- CVS Health (Hartford, CT)
- …by working in a fast paced, complex, cross-functional environment. The Sr. Manager , Project Program Management will lead a cross-functional team focused ... care more personal, convenient and affordable. **Position Summary** The Medicare Strategic PMO is seeking a number of qualified... Strategic PMO is seeking a number of qualified program and project managers to drive and lead large,… more
- The Cigna Group (Bloomfield, CT)
- The **Regional Medicare ** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is...Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including… more
- The Cigna Group (Bloomfield, CT)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. **Position Summary** As the Senior Manager , Medicare STARS you will plan, monitor and manage ... Communications, Investor Relations, Business Leaders, and Executive Leadership. The Senior Manager , Medicare STARS will...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- …which is a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint ... Resolutions Senior Supervisor is a... manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM… more
- The Cigna Group (Bloomfield, CT)
- …appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care ... impacting care coordination, and Special Needs Plans Model of Care program goals and requirements, as applicable. **Essential Duties and Responsibilities:** +… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… 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
- The Cigna Group (Bloomfield, CT)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... 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)
- …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... quality of care and greater affordability for the senior population. The primary focus for this role includes...service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National… more
- The Cigna Group (Bloomfield, CT)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network operations, and… more
- The Cigna Group (Bloomfield, CT)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama,… more
- CVS Health (Hartford, CT)
- …like cloud computing to streamline and modernize Aetna's Part D rating systems. As Senior Manager of Application Development, you will help lead the creation of ... personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...both proposed projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...in ACO/IDN, hospital, or healthsystem + Experience with government plans/ program such as Medicare , Medicaid, Duals +… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires significant ... and monitors the efficiency and performance of programs, ensuring program execution is on target. + Manages dashboard reporting...and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS… more
- Humana (Hartford, CT)
- …business areas while helping ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program . The M3P program will ... a part of our caring community and help us put health first** The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Northeast and Central USA market._** The **Business Project Senior Analyst** serves as an integral member of the Network Development and ... termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, Network… more
- The Cigna Group (Bloomfield, CT)
- …Total Cost of Care (TCC) reduction initiatives. Reporting to the Affordability Analytics Senior Manager , the Business Analytics Senior Advisor will work ... mission is to improve customer value and affordability across Cigna Medicare . We accomplish this through data-informed analytics, strategic insights, and… more
- CVS Health (Hartford, CT)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of ... all four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid); this suite of reporting includes Executive Dashboards… more