• Medical Director - Florida

    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...data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation… more
    Humana (05/22/25)
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  • Medical Director - Care Plus…

    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...**Required Qualifications** + MD or DO degree + **Valid Florida Medical license** + 5+ years of… more
    Humana (04/24/25)
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  • HIV Medical Science Liaison - South…

    Merck (Hartford, CT)
    **Job Description** **Job Description:** The Regional Medical Scientific Director (RMSD), Virology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic ... the person **must reside in the indicated territory** (South Florida - Tampa, Fort Lauderdale, Miami). Up to 50%...& Development Division's leadership. + Reports to the Regional Medical Scientific Director (RMSD) Team Leader- within… more
    Merck (05/01/25)
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  • Medical Director -Pediatric Surgery

    The Cigna Group (Bloomfield, CT)
    Medical Director - Pediatric Surgery- Evicore- Remote **We have both full-time and part-time opportunities available.** Do you crave an intellectually ... and improving the lives of others? Then look no further! As a Pediatric Surgery Medical Director at Evicore part of Evernorth Health Services, a division of The… more
    The Cigna Group (05/19/25)
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  • Medical Director - Post-Acute Care…

    The Cigna Group (Bloomfield, CT)
    Summary: The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization ... review criteria and renders a clinical opinion about the medical service under review while located in a state or territory of the United States. . Responsibilities… more
    The Cigna Group (04/02/25)
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  • Director , Technology Consulting

    Public Consulting Group (Hartford, CT)
    …+ Business Enablement + Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector projects while continuing to ... of projects in our Technology Consulting Practice Area. The Director will work with senior client executives implementing or...one of the following locations (North Carolina, South Carolina, Florida , Georgia) + At least 10 years of experience… more
    Public Consulting Group (05/08/25)
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  • Medical Director - Rheumatology

    The Cigna Group (Bloomfield, CT)
    …for Cigna Healthcare (CHC) -- Cigna. **Summary description of position** : A Medical Principal performs medical review and case management activities. The ... administration. **Major responsibilities and required results:** + Performs benefit-driven medical necessity reviews for coverage, case management, and claims… more
    The Cigna Group (04/22/25)
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  • Medical Managing Director , Client…

    The Cigna Group (Bloomfield, CT)
    …(CHC) Clinical Leadership team, this role will report directly to the Chief Medical Officer (CMO) for Cigna Healthcare and will be responsible for leading CHC's ... + **Enable strategic growth goals:** Lead teams of national account and market-based medical executives and nurse executives in support of driving key business and… more
    The Cigna Group (04/08/25)
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  • Solutions Engagement Director - Verity…

    The Cigna Group (Bloomfield, CT)
    …client's operations. It is the responsibility of the Solution Engagement Director to explain the technical and functional aspects Verity Solutions' products ... we receive through client interactions. + Work collaboratively with the Sales Director in the sales process. + Proactively follow-up with technical questions that… more
    The Cigna Group (05/21/25)
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  • Managing Director - PBM Customer Service…

    The Cigna Group (Bloomfield, CT)
    **Job Description Summary:** The Managing Director of the Pharmacy Benefit Management (PBM) Customer Service Operations will be responsible for leading and ... for enhancing the customer experience. **Scope of Job:** The Managing Director will collaborate extensively with key stakeholders, including business owners, call… more
    The Cigna Group (04/26/25)
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