- CVS Health (Hartford, CT)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, waste, and ... abuse investigations by managing and responding to Requests for Information...The analyst will also provide **leadership support** to the Manager by assisting with team coordination, reporting, and strategic… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support Regional ... and file reviews, coaching, etc. + Active participation in special projects that could be technical in nature (ie)...the demonstration of operational loss analysis reports and accident investigations used to direct services that would eliminate or… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc.* Work with Risk Engineering Manager on special projects and developing reports to support Regional ... include conducting report and file reviews, coaching, etc.* Active participation in special projects that could be technical in nature (ie) Biotech, Technology,… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …coordinate resolution with senior FIN developers; + Assist with PeopleSoft Update Manager (PUM) updates, retrofits, and testing issue resolution; + Partner with ... Office of the State Comptroller are subject to a detailed background investigation , including a fingerprint supported state and federal criminal history record check… more
- Travelers Insurance Company (Hartford, CT)
- …with Unit Manager on use of Claim Coverage Counsel. + Investigation /Evaluation: + Investigates each claim to obtain relevant facts necessary to determine ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- BioLife Plasma Services (West Springfield, MA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (West Springfield, MA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- Travelers Insurance Company (Hartford, CT)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Travelers Insurance Company (Hartford, CT)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Eastern Connecticut Health Network (Manchester, CT)
- …calls, registration and ICD-9 coding, problem solving, testing-to-billing-or-other patient investigations and all other front-end functions performed in laboratory ... etc.) and reports all problems to the Lab Supervisor, Manager or Director. + Assembles materials requested by physicians...specimen(s) for the Courier's pickup each day or for special mailings. + Processes laboratory specimens by: examining the… more
- University of Connecticut (UConn) (Storrs, CT)
- …outside agencies; negotiate and/or resolve sensitive and controversial issues; coordinate special community programs. + Develops and maintains lines of communication ... to the Fire Chief; conducts a variety of organizational studies, investigations , and operational studies; recommends modifications to administrative matters or… more
- Veterans Affairs, Veterans Health Administration (Newington, CT)
- …of Station (PCS): Not Authorized. Notifications: This position is covered by a special salary rate. Current and former Federal employees must submit copies of their ... Must be proficient in written and spoken English. Subject to background/security investigation . Selected applicants will be required to complete an online onboarding… more
- CDM Smith (Hartford, CT)
- …design activities in client-facing role, with ability to function as Task Manager or Project Technical Leader. Contributes to firm's Technical Knowledge Management ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Hartford, CT)
- …design activities in client-facing role, with ability to function as Task Manager or Project Technical Leader. Contributes to firm's Technical Knowledge Management ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- BHI Energy (Meriden, CT)
- …in the Northeast Region. The Safety Representative will work closely with the Manager - Environment Health and Safety, Project Manager , General Foreman, and ... safety meetings. + Preparing health and safety plans. + Leading incident investigation efforts. + Conducting and documenting on-site safety inspections. + Promoting… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …a state agency this class is accountable for making or conducting a special inquiry, investigation , examination or installation pursuant to Section 5-198(n) of ... Community Resource Hubs Senior Policy Advisor Durational Project Manager Recruitment # 251007-0415VR-001 Location Hartford, CT Date Opened 10/17/2025 10:35:00 AM… more
- CDM Smith (Hartford, CT)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Hartford, CT)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more