• Claims Systems , Business

    The Cigna Group (Bloomfield, CT)
    solutions ? Do you have a high degree of technical expertise in claims systems ? EviCore, a line of business within the Cigna Group, is hiring a Claim ... Systems , Business Solutions Lead Analyst...Systems , Business Solutions Lead Analyst to provide focused...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
    The Cigna Group (04/18/25)
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  • Claims Systems , Technical Lead…

    The Cigna Group (Bloomfield, CT)
    Ready to work with a team that improves our business solutions ? Do you have a high degree of technical and analytical expertise? EviCore a line of business ... and data validation + work closely with external clients, internal stakeholders, project managers, claims systems , claims product and planning and claims more
    The Cigna Group (04/18/25)
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  • Senior Manual Tester with accounting…

    Eliassen Group (Hartford, CT)
    **Senior Manual Tester with accounting or claims systems experience.** **Anywhere** **Type:** Consulting **Category:** Quality Assurance (QA) **Industry:** ... in validating the accuracy of financial data and ensuring seamless integration between systems . _Due to client requirement, applicants must be willing and able to… more
    Eliassen Group (04/16/25)
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  • Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Hartford, CT)
    …evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
    Highmark Health (04/26/25)
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  • Claims Business Analyst - Remote

    Cognizant (Hartford, CT)
    …This position is responsible for working with business partners within one business function to align technology solutions with business strategies; ... partners to elicit, analyze, communicate, and validate requirements for changes to business processes, policies, and information systems ; Assist in the analysis… more
    Cognizant (03/25/25)
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  • IT Business Systems Analyst- REMOTE

    Prime Therapeutics (Hartford, CT)
    …requirements and technical solutions for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of business requirements and IT ... drives every decision we make. **Job Posting Title** IT Business Systems Analyst- REMOTE **Job Description** The...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… more
    Prime Therapeutics (05/10/25)
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  • National Competitive Business Analytics…

    The Cigna Group (Bloomfield, CT)
    …Contracting & contract negotiations. In-depth understanding of managed care business processes, data, systems , reimbursement methodology, case-mix adjustment, ... As a **National Competitive Business Analytics Senior Advisor** , this highly technical...focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with… more
    The Cigna Group (04/23/25)
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  • VP, Middle & Large Business Data Science…

    The Hartford (Hartford, CT)
    …along with business acumen to translate complex technical topics into business solutions . + Strong verbal/written communication skills; Must be able to ... Data Science & AI organization, ensuring the integration of cutting-edge AI solutions to optimize business processes and enhance decision-making. This role… more
    The Hartford (04/19/25)
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  • Senior Associate Business Intelligence

    NTT America, Inc. (Hartford, CT)
    …process improvements. + Under guidance, reviews and edits requirements, specifications, business processes, and recommendations related to proposed solutions . ... attention to detail and accuracy. + Ability to identify solutions in sprawling data sets and the business...data protection and privacy laws. + Experience with Medicaid/Medicare systems processing, including Claims , Provider, and Member… more
    NTT America, Inc. (04/25/25)
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  • Business Analytics Advisor (South Texas…

    The Cigna Group (Bloomfield, CT)
    …group presentation + Understanding of managed care business processes, data, systems , and applications for claims payment, enrollment, benefit design, and ... through analysis of healthcare provider contracts, analysis of high performing network solutions , analysis of medical expense reports, data drill downs of trend… more
    The Cigna Group (05/09/25)
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  • Revenue Cycle Business Analyst / PA Self…

    Hartford HealthCare (Farmington, CT)
    …improvement opportunities . Identify, create and support process design changes by conducting business and systems process analysis and design at a complex ... and external customers to ensure system processes provided meet the long-term business strategies . Monitor the EPIC Revenue Cycle Dashboards for any variations… more
    Hartford HealthCare (05/06/25)
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  • RWD Solution Architect

    Norstella (Hartford, CT)
    …view on proper design and implementation of studies using NorstellaLinQ real world data solutions of claims , lab, and/or EHR. Proficient speaking to and working ... we can offer an even wider breadth of expertise, cutting-edge data solutions and expert advisory services alongside advanced technologies such as real-world data,… more
    Norstella (05/02/25)
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  • Statewide Workers' Compensation Program Manager

    State of Connecticut, Department of Administrative Services (Hartford, CT)
    …human resources management functional area pertinent to the position (eg Talent Solutions , Human Resources Policy and Information Systems , Benefits and Leaves, ... and the Office of the Chief State's Attorney-to ensure effective claims management, compliance, and continuous improvement of the program. Additional… more
    State of Connecticut, Department of Administrative Services (04/29/25)
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  • Medical Science Liaison- CNS

    Otsuka America Pharmaceutical Inc. (Hartford, CT)
    …management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this ... Science Liaison (MSL), contributes to the development of the ecosystem strategic business plan and identifies key stakeholders that are vital to the ecosystem.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • System Engineer II

    NASCO (Hartford, CT)
    …judgment, discretion and analysis in coordinating, developing and designing computerized information systems solutions for business problems to meet ... where you'll be pivotal in analyzing and implementing innovative solutions that drive our business forward. In...moderate to complex technical challenges, enhancing data management and claims processing systems for NASCO and its… more
    NASCO (05/06/25)
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  • Chief Information Officer

    Public Consulting Group (Hartford, CT)
    …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... program integrity functions. + Time study and cost allocation systems to support Health and Human service agency cost...solutions that meet or exceed user expectations and business goals is foundational to serving in this role.… more
    Public Consulting Group (03/29/25)
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  • F&I Customer Support Associate or Consultant

    Zurich NA (Hartford, CT)
    claims office staff for insureds and other parties calling to report claims . + Identify appropriate business or marketing reps for agents seeking ... staff for insureds and other parties calling to report claims . + Identify appropriate business or marketing...+ Proven ability to multitask across multiple applications and systems + Comfortable working with various platforms and multiple… more
    Zurich NA (05/09/25)
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  • Japanese Interpreter / Language Services…

    Otsuka America Pharmaceutical Inc. (Hartford, CT)
    …metrics and generating monthly reports. + Manage user administration of subscribed systems and tools and monitor usage. + Support various department projects and ... the implementation of the most up-to-date language technologies and solutions , and process improvement. **Qualifications** Required + Minimum bachelor's degree… more
    Otsuka America Pharmaceutical Inc. (05/08/25)
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  • Director, Medical Affairs Congress Strategy…

    Otsuka America Pharmaceutical Inc. (Hartford, CT)
    …to extend congress reach and engagement, including virtual and hybrid congress solutions + Develop and execute strategic plans for pre-congress, on-site, and ... **Metrics and Analytics** + Establish KPIs for congress activities and implement systems to track and analyze performance + Conduct post-congress analysis to assess… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Data Scientist, Digital Products

    Otsuka America Pharmaceutical Inc. (Hartford, CT)
    …+ Create innovative methodologies for data + Build proof of concept systems + Establish strategic partnerships with technical leadership across functional areas + ... care data analytics preferred + Demonstrated ability to create new and different solutions that align to real work problems and opportunities + Proficiency in… more
    Otsuka America Pharmaceutical Inc. (05/10/25)
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