- Highmark Health (Hartford, CT)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Cardinal Health (Hartford, CT)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Hartford, CT)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- BJs Wholesale Club (Rocky Hill, CT)
- …Description: Team Member Relations: + Initiates, conducts, and concludes all investigations throughout the Distribution Center and present recommendations to the ... Human Resources Business Partner (HRBP) and DC Director. + Advises DC leadership on team member relations issues, including conflict resolution, corrective actions, and complaints. + Fosters a positive and collaborative relationship between leadership and team… more
- Cardinal Health (Hartford, CT)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Hartford, CT)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Eversource Energy (East Berlin, CT)
- …limited Real Estate functions including field investigations and reports\. **Technical Knowledge/Skill/Education/Licenses/Certifications:** _Technical ... Knowledge/Skill:_ + Demonstrate high standard of professional technical competence + Knowledge of the principles, practices, methods, techniques and latest instruments of land surveying\. + Knowledge of civil engineering principles and terminology relevant to… more
- …as required. ACCOUNTABILITY: The Residential Manager is directly accountable to the Program Coordinator or said other person as may be substituted for the Program ... Coordinator . POSITION RESPONSIBILITIES: + Works vacant shifts if unable...rights directly to the Executive Director or designee. Conducts investigations as directed by the Executive Director or designee.… more
- State of Connecticut, Department of Administrative Services (Wethersfield, CT)
- …safety inspections, heavy duty diesel emission testing, traffic enforcement and investigations of any motor vehicle related complaints. Selection Plan FOR ASSISTANCE ... $16.35 $17.00 Specialized Recreational Services $16.35 $17.00 Tourist Information Coordinator $16.35 $17.00 Information Technology System Analysis $19.00 $22.00… more