- 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
- 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
- Highmark Health (Hartford, CT)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- CVS Health (Hartford, CT)
- …+ Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts. + Work with leaders ... of the Meritain products and services along with strong business and systems knowledge. + Reviews work for accuracy and recommends pricing and/or accounting… more
- The Hartford (Hartford, CT)
- …talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate ... Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our… more
- The Cigna Group (Bloomfield, CT)
- …and group presentation + Understanding of managed care business processes, data, systems , and applications for claims payment, enrollment, benefit design, and ... findings to business partners at various levels of the organization. + Assist Senior Manager on planning processes and ad-hoc report requests. + Keep management… 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