- The Cigna Group (Bloomfield, CT)
- **Summary** The Provider Data Quality &..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a ... data cleansing algorithms and processes. + Communicate data quality findings and recommendations to both...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- The Cigna Group (Bloomfield, CT)
- …Audit, Controls & Compliance Advisor will support the Internal Monitoring function within the Provider Data Quality & Accuracy (PDQA) team. They will help ... execute monitoring programs to identify data accuracy issues which negatively impact our ability to...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- The Cigna Group (Bloomfield, CT)
- …and clinical metrics data collection, and design plans for enhanced provider engagement in quality initiatives + Perform financial analysis & participate ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior...provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- The Cigna Group (Bloomfield, CT)
- …a member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) and Chief ... Medical Officer for Cigna Medicare (CMO), and will be responsible for supporting the...will assist in the management process for the Clinical Quality , Strategy and Solutions leadership team, including facilitating leadership… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role… more
- Humana (Hartford, CT)
- …Health Medical Director will attend and participate in meetings involving care management, provider relations, quality of care, audit, grievance and appeal and ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …& Benefits and Referrals, SharePoint knowledge + Experience working with healthcare related data (Insurance, Clinical, Provider , Managed care etc ) + Strong ... caring community and help us put health first** The Provider Connectivity Professional 2 provides analysis and support to...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- … relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, ... community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …with data analytics teams to use insights in enhancing provider visibility and member decision-making + Manage the product backlog, prioritize features ... us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Highmark Health (Hartford, CT)
- … data management solutions. + Provide business process, system support and data quality governance through data coordination and integration to ensure ... management solutions. Provides business process, system support and data quality governance through data ...analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision… more
- Humana (Hartford, CT)
- … assets, enterprise-wide governance processes and tools, sensitive data management, data literacy and data quality . This individual will collaborate ... data governance, data lineage and mapping, data enrichment, data quality , ...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …of successful software development. Your expertise will drive the creation of high- quality test data , helping teams to innovate with confidence. Embrace ... software development. Your expertise will enable the creation of high- quality test data , empowering teams to innovate...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... caring community and help us put health first** The Data Manager 2 supports all aspects of configuration control,...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Hartford, CT)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... first** The Associate Vice President (AVP) of Sales, Group Medicare and Specialty Marketing and Enablement plans and executes...We believe our role goes beyond that of a provider of insurance to that of a well-being partner… more
- Humana (Hartford, CT)
- …+ Contribute to moving the team towards cloud-based analytical platforms + Ensure solutions provide the highest quality of data + Consults with internal ... first** The Senior Software Engineer solves complex business problems and issues using data from internal and external sources to provide insights to… more
- Humana (Hartford, CT)
- …role will focus on opportunities to improve member health outcomes, member and provider experience, clinical quality , and savings to medical costs. The Strategy ... to analyze complex problems and issues related to our Medicare Advantage population using data and insight...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... is a list of some of the responsibilities: + Provide financial support for analyzing variations from budget for...+ Engage with the producers and the Center for Medicare and Medicaid Services Department of Insurance regulations specific… more
- Prime Therapeutics (Hartford, CT)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...+ Experience working with databases to retrieve and analyze data + Ability to adapt and multi-task **Minimum Physical… more
- CVS Health (Hartford, CT)
- …in both our Dually Eligible Special Needs Plan (DSNP) and our Medicare -Medicaid Plan (MMP) programs. We collaborate with members, providers, and community ... organizations in pursuit of quality solutions that address the full continuum of our...of the Dual Eligible Special Needs Plan (DSNP) and Medicare -Medicaid Plan (MMP) care management teams and the Interdisciplinary… more
- Humana (Hartford, CT)
- …and Medicare Advantage + Demonstrated knowledge of health care provider operations **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...need it. These efforts are leading to a better quality of life for people with Medicare ,… more