- CVS Health (Hartford, CT)
- …based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals : * Direct daily ... policy for the enterprise. * Provide ongoing education regarding Medicare policy and appeals to the appeal...Recognized Specialty **Preferred Qualifications** Medical Management - Medicare Complaints, Grievance & Appeals experience. *… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- The Cigna Group (Bloomfield, CT)
- Job Title: Cigna Supplemental Benefits (CSB) Medical Director **Job Summary:** Cigna Supplemental Benefits (CSB) provides peace-of-mind and financial security ... for more than 800,000 policyholders of all ages through Medicare Supplement and Supplemental Health and Life (SHL) products....the lives of the individuals we serve. The CSB Medical Director will work closely with CSB's… more
- Evolent (Hartford, CT)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Fair Haven Community Health Care (New Haven, CT)
- …Care Medical Billing Account Receivable Supervisor Reporting to the Sr. Director of Operations, the Medical Billing Accounts Receivable Supervisor will be ... contributes positively to the greater working environment. Duties and responsibilities Medical Billing Accounts Receivable Supervisor will direct and manage the… more