- Lincoln Financial (Hartford, CT)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …and efficiently. **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected health platform across ... solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Hartford, CT)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Walgreens (Wallingford, CT)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walmart (Newington, CT)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Walmart (Newington, CT)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking...Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will… more
- Humana (Hartford, CT)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Hartford HealthCare (Farmington, CT)
- …*Education* . Minimum: High school diploma, GED or equivalent . Preferred: Associate 's degree in health care administration, business management or finance. ... Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR)or Claims Supervisor, assure timely and accurate submission of claims on… more
- Humana (Hartford, CT)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Hartford, CT)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5 years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Humana (Hartford, CT)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Humana (Hartford, CT)
- …to identify opportunities and develop clinical solutions that aim at providing high-value care and addressing unmet needs for members with chronic conditions. We are ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Hartford, CT)
- …The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- Humana (Hartford, CT)
- …populations served in target growth markets. Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions for key ... member, products and benefits, and health plan administration portfolios (provider, claims , etc.), with areas of focus including Enrollment, Member Experience,… more
- Walmart (Bristol, CT)
- …price comparisons of parts equipment and travelrelated expenditures Submits warranty claims Completes and submits forms for example expense vouchers weekly summaries ... Individual: Demonstrates and encourages respect for others drives a positive associate and customermember experience for all embraces differences in people cultures… more
- Humana (Hartford, CT)
- …**Use your skills to make an impact** **WORK STYLE:** Mostly remote/work at home. Associate would be expected to attend five annual site visits within the state of ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more