- The Cigna Group (Bloomfield, CT)
- …analytical expertise? EviCore a line of business within the Cigna group, is hiring Claim Systems , Technical Lead Analyst. For this highly technical and ... in understanding the impact of requested changes to end-to-end claims adjudication processes + Use your technical ...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- The Cigna Group (Bloomfield, CT)
- …with a team that improves our business 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 to provide...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- Cognizant (Hartford, CT)
- …liaison between the business community and the IT organization in order to provide technical solutions to meet user needs. Duties include: Work as a liaison among ... and validate requirements for changes to business processes, policies, and information systems ; Assist in the analysis of business problems and opportunities in the… more
- Cognizant (Hartford, CT)
- …to 3 years of experience to join our team. The ideal candidate will have mandatory technical skills in Facets - Claims and Facets with a preference for domain ... efficient workflow and timely completion of tasks. + Provide technical expertise in Facets + Claims and...+ Mentor and train team members to enhance their technical skills and knowledge in Facets systems .… more
- Highmark Health (Hartford, CT)
- …scope and complexity + 7 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... for improvement and develop solutions + Demonstrated ability to informally lead matrixed teams of technical , clinical, administrative, financial and… more
- NASCO (Hartford, CT)
- …tackle moderate to complex technical challenges, enhancing data management and claims processing systems for NASCO and its partners. Collaborating with ... and presents proposals for system enhancements, improvement and/or replacement of existing systems . + Creates and maintains technical design documentation for… more
- Evolent (Hartford, CT)
- …and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... **Translate analyses into Customer-ready deliverables using available visualization tools.** ** Lead and facilitate interaction with customers in a manner that… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …strategic thinker + Operationally minded (know how to prepare a high quality technical document or submission using internal systems ) + Strong analytical, ... drug products, and drug-device combination products. + Determine regulatory and scientific/ technical requirements for CMC and GMP related submissions and inquiries.… more
- Norstella (Hartford, CT)
- …project needs. + Proven experience in data analysis and querying: + Strong technical skills: Familiarity with database management systems (eg, MySQL, Oracle, SQL ... interest in healthcare and technology, experience analyzing large databases, (such as claims , EMR, and lab data), expertise with applications of study design and… more
- Guardian Life (Hartford, CT)
- …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and duration ... experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact of claimants' medical condition on… more
- Public Consulting Group (Hartford, CT)
- …new technologies that can propel the business forward. In addition to serving as the technical lead for the Practice Area, the CIO also serves a vital role ... Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...key member of the executive team, the CIO will lead the Practice Area's tech vision, ensuring that the… more
- Evolent (Hartford, CT)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering expertise and cooperation. + Extract, manage, ... and analyze claims and operational data using industry-standard metrics. **Qualifications Required...and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new… more
- The Cigna Group (Bloomfield, CT)
- … systems , reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management. + Ability to prioritize ... As a **National Competitive Business Analytics Senior Advisor** , this highly technical and analytical resource's main focus is to deliver robust competitive unit… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …in the Division of Traffic Engineering (https://portal.ct.gov/dot/traffic-engineering?language=en\_US) provide lead services in the development of projects and tasks ... this class is accountable for acting as a working lead who assists a supervisor in supervising a designated...for watersheds of 650 acres and less; + Provides technical advice to Design division and District Engineers on… more
- Cardinal Health (Hartford, CT)
- …and development within a dynamic and innovative environment **Responsibilities:** + Lead the Development of Innovative AI solutions: You will be responsible ... + RAG Technologies: Building robust Retrieval Augmented Generation (RAG) systems to integrate LLMs with vast repositories of healthcare...of Data Scientists and ML Engineer: You will provide technical guidance, mentorship, and support to a team of… more
- GAF (Stamford, CT)
- …excellence across residential and asphaltic roll roofing facilities. This role provides technical process support across multiple plants and product lines to drive ... the Communities of Practice and utilize talent across the network to lead troubleshooting efforts, sharing of knowledge, and communication between plants to improve… more
- Evolent (Hartford, CT)
- …healthcare regulations and standards, such as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). ... Be Doing:** **Job Summary:** The **Software Engineering Manager** at Evolent will lead a team of software/data engineers in designing, building, integrating and… more
- Evolent (Hartford, CT)
- …Operations, Product Strategy, and Client Finance. **What You'll Be Doing:** + Primary lead and focal point across business areas in the development of analytics to ... volumes of data in various forms to complete deliverables. + Communicate technical concepts and implications primarily to internal stakeholders. + Collaborating with… more
- NASCO (Hartford, CT)
- …efficiency across the organization. This is a unique opportunity to combine technical expertise with creative problem-solving, making a real impact by freeing up ... sound judgment, and discretion in developing and designing computerized information systems solutions for business problems to meet expanding or changing business… more
- The Hartford (Hartford, CT)
- …of the LOB practice supporting Middle and Large Business, the candidate will: + Lead the development and execution of a research agenda to drive business process ... staff and effectively calibrate the approach to staffing including budget management + Lead the identification of new data sources and embed modern AI and scientific… more