- CVS Health (Hartford, CT)
- …outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the ... Lead Director of Medicaid Risk Adjustment National Programs , this individual will work closely with risk adjustment...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Mathematica (Hartford, CT)
- …partners to translate big questions into deep insights that improve programs , refine strategies, and enhance understanding using data science and analytics. ... complex client relationships and stakeholder expectations. Primary clients include research, program , or technology offices, up to and including executive leadership… more
- CVS Health (Hartford, CT)
- …affordable. Position SummaryCVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! ... Responsibilities - Perform analysis to identify and prioritize members outreached for prospective and retrospective programs - Identify opportunities to optimize… more
- The Cigna Group (Bloomfield, CT)
- …facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care ... assessments, health education, and utilization management to members. Performs prospective , concurrent, and retrospective reviews for inpatient acute care,… more
- The Cigna Group (Bloomfield, CT)
- …the Case Management job family. Handles moderately-complex cases. Performs prospective , concurrent, and retrospective reviews for inpatient acute care, ... rehabilitation, referrals, and select outpatient services. Ensures that case management program objectives are met by evaluating the effectiveness of alternative… more