- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** The Manager , Business Consulting for Medicare Stars Member Experience will be responsible for ... the planning, execution, and delivery of digital transformation initiatives within the Medicare Advantage program. We are looking for a visionary team player who… more
- The Cigna Group (Bloomfield, CT)
- …or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / ... will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM)...a designated full time support to Express-Script's external client's Medicare Part D business . This role will… more
- Humana (Hartford, CT)
- …drive improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...priorities. Display ability to balance and present tradeoffs between business objectives and customer needs. + Serve as a… more
- Humana (Hartford, CT)
- …a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront ... through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The… more
- Hartford HealthCare (Hartford, CT)
- …Summary:_* Reporting to the System Director of Revenue Compliance, the Program Manager of Revenue Compliance contributes to the success of OCI through managing ... care, inpatient rehabilitation, and others. In addition, the Program Manager of Revenue Compliance will have a firm understanding...Revenue Compliance will have a firm understanding of the Medicare IPPS, OPPS and ASC payment system. Works to… more
- CenterWell (Hartford, CT)
- …clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment. Uses data-based insight to direct process improvement efforts ... anticipates industry trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology and third-party… more
- Trinity Health (Hartford, CT)
- …of assigned regional staff including the monitoring of competencies.Develops with manager goals and objectives, conducts annual performance appraisals and the ... actions, etc. + Assists with complex coding technical and business issues and aligns action plans with local and...the THMG Professional Billing, Auditor, and Educator team and manager on results of the regional coding team audits… more