- Cognizant (Hartford, CT)
- ** Claims Quality Review ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
- Cognizant (Hartford, CT)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review / quality assurance procedures + Must be able ... to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims … more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...be reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and… more
- Sedgwick (Hartford, CT)
- …+ Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, ... Financial Services & Insurance Team Leader - Liability | Remote **PRIMARY PURPOSE** : To supervise the operation of...authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated … more
- Prime Therapeutics (Hartford, CT)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with an AI background?… more
- Prime Therapeutics (Hartford, CT)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is responsible for recovering… more
- The Cigna Group (Bloomfield, CT)
- …strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools ... Provides direction and guidance regarding policies, procedures, workflows, claim service quality , and training needs. Regularly meets with assigned Health Care… more
- CBRE (Hartford, CT)
- Property Management Manager ( Remote ) Job ID 241052 Posted 06-Oct-2025 Service line GWS Segment Role type Full-time Areas of Interest Property Management Location(s) ... Remote - US - Remote - US...Vendor Management: Source, vet, and handle service providers, ensuring quality and cost-effectiveness. + Documentation: Maintain detailed records of… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst is responsible for ... of reporting requirements through intake and prioritization sessions + Recommend quality and system improvements by analyzing the data issues, maintaining and… more
- Prime Therapeutics (Hartford, CT)
- …decision we make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads the company's ... + Select, manage, and evaluate external legal counsel to ensure high- quality representation + Oversee Prime's Records and Information Management (RIM) program,… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Senior Strategy Consultant - Remote **Job Description** The Senior Strategy Consultant is responsible for the ... multiple projects simultaneously **Preferred Qualifications** + Experience with large sets of claims data + In-depth knowledge of PBM industry + Financial analyses… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
- Prime Therapeutics (Hartford, CT)
- …decision we make. **Job Posting Title** Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more
- The Cigna Group (Bloomfield, CT)
- …advise others. Recognized internally as a subject matter expert Knowledge and experience with claims data and Cigna's claims systems are a plus. Advantages of ... with reimbursement policy and code edits + Execute the ability to review data analytics to identify and validate reimbursement policy opportunities + Maintain… more
- Bowman (Hartford, CT)
- …reviewed by more senior staff to ensure application of sound techniques and principles. Review work produced by junior staff for quality assurance. **At the ... of values, various exhibits, partial and final liens. + Review , process, obtain approvals, code and accrue for subconsultant...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …workers' compensation insurance fund. The Fund's portfolio primarily consists of reimbursement claims to insurance carriers for a worker who had more than one ... employer at the time of injury and claims by insured workers whose employer was not insured....parking + Close to major highways + Opportunity for remote /hybrid work WHAT'S IN IT FOR YOU? + View… more
- Cardinal Health (Hartford, CT)
- **_Hybrid or Remote Position Hours_** Monday - Friday, 8:00am - 4:30pm EST (or based on business need) **_What Contract and Billing contributes to Cardinal Health_** ... things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- The Speech Pathology Group & Rehab Services of CT (Shelton, CT)
- …on Accounts Receivable, Client Relations, Insurance Eligibility, Authorizations, and Claims Management. This position requires managing high volume of communication ... Insurers, Medical Offices, and Patients, managing patient insurance eligibility, authorization, claims , and generating invoices to patients & Insurance companies for… more
- Humana (Hartford, CT)
- …you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in ... payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments....**Use your skills to make an impact** **WORK STYLE:** Remote /work at home. While this is a remote… more