• Medical Director -- Claims

    Humana (Hartford, CT)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
    Humana (10/29/24)
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  • Sr. Claims Specialist - Complex…

    Zurich NA (Hartford, CT)
    …Office, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR ... Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our… more
    Zurich NA (10/11/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Hartford, CT)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote more
    Takeda Pharmaceuticals (10/16/24)
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  • Director & Actuary or Director

    The Hartford (Hartford, CT)
    Director & Actuary - AM06AEDirector & Assistant Actuary - AM06BE We're determined to make a difference and are proud to be an insurance company that goes well beyond ... help shape the future. This role can be a Director & Actuary or Director & Assistant...work closely with other Actuarial partners as well as Claims Performance Analytics, Product, and Data Science. Responsibilities: +… more
    The Hartford (10/08/24)
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  • Director , Product Management…

    HealthEdge Software Inc (Hartford, CT)
    **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (09/21/24)
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  • Executive Director , Learning Design

    Educational Testing Service (Hartford, CT)
    …education and ed tech space as it continues to grow and evolve. The Executive Director of Learning Design will lead the strategy for how ETS develops learning and ... assessment solutions in the K16 Business Unit. The Executive Director will lead a team of learning scientists, instructional designers, user experience research and… more
    Educational Testing Service (11/02/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Hartford, CT)
    …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
    Humana (10/29/24)
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  • Business Change Director (Quality Control…

    Elevance Health (Wallingford, CT)
    **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... business system integrations. **Location:** This position will work in a hybrid model ( remote and office) with once a week from the nearest Elevance Health… more
    Elevance Health (10/04/24)
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  • Senior Manager, Supply Chain Legal Advisor…

    RTX Corporation (Farmington, CT)
    Date Posted: 2024-10-30 Country: United States of America Location: RCO99: RTN Remote , Colorado Position Role Type: Remote At Raytheon, the foundation of ... (SC) Legal Advisor, who will report to the Associate Director , Raytheon SC Advising. The SC Advisor provides advice...information agreements, and other agreement types. This position is remote ; the ideal candidate will be located within 50… more
    RTX Corporation (11/05/24)
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  • Regulatory Analyst Sr - Remote

    Prime Therapeutics (Hartford, CT)
    …every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
    Prime Therapeutics (10/30/24)
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  • Accountant - Remote

    Prime Therapeutics (Hartford, CT)
    …and drives every decision we make. **Job Posting Title** Accountant - Remote **Job Description** The accountant is primarily responsible for Pharmacy Benefit ... Management (PBM) claims and administrative invoicing for assigned contracts. In addition,...adjust focus **Reporting Structure** + Reports to Manager or Director in Finance department Potential pay for this position… more
    Prime Therapeutics (10/29/24)
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  • Property Executive General Adjuster

    Zurich NA (Hartford, CT)
    …AM - Remote Work (US) Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- DIRECTOR #LI- REMOTE ... a Property Executive General Adjuster to support our Property Claims division. At Zurich North America Claims ...choosing your next career move. This position is 100% remote and can work anywhere in the United States.… more
    Zurich NA (10/31/24)
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  • Construction Professional Liability Underwriter…

    Zurich NA (Hartford, CT)
    …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (10/12/24)
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  • Senior Design/Construction Management Consulting…

    Zurich NA (Hartford, CT)
    …Office, AM - Oregon Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI- DIRECTOR ... prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims...for resume submission. Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Dallas, AM - San… more
    Zurich NA (08/08/24)
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  • Operations Supervisor - Move Management…

    HomeSafe Alliance (Hartford, CT)
    …with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of transit ... risks of not meeting RDDs as directed by the Director of International Operations, for all shipments that may...International Operations, for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
    HomeSafe Alliance (10/02/24)
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  • Lead AI Solutions Marketing Manager

    Lumen (Hartford, CT)
    …and is expected to meet and exceed goals. **Location** This is a remote position open to candidates located anywhere in the US **The Main Responsibilities** ... messaging to develop value propositions, differentiators, messaging, proof points, and claims + Develops sales enablement materials to ensure sales understanding at… more
    Lumen (10/24/24)
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