- HealthEdge Software Inc (Hartford, CT)
- **Overview** ** Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto ... with the charter to deliverexceptionalvalue for their stakeholders. As aSenior Manager , Product Operations , you will implement andoptimizesystems and processes… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... including Customers, Account Executives, Sales, Professional Services, Support and Cloud Operations to create and deliver a great customer experience. + Lead… more
- The Cigna Group (Bloomfield, CT)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. Given the close partnership… more
- The Cigna Group (Bloomfield, CT)
- The **Regional Medicare** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... matrix partners including but not limited to, local market provider engagement, claims operations , clinical, Legal, analytics, compliance, sales, and provider… more
- Deloitte (Hartford, CT)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... issues and provide clear path for implementation. Typical responsibilities of a Sr. Manager could include: + Design and establish engagement objectives and scope +… more
- The Cigna Group (Bloomfield, CT)
- …initiatives + Perform financial analysis & participate in market financial review with senior management. + Trouble shoot claims issues for providers + ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other… more
- HealthEdge Software Inc (Hartford, CT)
- …where root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the… more
- Elevance Health (Wallingford, CT)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing aberrant patterns… more
- The Cigna Group (Bloomfield, CT)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance,… more
- Travelers Insurance Company (Hartford, CT)
- …and maintains effective and collaborative relationships with internal resources (eg, Claim , Legal, Operations , Product Solutions, Product Managers, etc.) to ... partners around the world, in partnership with the B&SI Senior Management team. -Serves as trusted advisor for external...(booking, invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue… more
- Trinity Health (Hartford, CT)
- …and RHM stakeholders to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS informed of issues ... on East Coast **POSITION PURPOSE** Functions as the General Manager responsible for the oversight and coordination of the...responsible for the oversight and coordination of the day-to-day operations of the Regional Health Ministry's (RHM) Food &… more
- The Cigna Group (Bloomfield, CT)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims , enrollment, fulfillment, network operations… more
- Trinity Health (Hartford, CT)
- …is based on East Coast **POSITION PURPOSE** Functions as the Patient Services Manager responsible for the direct supervision of local RHM supervisors and/or staff ... (RHM) Food & Nutrition Services (FANS) Department. The Patient Services Manager is responsible for successfully coordinating and directing all activities within… more
- Wolters Kluwer (Hartford, CT)
- …suite of tools that address the growing needs of corporate legal operations departments to increase operational efficiency and reduce costs. Corporate legal and ... insurance claims departments trust our innovative technology and end-to-end customer...business outcomes. **Basic Function** This remote-friendly Account Management Team Manager , you will build a team to drive profitable… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... controlling medical costs and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor performance to Medical… more
- Walgreens (Bristol, CT)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (West Hartford, CT)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Elevance Health (Wallingford, CT)
- …Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plus. + 5+ years of experience leading and managing Pharmacy Benefit Manager /PBM end-to-end testing for web and mainframe-based applications, including defining… more
- Travelers Insurance Company (Hartford, CT)
- …business drivers and disciplines such as: underwriting, products, reinsurance, distribution, sales, operations , risk control, claim , and financials. + Able to ... & Analytics community. This role may act as a manager of a small team. **What Will You Do?**...Assess, prioritize, influence and communicate strategic initiative options to senior leaders. + Demonstrate effective execution and completion of… more
- Travelers Insurance Company (Hartford, CT)
- …business drivers and disciplines such as: underwriting, products, reinsurance, distribution, sales, operations , risk control, claim , and financials. + Able to ... This position will frequently interact with and provide recommendations for senior leadership. This position may eventually manage other analysts. **What Will… more