• Claims Manager - Liability - REMOTE

    Ryder System (Hartford, CT)
    …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
    Ryder System (02/25/25)
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  • Mgr Accts Receivables/ Claims / Rev Cycle…

    Hartford HealthCare (Farmington, CT)
    …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. ... in active inventory and provides leadership to supervisors and staff including management of human resources, vendors, and client relations. Reports directly to … more
    Hartford HealthCare (01/12/25)
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  • Medical Director - Cigna…

    The Cigna Group (Bloomfield, CT)
    Job Title: Cigna Supplemental Benefits (CSB) Medical Director **Job Summary:** Cigna Supplemental Benefits (CSB) provides peace-of-mind and financial security ... the lives of the individuals we serve. The CSB Medical Director will work closely with CSB's...products, such as Preventive Care, vendor solutions, and other medical management initiatives. **Minimum Qualifications** **Education &… more
    The Cigna Group (03/19/25)
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  • Medicare Benefits Standards & Guidance Lead…

    CVS Health (Hartford, CT)
    …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical more
    CVS Health (03/14/25)
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  • Medical Director - Medicaid N.…

    Humana (Hartford, CT)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (03/11/25)
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  • Medical Director - Care Plus…

    Humana (Hartford, CT)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (03/18/25)
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  • Medical Director - National Medicare…

    Humana (Hartford, CT)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (03/11/25)
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  • Director & Sr. Counsel II - Pharmaceutical…

    Boehringer Ingelheim (Ridgefield, CT)
    **Description** The Director & Sr. Counsel provides a broad range of legal services, typically to Clients at the VP level who control business activities and below. ... company's businesses. Mentors more junior attorneys in areas of expertise. In this role as Director / Senior Counsel you will be a part of the team to support our… more
    Boehringer Ingelheim (03/10/25)
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  • Executive Director , Application…

    CVS Health (Hartford, CT)
    …driving the organization's modernization efforts and enhancing our critical assets, including Claims , Eligibility, and Plans. The Executive Director will develop ... more personal, convenient and affordable. **Position Summary** The Executive Director , Application Development- Commercial claim and reimbursement will define and… more
    CVS Health (02/19/25)
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  • Senior Director of Underwriting - REMOTE

    Prime Therapeutics (Hartford, CT)
    …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
    Prime Therapeutics (03/11/25)
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  • Associate Director , Contracts Compliance

    Boehringer Ingelheim (Ridgefield, CT)
    …To protect the assets of BIPIs and to provide support to the Director , Contract Compliance by: managing the administration of Administrative Fees (BIPI) Purchase ... goals. Within Contract Compliance, this individual will also provide support to the Director , Contract Compliance as it pertains to managing the terms and conditions… more
    Boehringer Ingelheim (02/05/25)
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  • Executive Director , Clinical Development…

    Boehringer Ingelheim (Ridgefield, CT)
    …cross functional counterparts including but not limited to statistics, data management , medical affairs, clinical pharmacology, sourcing, quality, and regulatory ... clinical trials in Therapeutic Area (TA) of Cardio Renal Metabolism The Executive Director (ED) Clinical Development & Operations - Cardio Renal Metabolic (ED, CD&O… more
    Boehringer Ingelheim (02/19/25)
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  • VP/ Director of Finance

    Robert Half Finance & Accounting (Hartford, CT)
    …includes tasks such as accounts payable, accounts receivable, bank reconciliations, claims billing, revenue cycle management , patient services operations and ... Services sector in Manchester, Connecticut. We are seeking a VP/ Director of Finance to join our team in a...a variety of responsibilities related to accounting, finance, and management . Responsibilities: * Overseeing the operations of both the… more
    Robert Half Finance & Accounting (03/11/25)
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  • Executive Director , Strategic Partnerships

    Trustmark (Hartford, CT)
    …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
    Trustmark (02/19/25)
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  • Sr Analyst, Pharmacy Network Operations Managed…

    CVS Health (Hartford, CT)
    …effective solutions related to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create and ensure ... effective solutions related to adjudication and processing of pharmacy and vaccine/ medical claims , maintaining current services, support optimalization of… more
    CVS Health (03/19/25)
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  • Benefits Administrator

    Aston Carter (Hartford, CT)
    …and administration. The team is made up of a receptionist, HR generalist, HR director , and an administrator. The team averages around 700 employees. This person will ... Software used: Excel, ADP Employees: Around 400 Vaccine Required Reports to: HR Director Salary: Up to $65,000 Yearly Job Description: The purpose of this position… more
    Aston Carter (03/06/25)
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  • Attending Physician

    Genesis Healthcare (Danbury, CT)
    …our day-to-day operations. Responsibilities The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves ... Attending Physician's Primary reporting relationship is to the AlignMed Partners Regional Medical Director . The Attending Physician is also accountable to both… more
    Genesis Healthcare (01/18/25)
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  • Enterprise Fraud Data Strategy Analyst

    UMB Bank (Hartford, CT)
    …across all payment channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging fraud trends and UMB's ... concert with the Enterprise Fraud Prevention and Enterprise Fraud Claims teams to identify fraud exposure and make necessary...to fulfill overall business needs and expectations of the Director of Enterprise Fraud Operations and the bank's senior… more
    UMB Bank (03/19/25)
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  • Senior Manager - Principal Insurance

    Cognizant (Hartford, CT)
    …Transformation. + Run consulting teams related to underwriting, policy, billing, and claims management . + Facilitate client workshops and communicate effectively ... Clients draw upon our deep industry expertise, program and change management capabilities, and analytical objectivity to help improve business productivity, drive… more
    Cognizant (03/17/25)
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  • Senior Manager, SAS Analytics & Insights

    Pfizer (Groton, CT)
    …to detail. The position will work closely and receive direction from the Director , SPP Analytics & Insights. The individual will interact with multiple cross ... conflict with PFE SAS SOPs and policies to the Director , SAS Analytics & Insights or to the Sr...degree preferred + Consulting experience and experiences of analyzing patient/ claims data is highly desired. + Strategic mindset, analytical… more
    Pfizer (03/16/25)
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