- CVS Health (Hartford, CT)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, waste, and ... abuse investigations by managing and responding to Requests for Information...The analyst will also provide **leadership support** to the Manager by assisting with team coordination, reporting, and strategic… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support Regional ... and file reviews, coaching, etc. + Active participation in special projects that could be technical in nature (ie)...the demonstration of operational loss analysis reports and accident investigations used to direct services that would eliminate or… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc.* Work with Risk Engineering Manager on special projects and developing reports to support Regional ... include conducting report and file reviews, coaching, etc.* Active participation in special projects that could be technical in nature (ie) Biotech, Technology,… more
- ASM Research, An Accenture Federal Services Company (Hartford, CT)
- …designs content, oversees processing of daily escalations, research requests, special projects, and contact center focused operational activities; interface with ... Subject Matter Experts (SMEs) to discuss and present resolutions for multiple special interests; attend meetings to contribute to the internal branding and universal… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- CVS Health (Hartford, CT)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …coordinate resolution with senior FIN developers; + Assist with PeopleSoft Update Manager (PUM) updates, retrofits, and testing issue resolution; + Partner with ... Office of the State Comptroller are subject to a detailed background investigation , including a fingerprint supported state and federal criminal history record check… more
- Travelers Insurance Company (Hartford, CT)
- …with Unit Manager on use of Claim Coverage Counsel. + Investigation /Evaluation: + Investigates each claim to obtain relevant facts necessary to determine ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Travelers Insurance Company (Hartford, CT)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- State of Connecticut, Department of Administrative Services (Meriden, CT)
- …of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at ### or ###@ct.gov. BEFORE YOU APPLY: + Meet Minimum Qualifications: ... in one or more trade areas. MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE Two (2) years of the General Experience...of facts stated in the application, a thorough background investigation of each candidate may be made before persons… more
- Eastern Connecticut Health Network (Manchester, CT)
- …calls, registration and ICD-9 coding, problem solving, testing-to-billing-or-other patient investigations and all other front-end functions performed in laboratory ... etc.) and reports all problems to the Lab Supervisor, Manager or Director. + Assembles materials requested by physicians...specimen(s) for the Courier's pickup each day or for special mailings. + Processes laboratory specimens by: examining the… more
- BHI Energy (Meriden, CT)
- …in the Northeast Region. The Safety Representative will work closely with the Manager - Environment Health and Safety, Project Manager , General Foreman, and ... safety meetings. + Preparing health and safety plans. + Leading incident investigation efforts. + Conducting and documenting on-site safety inspections. + Promoting… more
- CDM Smith (Hartford, CT)
- …design activities in client-facing role, with ability to function as Task Manager or Project Technical Leader. Contributes to firm's Technical Knowledge Management ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Hartford, CT)
- …design activities in client-facing role, with ability to function as Task Manager or Project Technical Leader. Contributes to firm's Technical Knowledge Management ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Waterbury, CT)
- …(TKM) by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Waterbury, CT)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Waterbury, CT)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Waterbury, CT)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Collaborates with sales staff to create proposals in ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Waterbury, CT)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more