• Medical Director - National…

    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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (10/25/25)
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  • LD Director , UM Innovation Delivery

    CVS Health (Hartford, CT)
    …candidates can live anywhere in the contiguous United States. **Position Summary** The Lead Director of UM Innovation Delivery is a critical leader and has ... and objectives. + Drive transformation initiatives to modernize healthcare UM operations by aligning cross-functional teams (business, IT, architecture, operations)… more
    CVS Health (10/19/25)
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  • Executive Director , Strategic Finance…

    CVS Health (Hartford, CT)
    …it all with heart, each and every day. **Position Summary** The Executive Director , Strategic Finance will lead a newly established Strategic Finance function within ... actuarial science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial, and… more
    CVS Health (10/23/25)
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  • Clinical Reviewer, Nurse -9am -6pm PST

    Evolent (Hartford, CT)
    …Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, ... that do not meet established clinical criteria to the Medical Director . + Appropriately identifies and refers.... + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential cases for Care… more
    Evolent (10/21/25)
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