- Healthfirst (CT)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- The Cigna Group (Bloomfield, CT)
- …Lives?** EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role ... acts as the Subject Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim Products. You'll be the primary… more
- Healthfirst (CT)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Hartford HealthCare (Farmington, CT)
- … Analyst I will have primary responsibility for design, build/ configuration , testing, validation, and ongoing support/troubleshooting of Epic modules and other ... acquiring/utilizing knowledge of operational workflows used with the Epic system. The Analyst will follow internal ITS (CareConnect) build, change control and issue… more
- HealthEdge Software Inc (Hartford, CT)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more