- Pall (Putnam, CT)
- …safety and environmentally responsible technologies. From airplane engines to hydraulic systems , scotch to smartphones, OLED screens to paper-everyday Pall is there, ... history of discovery, determination, and innovation.Learn about the Danaher Business System which makes everything possible.Director Global Quality and Regulatory… more
- The Cigna Group (Bloomfield, CT)
- … solutions ? Do you have a high degree of technical expertise in claims systems ? EviCore, a line of business within the Cigna Group, is hiring a Claim ... Systems , Business Solutions Lead Analyst...Systems , Business Solutions Lead Analyst to provide focused...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- The Cigna Group (Bloomfield, CT)
- Ready to work with a team that improves our business solutions ? Do you have a high degree of technical and analytical expertise? EviCore a line of business ... and data validation + work closely with external clients, internal stakeholders, project managers, claims systems , claims product and planning and claims … more
- Eliassen Group (Hartford, CT)
- **Senior Manual Tester with accounting or claims systems experience.** **Anywhere** **Type:** Consulting **Category:** Quality Assurance (QA) **Industry:** ... in validating the accuracy of financial data and ensuring seamless integration between systems . _Due to client requirement, applicants must be willing and able to… more
- Highmark Health (Hartford, CT)
- …evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- Cognizant (Hartford, CT)
- …This position is responsible for working with business partners within one business function to align technology solutions with business strategies; ... partners to elicit, analyze, communicate, and validate requirements for changes to business processes, policies, and information systems ; Assist in the analysis… more
- Robert Half Technology (Norwich, CT)
- …successful candidate will play a key role in bridging the gap between business needs and technical solutions by utilizing analytical tools, industry knowledge, ... complex data sets using SQL to identify trends, opportunities, and bottlenecks in business processes. + Develop and implement data-driven solutions that enhance… more
- Prime Therapeutics (Hartford, CT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… more
- The Cigna Group (Bloomfield, CT)
- …Contracting & contract negotiations. In-depth understanding of managed care business processes, data, systems , reimbursement methodology, case-mix adjustment, ... As a **National Competitive Business Analytics Senior Advisor** , this highly technical...focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with… more
- The Hartford (Hartford, CT)
- …along with business acumen to translate complex technical topics into business solutions . + Strong verbal/written communication skills; Must be able to ... Data Science & AI organization, ensuring the integration of cutting-edge AI solutions to optimize business processes and enhance decision-making. This role… more
- NTT America, Inc. (Hartford, CT)
- …process improvements. + Under guidance, reviews and edits requirements, specifications, business processes, and recommendations related to proposed solutions . ... attention to detail and accuracy. + Ability to identify solutions in sprawling data sets and the business...data protection and privacy laws. + Experience with Medicaid/Medicare systems processing, including Claims , Provider, and Member… more
- The Cigna Group (Bloomfield, CT)
- …group presentation + Understanding of managed care business processes, data, systems , and applications for claims payment, enrollment, benefit design, and ... through analysis of healthcare provider contracts, analysis of high performing network solutions , analysis of medical expense reports, data drill downs of trend… more
- Hartford HealthCare (Farmington, CT)
- …improvement opportunities . Identify, create and support process design changes by conducting business and systems process analysis and design at a complex ... and external customers to ensure system processes provided meet the long-term business strategies . Monitor the EPIC Revenue Cycle Dashboards for any variations… more
- Norstella (Hartford, CT)
- …view on proper design and implementation of studies using NorstellaLinQ real world data solutions of claims , lab, and/or EHR. Proficient speaking to and working ... we can offer an even wider breadth of expertise, cutting-edge data solutions and expert advisory services alongside advanced technologies such as real-world data,… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …human resources management functional area pertinent to the position (eg Talent Solutions , Human Resources Policy and Information Systems , Benefits and Leaves, ... and the Office of the Chief State's Attorney-to ensure effective claims management, compliance, and continuous improvement of the program. Additional… more
- Elevance Health (Wallingford, CT)
- …background. **Preferred Skills, Capabilities and Experiences:** + Knowledge of multiple lines of business , plans and systems is strongly preferred. + ITS Blue ... Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits,… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this ... Science Liaison (MSL), contributes to the development of the ecosystem strategic business plan and identifies key stakeholders that are vital to the ecosystem.… more
- NASCO (Hartford, CT)
- …judgment, discretion and analysis in coordinating, developing and designing computerized information systems solutions for business problems to meet ... where you'll be pivotal in analyzing and implementing innovative solutions that drive our business forward. In...moderate to complex technical challenges, enhancing data management and claims processing systems for NASCO and its… more
- Public Consulting Group (Hartford, CT)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... program integrity functions. + Time study and cost allocation systems to support Health and Human service agency cost...solutions that meet or exceed user expectations and business goals is foundational to serving in this role.… more
- Zurich NA (Hartford, CT)
- … claims office staff for insureds and other parties calling to report claims . + Identify appropriate business or marketing reps for agents seeking ... staff for insureds and other parties calling to report claims . + Identify appropriate business or marketing...+ Proven ability to multitask across multiple applications and systems + Comfortable working with various platforms and multiple… more
