- CVS Health (Hartford, CT)
- … managed care organization. In partnership with and under the direction of the Chief Medicaid Compliance Officer and Medicaid Compliance leadership team, ... other key department projects and initiatives to improve and enhance Aetna's Medicaid Compliance program, and serve as the compliance representative on… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial ...identify and mitigate compliance risks. The Legal Compliance Senior Director- Express Scripts Medicaid… more
- Sumitomo Pharma (Hartford, CT)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The Sr . ... , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid … more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **What** **You Bring** **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including all related processes (eg… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- CVS Health (Hartford, CT)
- …is responsible for leading the delivery of Aetna quality and compliance efforts, cross-functional reporting, and cultural transformation. This position will be ... Qualifications** - Registered Nurse - 2 years experience working with Medicaid or Exchange Contract Requirements **Education** Bachelor's Degree or equivalent… more
- The Cigna Group (Bloomfield, CT)
- **Job Description** + The job profile for this position is Customer Service Senior Supervisor, which is a Band 3 Management Career Track Role. **Customer Service ... Senior Supervisor-Medicare** The Government Business CTM (Complaint Tracking Module)...& Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role will support the Medicare… more
- CVS Health (Hartford, CT)
- …lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid ). This position will support a wide range of stakeholders, including ... lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid ); this suite of reporting includes Executive Dashboards that are… more
- Prime Therapeutics (Hartford, CT)
- …& Reporting Business Analyst - Remote **Job Description** The Business Analyst (BA) Senior will support the Colorado Medicaid Pharmacy Benefits Business and will ... to adjust focus **Reporting Structure** + Could report to Business Analyst Lead, Manager , Director, Sr Director, or AVP in various departments Potential pay… more