- CVS Health (CT)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …review program which promotes effective cost recovery, quality of care and/or compliance with relevant federal and state laws, regulations and standards. In the ... care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; + May review medical records...review of cases and case referral to a physician consultant for final disposition; + Performs related duties as… more
- AccentCare, Inc. (Middlebury, CT)
- Overview Hospice Care Consultant Location: Position: Account Executive, Hospice Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Vernon / ... / Windsor / Enfield Find Your Passion and Purpose as a Hospice Care Consultant Salary: 85,000-110,000 Offer Based on Years of Experience esedical Sales Medical Sales… more
- Humana (Hartford, CT)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- The Cigna Group (Bloomfield, CT)
- …external customers. He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service ... staff. + Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews… more