- Elevance Health (Wallingford, CT)
- ** Medical Director - Commercial ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... able to work East Coast time zone hours.** The ** Medical Director ** will be responsible for utilization...will be responsible for utilization review case management for Commercial business in the New England (CT, ME, and… more
- CVS Health (Hartford, CT)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- CVS Health (Hartford, CT)
- …(work from home) role and can be based anywhere in the US.** In the Medical Director role you will collaboratively implement medical policy. You'll ... participate in the development, implementation, and evaluation of clinical/ medical programs and promote Aetna's medical management programs and the Employer's… more
- RTX Corporation (East Hartford, CT)
- …for an **Associate Director & Counsel for Pratt & Whitney's Large Commercial Engines** !! This business includes both the GTF and the mature engine platforms, ... support across all aspects of the P&L, including negotiating complex commercial agreements with customers and airframers globally, providing program support,… more
- Sumitomo Pharma (Hartford, CT)
- …. **Job Overview** The ** Director , Advanced Analytics-New Products/Innovation** will ... + Serve as subject matter expert for advanced analytics across the Commercial Analytics & Field Strategy function. **Essential Skills and Abilities:** + Ability… 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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… 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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… 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
- 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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- CVS Health (Hartford, CT)
- …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy...process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. In addition, be a subject… more