- CVS Health (Hartford, CT)
- …credentialing, provider network adequacy, provider reimbursement. * Optimizes service operations and enhance customer support efforts through innovative technologies ... teams, leveraging technology and data analytics to optimize service operations , improve efficiency, and enhance customer insights. **Education** Bachelors degree… more
- CVS Health (Hartford, CT)
- …effective partnering within network as well as other business areas (clinical, operations , Medicaid segment). **Skills In** + Project management fundamental ... and manage complex projects in support of Government Programs Network team's process, operations , and strategy as it relates to alignment with CVS Care Delivery… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial Compliance Programs. This role reports directly to the Managing… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project, from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager works on problems of...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- The Cigna Group (Bloomfield, CT)
- …3 Senior Contributor Career Track Role.** For this position, Nurse Case Manager Senior Analyst, through the case management process, will promote the ... those members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... including Customers, Account Executives, Sales, Professional Services, Support and Cloud Operations to create and deliver a great customer experience. + Lead… more
- Public Consulting Group (Hartford, CT)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for… more
- The Cigna Group (Bloomfield, CT)
- **Job Description** + The job profile for this position is Customer Service Senior Supervisor, which is a Band 3 Management Career Track Role. **Customer Service ... Senior Supervisor-Medicare** The Government Business CTM (Complaint Tracking Module)...& Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role will support the Medicare… more
- Gentiva (Branford, CT)
- …Reports directly to the Executive Director, Administrator, or Senior Patient Care Manager . Responsible for the day to day operations of your assigned hospice ... Managing the site in the absence of the Executive Director, Administrator, or Senior /Executive Patient Care Manager . + Managing and overseeing clinical and… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Manager , Business Intelligence for Membership and Plan Services will support the account services, ... business decision makers within the business and drive results. The ** Manager , Business Intelligence** will utilize various tools, technologies, applications and… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- Elevance Health (Wallingford, CT)
- …and execution of department strategic priorities; must be comfortable interfacing with senior leadership. + Partner with business operations to understand ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Project...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more