• Director Specialty Claims

    Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
    Director Specialty Claims **Company** HSB **Location** Hartford , United States Manages and directs claims assigned to a team of cyber adjusters. ... 5+ years of insurance claim experience in commercial liability, specialty or professional liability claims + 7...in commercial liability, specialty or professional liability claims + 7 years experience with employment practices liability… more
    Hartford Steam Boiler Inspection and Insurance Company (08/08/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Hartford, CT)
    …on "same or similar specialty " needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. * The medical director will participate in ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...DO; Board certification in an ABMS or AOA recognized specialty is required. Active and current state medical license… more
    CVS Health (08/31/25)
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  • Medical Director - Southeast Region

    Humana (Hartford, CT)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (09/10/25)
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  • Associate Director , Commercial Data…

    Otsuka America Pharmaceutical Inc. (Hartford, CT)
    …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Medical Director - Northeast Region

    Humana (Hartford, CT)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (07/25/25)
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  • Sr. Director , RWD Analytics and Innovation…

    Norstella (Hartford, CT)
    Sr. Director , RWD Analytics and Innovation (Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... faster + The Dedham Group - think strategically for specialty therapeutics By combining the efforts of each organization...:** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to… more
    Norstella (07/09/25)
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  • Corporate Medical Director - Medicare…

    Humana (Hartford, CT)
    …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
    Humana (09/05/25)
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  • Director & Sr. Counsel II - Pharmaceutical…

    Boehringer Ingelheim (Ridgefield, CT)
    …business teams providing reimbursement, education and other support to patients. The Director & Sr. Counsel provides a broad range of legal services, typically ... company's businesses. Mentors more junior attorneys in areas of expertise. In this role as Director / Senior Counsel you will be a part of the team to support our… more
    Boehringer Ingelheim (07/26/25)
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  • Associate Director , Client Analytics

    Evolent (Hartford, CT)
    …collaboratively to solve complex challenges and enhance the impact of our specialty programs and administrative platform. Role Overview The Associate Director ... role on Client Analytics will support both internal teams (EAS, Specialty Operations) and external partners, delivering analyses that drive Evolent's value… more
    Evolent (09/05/25)
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  • Medical Director - Medicare Grievances…

    Humana (Hartford, CT)
    …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
    Humana (09/06/25)
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