- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- Specialty Claims Associate **Company** HSB **Location** Hartford , United States **Location: Listed for Hartford, CT. However this job is available fully ... remote within the US** Job Description Manage specialty claims supporting some or all the following products: Employment Practices Liability (EPL), Miscellaneous… more
- Humana (Hartford, CT)
- …years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Hartford, CT)
- …ensures compliance with governmental requirements related to the administration of Specialty products with a focus on Medicare Supplement plans. The Senior ... degree + Experience/Knowledge of Medicare Supplement + Experience/Knowledge of health insurance claims Travel: While this is a remote position, occasional travel to… more
- Cardinal Health (Hartford, CT)
- …Patient Hub Services experience is highly preferred + Knowledge of the specialty drug product marketplace, health insurance claims processing, and ... Summary** Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- The Associate Director, Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director, Sales & Marketing Analytics should be able...IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength… more
- Evolent (Hartford, CT)
- …of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS, ... Specialty Operations) and external partners, delivering analyses that drive...Analytics & Insights:** Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost… more
- Travelers Insurance Company (Hartford, CT)
- …$144,400.00 **Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- MetLife (Bloomfield, CT)
- …Role Overview: Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a ... to work as appropriate. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company,… more
- Humana (Hartford, CT)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …responsible for the evaluation and clinical development of Rheumatology, Immunology and Specialty Medicine products at different stages of development for a global ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …for the evaluation and clinical development of Rare, Metabolic Disease and Specialty Medicine products at different stages of development for a global health-care ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Cognizant (Hartford, CT)
- …role, the successful candidate performs cash posting functions for physician claims . This position will be responsible for posting payments, reconciling journals, ... **Cash Posting** : Perform cash posting functions for physician claims , including posting payments and reconciling journals and remits....: 2-3 years in healthcare revenue cycle with a specialty in cash posting. + **Education** : HS Diploma.… more
- Humana (Hartford, CT)
- …is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, ... relationships with large national providers. Ensure adequate coverage of primary care, specialty and ancillary services for Humana to meet both regulatory and sales… 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 ... populations). + Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted license in KY or willing to obtain… more
- Humana (Hartford, CT)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... in region of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills + 5 years of established clinical experience +… more
- Trinity Health (Hartford, CT)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system ... or revenue cycle or consulting experience + Associate degree in related field + A minimum of...Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and… more
- Humana (Hartford, CT)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... region of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, or… 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 ... years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and… more