- The Cigna Group (Bloomfield, CT)
- …Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics ... decision-making. You will work closely with colleagues across the Risk Adjustment business , data science, and data engineering teams to develop research questions,… more
- The Cigna Group (Bloomfield, CT)
- …for the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor ** would be a member of the ... team that provides support by leveraging multiple data domains to answer important business questions. This position is connected with multiple teams to ensure that… more
- The Cigna Group (Bloomfield, CT)
- The **Provider Contracting Senior Advisor ** serves as an integral member of the Network Development and Strategy Team and reports to the Provider Contracting Senior ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- The Cigna Group (Bloomfield, CT)
- …with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic ... are set and executed to advance the company's goals. + Utilize data analytics and performance tracking tools to monitor campaign performance, identify trends, and… more
- The Cigna Group (Bloomfield, CT)
- …reduction initiatives. Reporting to the Affordability Analytics Senior Manager, the Business Analytics Senior Advisor will work in a cross-functional ... team's mission is to improve customer value and affordability across Cigna Medicare . We accomplish this through data-informed analytics , strategic insights, and… more
- The Cigna Group (Bloomfield, CT)
- The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to support our quarterly financial ... set, and measured on a routine basis. This role requires independence, analytics , critical thinking, creativity, business acumen, and relentless problem solving… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic guidance to ... a consistent and best-in-class Clinical function. The Strategy Advancement Advisor also enhances operational stability and effectiveness for market-based processes… more
- Humana (Hartford, CT)
- …and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer ... us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify...key stakeholders from across the enterprise (clinical, quality, operations, analytics , and business ) and leading the end-to-end… more
- Humana (Hartford, CT)
- …and safe data use practices. Facilitate valuable relationships across the data and analytics teams and business leaders, driving to the right questions that ... individual will collaborate with senior stakeholders across Technology and all business units to influence enterprise-wide change while building and coaching her/his… more
- HealthEdge Software Inc (Hartford, CT)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... maintain compliance for our customers. + Act as the subject matter expert and advisor on relevant legislation and regulations that apply to compliance and how this… more
- Cardinal Health (Hartford, CT)
- …regarding managed care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts ... contracts and operations. This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care… more