- Highmark Health (Hartford, CT)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Rocket Software (Hartford, CT)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Public Consulting Group (Hartford, CT)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Prime Therapeutics (Hartford, CT)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Cognizant (Hartford, CT)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Humana (Hartford, CT)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Prime Therapeutics (Hartford, CT)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- Fair Haven Community Health Care (New Haven, CT)
- …position is onsite/hybrid, commuting of New Haven, CT. Job purpose The Data Analyst II is responsible for gathering, organizing, analyzing and presenting data. The ... Reporting to the Data & Analytics Director, the Data Analyst II uses analytical skills and expertise in data...+ Approves team workflow and processes documentation for the benefit of team and organizational data governance and contributes… more
- CVS Health (Hartford, CT)
- …Team, Aetna Commercial Account Management Teams and back-office departments regarding benefit plans, eligibility, claims , billing, and general benefit ... Controls daily communication between departments or individual policyholders regarding benefit plan administration. Directs workflow to respond, manage, and resolve… more
- Humana (Hartford, CT)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Norstella (Hartford, CT)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Cognizant (Hartford, CT)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- CVS Health (Hartford, CT)
- …do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate to senior employees ... Serve as the main point of contact for senior leaders working closely with the Benefits team to ensure a seamless and high-quality Aetna experience. + Serve as a… more
- CVS Health (Hartford, CT)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on… more
- CVS Health (Hartford, CT)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... * 3-5 years' experience with business segment specific policy, benefits , plan design and language. * Strong verbal and...and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of… more
- Cardinal Health (Hartford, CT)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- CVS Health (Hartford, CT)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix… more
- CVS Health (Hartford, CT)
- …test plans and test results + 3+ years of HRP experience + Claims adjudication background + Knowledge of MedCompass and Utilization Management Configuration. + ... a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix… more
- Highmark Health (Hartford, CT)
- …analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility… more