- CVS Health (Hartford, CT)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Rocky Hill, CT)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Hartford, CT)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- CVS Health (Hartford, CT)
- …health care landscape in new and exciting ways every day. Aetna is seeking a ** Senior Manager - HRP Testing Subject Matter Expert (SME)** who will bring in-depth ... team to develop and implement effective testing strategies, ensuring high-quality deliverables. The Senior Manager - Testing SME will also contribute to the… more
- WelbeHealth (Hartford, CT)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Hartford, CT)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- The Cigna Group (Bloomfield, CT)
- …population health outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, ... **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in… more
- CVS Health (Hartford, CT)
- …issues promptly and efficiently. The Medicare appeals team is seeking a self-motivated and detail-oriented Senior Manager to join our team. As the Senior ... we do it all with heart, each and every day. The Medicare member/non par provider and fast track appeals organization is crucial to addressing member and provider… more
- Elevance Health (Wallingford, CT)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… more
- Cardinal Health (Hartford, CT)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Liberty Bank (Middletown, CT)
- …investment. SUMMARY OF THE JOB: Reporting to the HRIS, Operations & Benefits Manager , the incumbent is responsible for the efficient administration of full benefits ... benefit plans, including self-insured medical/dental arrangements and life insurance claims . + Conducts employee counseling and educational sessions on benefits… more
- Trinity Health (Waterbury, CT)
- …and RHM stakeholders to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS informed of issues ... **Shift:** Day Shift **Description:** **POSITION PURPOSE** Functions as the General Manager responsible for the oversight and coordination of the day-to-day… more
- Fair Haven Community Health Care (New Haven, CT)
- …ability to pay. Job purpose The Pharmacy Operations & 340B Program Manager provides strategic direction, operational oversight, and regulatory compliance for 340B ... Duties and responsibilities Reporting to the Chief of Pharmacy Services, the Manager will lead cross-functional teams, develop and implement policies, and drive… more
- Fujifilm (Hartford, CT)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Hartford, CT)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- CenterWell (Hartford, CT)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Berlin, CT)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... 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 (Middletown, CT)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Newtown Savings Bank (Newtown, CT)
- …role has a remote option of one day per week. PRIMARY RESPONSIBILITIES + Provide guidance and support to help the Account Resolution Specialist(s) develop skills and ... any challenges they may encounter. Meet with the department Manager weekly or as needed to discuss outcome. +...discuss the monthly delinquencies with the Account Resolution Specialist(s). Provide initial and final reports to Loss Mitigation team… more