- Highmark Health (Hartford, CT)
- …requirements effective August 2016) Preferred + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience ... and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions;… more
- CVS Health (Hartford, CT)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... to make health care more personal, convenient and affordable. Position Summary Support CVS Health's financial integrity with sound reserving and risk management… more
- Hartford HealthCare (Wethersfield, CT)
- …of Payer Analytics & Reporting *Internal Interaction:*PFS, CFOs, Revenue Cycle, Decision Support , Other Reporting/Analytic Areas as appropriate *External ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and...the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for negotiated rate changes… more
- Humana (Hartford, CT)
- …increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of ... in a similar capacity of supporting insurance or managed care business. Medicaid , Medicare, Long-Term Care experience is a plus. + Advanced Microsoft Excel… more
- The Cigna Group (Bloomfield, CT)
- …current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of ... + Ideal candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model of Care… more
- CVS Health (Hartford, CT)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...optimum level of health. * Provides coaching, information and support to empower the member to make ongoing independent… more
- CVS Health (Hartford, CT)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...optimum level of health. + Provides coaching, information and support to empower the member to make ongoing independent… more
- Humana (Hartford, CT)
- …is a non-exempt position with responsibility for utilization management and clinical decision -making as outlined in the Autism Care Demonstration (ACD) defined in ... guidelines / procedures, utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and /… more
- The Cigna Group (Bloomfield, CT)
- Job Description For this position, Nurse Case Manager Senior Analyst , through the case management process, will: + Promote the improvement of health outcomes to ... care to the consumer. + Previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model of Care… more