- Parexel (Hartford, CT)
- **Project Lead ,** **Meeting Services** We are looking for a Meeting Specialist to join our talented and supportive team of 40+ delivering high quality ... for your clients as you look after projects end-to-end working with a team of likeminded individuals. Qualities such as being highly self-motivated, driven, and… more
- Sedgwick (Hartford, CT)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Humana (Hartford, CT)
- …healthcare operations, or insurance industry, with at least 1 year in a supervisory or team lead role. **Knowledge & Skills:** + Solid understanding of claims ... a part of our caring community and help us put health first** The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims … more
- Cognizant (Hartford, CT)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- Humana (Hartford, CT)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- The Cigna Group (Bloomfield, CT)
- **OVERVIEW:** A career within Forsyth Health's Product team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and ... programs. **How you'll make a difference:** The Data Science Lead Analyst role is a crucial role to the...* Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) as needed to gain a… more
- Prime Therapeutics (Hartford, CT)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Hartford, CT)
- …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
- Prime Therapeutics (Hartford, CT)
- …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims… more
- Prime Therapeutics (Hartford, CT)
- …drives every decision we make. **Job Posting Title** Sr Solution Strategist - Remote **Job Description** **Calling all Solution Strategists! We are looking for a ... Solutions Strategist to be a part of our JUDI Team . If you are interested in working within a...utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion… more
- Prime Therapeutics (Hartford, CT)
- …non-lawyer and lawyer professionals and is a key member of the legal department's leadership team . **Responsibilities** + Lead and mentor a team of attorneys ... make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads...and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed… more
- The Cigna Group (Bloomfield, CT)
- **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... operational efforts within the Clinical Quality Data & Informatics (CQDI) team to improve population health outcomes through data-driven clinical initiatives. The… more
- The Cigna Group (Bloomfield, CT)
- …Act as a subject matter expert (SME) in areas relevant to the team + Develop strategic relationships/matrix with Clinical Operations and other Express Scripts ... and develops by providing mentorship to members within the team + Acts as a strategic business partner to...strategic business partner to various stakeholders both internal/external + Lead and execute large strategic projects designed to enhance… more
- Guardian Life (Hartford, CT)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Cognizant (Hartford, CT)
- **About the role** We are looking for Test Lead with 10+ years of QA experience who have good exposure and understanding of personal lines Insurance (Auto or Home). ... to solve straightforward problems, seeking input and guidance from team members. + Works with more junior members to...**Based on this role's business requirements, this is a remote position open to qualified applicants in Phoenix, AZ.**… more
- Cardinal Health (Hartford, CT)
- …messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + ... Hybrid or remote position Schedule: Monday - Friday, 8:00am -...Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope… more
- The Hartford (Hartford, CT)
- …to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. About the Role The Hartford's Innovation Center of ... two dynamic Generative AI Solution Consultants to join our team . We are on a mission to transform internal...and operations teams to co-design scalable, production-ready solutions. + Claims Domain Expertise: Apply a deep understanding of … more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …to excel performance across the Globe. Clear strategic thinking with the ability to lead and demonstrate passion for the brand is required. You'll join an empowered, ... fast-paced, high-visibility team at the forefront of scientific innovation, where your work will shape decisions that impact patients worldwide with autoimmune and… 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 ... some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
