reviews to assess the appropriateness of care plan, the utilization of services and to ensure complete ... RN Hospice Clinical Manager Job Location: Wallingford Center, Connecticut RN Hospice...planning, organization, direction, evaluation and safe delivery of high-quality care to adult, geriatric, pediatric, and neonatal clients in… more
- CBRE (Hartford, CT)
- Procurement Sr Manager - Remote Job ID 183609 Posted 05-Sep-2024 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) ... geographies. **About the role** As a CBRE Procurement Sr. Manager , you'll be responsible for leading a large team...strategy at local, regional, and global levels. + Draft, review , negotiate, and maintain contracts and other business documents… more
- Burns & McDonnell (Wallingford, CT)
- …and guidelines to meet department, global practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a ... **Description** The Transmission Department Manager is responsible for the managerial direction and...assignments and reviewing performance to ensure the efficient, cost-effective utilization of staff. + Ensure profitable and sound growth.… more
- HealthEdge Software Inc (Hartford, CT)
- …implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and ... stakeholders and drive ongoing client value and success. This Clinical Program Manager will be responsible for ensuring the clinical integrity of our clinical… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is ... while being that utility player/SME of the department.** The Clinical Program Manager is responsible for the management of all client specific clinical programs… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** Responsible ... administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This… more
- Masonicare (Wallingford, CT)
- … care team. + Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings. + Assists with Medicare ... RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut...weaknesses of data and how it relates to facility care practices + Manages the patient's Medicare benefit by… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager - Vendor Performance NC Medicaid - Remote **Job Description Summary** Responsible ... administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This… more
- Burns & McDonnell (Wallingford, CT)
- **Description** The Project Manager will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost control, contracts, risk, ... (EPC), Construction Management, Construction, and Program Management projects. The Project Manager leads projects from inception to completion and may perform the… more
- Burns & McDonnell (Wallingford, CT)
- **Description** A Brief Overview The Project Manager - Dairy will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost ... (EPC) and Design-Only projects for clients in the Dairy industry. The Project Manager - Dairy leads projects from inception to completion and may perform the… more
- Stanley Black and Decker (New Britain, CT)
- …sense of purpose and integrity. People with a relentless pursuit of excellence. People who care about making things better For Those Who Make The World (TM) . Sound ... DEWALT(R), BLACK+DECKER(R), CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). The Manager , HR Vendor Performance is responsible for defining and driving… more
- CVS Health (Hartford, CT)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Do...to drive profitability across the enterprise. As a Sr Manager you will be the subject matter expert responsible… more
- Elevance Health (Wallingford, CT)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... **Medical Director-Appeals (Primary Care -IM or FM)** **Location: This is a hybrid...with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant… more
- Hartford HealthCare (Meriden, CT)
- …and the organization. 5. Responsible for Admission manager , customer service manager , data collector and utilization department achieve the goals and ... recovery programs. We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group & Family Therapy,… more
- CVS Health (Hartford, CT)
- … care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review , you will define, develop and ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Prime Therapeutics (Hartford, CT)
- …across SBUs in delivering cost of care and variations in cost of care . Differentiates impact of rate versus utilization variations. + Supports SBUs by ... position requires significant financial analytical experience and demonstrated health care industry knowledge. Primary responsibilities include analyzing costs, preparing… more