- Prime Therapeutics (Hartford, CT)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- Walgreens (West Hartford, CT)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- WTW (Hartford, CT)
- …with personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance Consulting and Technology (ICT) practice. In this role, you ... our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to...cross-functional teams + Serve as a mentor and project manager to more junior colleagues, training them on both… more
- General Motors (Hartford, CT)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- Elevance Health (Wallingford, CT)
- **Health Information Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while ... South Portland, ME or Manchester, NH. The **Health Information Consultant Senior ** is responsible for identifying opportunities to improve health care affordability… more
- CVS Health (Hartford, CT)
- …to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer. You will develop a deep understanding of PBM Finance data ... team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide...(AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years… more
- Highmark Health (Hartford, CT)
- …The incumbent will contribute to recommendations for annual/ongoing formulary and program strategies, in close collaboration with matrix partners and stakeholders ... review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of… more
- CVS Health (Hartford, CT)
- …compassionate. We do it all with heart, every single day. We are seeking a ** Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance, or related functions. + 5+ years of… more
- CVS Health (Hartford, CT)
- …care landscape in new and exciting ways every day. Aetna is currently seeking a ** Senior Manager for the Test Center of Excellence** team. This individual will ... regression testing, financial neutrality testing, and performance testing, across claims platforms. + Establish and monitor the ongoing capabilities required… more
- Elevance Health (Wallingford, CT)
- …program savings. The ideal candidate will possess extensive experience in PI editing, claims , and program management. **How you will make an impact:** + ... **Strategy & Program Development Director - Payment Integrity Strategy &...compliance, and the strategic design and management of enterprise-wide claims editing projects. This role involves planning, budgeting, and… more
- Walgreens (Wallingford, CT)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager… more
- Sysco (Hartford, CT)
- **JOB SUMMARY** As a member of the Operating Company (OpCo) senior leadership team, the Human Resources Business Partner works strategically with leadership to ... and enterprise-wide initiatives within the OpCo. **RESPONSIBILITIES** + Partner with senior management to identify and proactively develop talent through formal… more
- Walgreens (New Haven, CT)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Aston Carter (Hartford, CT)
- …of inquiry relating to HR in the Home Office with support from the Senior Manager , Human Resources. + Support full cycle recruitment for professional positions ... Manage workers compensation for the Home Office, including reporting claims and adhering to company processes with claims...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Pearson (Hartford, CT)
- …staffing agencies and product vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to ensure efficient ... to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main liaison, fostering robust relationships with… more