- The Cigna Group (Bloomfield, CT)
- …a line of business within the Cigna Group is hiring a Claims System Senior Analyst . This highly technical systems role requires the review of our ... the system per the specifications of the provider. The Claims System Senior Analyst will... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- Highmark Health (Hartford, CT)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- The Hartford (Hartford, CT)
- …Join our team as we help shape the future. This role is responsible for assessing Claims data needs and working with the TM1 team to build TM1 based reporting cubes ... within TM1. The Consultant will partner with multiple teams including Claims Finance, Workforce Management, Segment FP&A, Actuarial, Performance and Analytics, TM1… more
- The Hartford (Hartford, CT)
- …our team as we help shape the future. The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We are looking for motivated attorneys ... counsel legal bill invoices and to conduct in office Legal Bill Review audits.As a Senior Litigation Analyst you will be expected to provide a breadth and depth… more
- Evolent (Hartford, CT)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data * Using analytical tools to integrate various data sources to ... and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM &...isn't feasible given data limitations * Understanding of data systems and the critical thinking skills to account for… more
- Highmark Health (Hartford, CT)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or… more
- Commonwealth Care Alliance (Springfield, MA)
- …analyzes data and creates recommendations to improve operational functionality. The analyst is expected to successfully lead projects of any size, scope, ... and level of complexity, directly engaging with senior leaders. It is critical this person is able...and Tools** + Engages with stakeholders to understand current processes/ systems and pain points as well as elicit detailed… more
- Highmark Health (Hartford, CT)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... overall business targets or assigned volume of new applications or RFP's.Utilize various systems and tools to obtain necessary data and accurately complete and track… more
- The Hartford (Hartford, CT)
- …ecosystem. The Customer Operations Data Science & Analytics team is seeking a Senior Analyst to support analytics across the Contact Center Operations (CCO) ... Portfolio for Personal Insurance, Business Insurance and Claims Contact Centers. As a member of this team, this person will own the measurement and monitoring of key… more
- Evolent (Hartford, CT)
- …Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of the Product team, focused on client ... the features into product releases. + Serve as a senior product owner on an Agile development team for...participant in user acceptance testing (externally and internally) and systems sign-off + Alert product managers to potential risks… more