- CVS Health (Hartford, CT)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Hartford, CT)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- The Cigna Group (Bloomfield, CT)
- …non-centralized work environment preferred + Experience in developing and managing key provider relationships including senior executives + Knowledge of complex ... This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting. This role is a key… more
- CVS Health (Hartford, CT)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- The Cigna Group (Bloomfield, CT)
- …population health outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, ... **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in… more
- The Cigna Group (Bloomfield, CT)
- …+ Provide expertise in utilization management services including eligibility, provider loads, authorization exports, and claims file exchanges **Skills** + ... **Position Summary** The Client Management Senior Manager owns the output of...metrics) + Lead Joint Operating Committee (JOC) meetings + Provide direction and support to ensure that the CEMs… more
- Humana (Hartford, CT)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Fujifilm (Hartford, CT)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Hartford, CT)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Walgreens (Torrington, CT)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Public Consulting Group (Hartford, CT)
- …more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join ... understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including management of… more
- Prime Therapeutics (Hartford, CT)
- … Manager provides information, analyses, and consulting to Health Plan and Prime senior management. The Account Manager supports senior management and ... functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more
- WTW (Hartford, CT)
- …spectrum of health and benefit programs. You will serve as the project manager on select projects, interface with vendors and key clients internally and externally, ... day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare… more