- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- CVS Health (Hartford, CT)
- …Medicaid plans. Responsibilities may include: Querying and analysis of complex provider claim, financial and other data to support VBC ... and every day. **Position Summary** Aetna is recruiting for a Manger on the Medicaid VBC Analytics team to support VBC partnerships throughout Aetna's Medicaid … more
- Humana (Hartford, CT)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- CVS Health (Hartford, CT)
- …cost-saving opportunities, and revenue growth strategies. + Ability to identify trends in data analysis and report key findings to manager + Prepare complex ... heart, each and every day. **Position Summary** As a Manager of Finance, you will be responsible for financial...and analysis within the Aetna Better Health of Virginia Medicaid health plan. This role will require strong time… more
- CenterWell (Hartford, CT)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- CVS Health (Hartford, CT)
- …of business systems, applications, and tools supporting network management, contracting, and provider data systems + Experience in related business environment ... audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable...with exposure to provider data , processes, etc. **Education** Bachelor's degree… more
- Baystate Health (Springfield, MA)
- …center. We are the community's major referral hospital, and we provide a wide range of services, including: + Cancer care ... more! Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous learning and improvement.… more
- Humana (Hartford, CT)
- …technical program management, including at least 3 years as a Technical Product Manager in data , AI/ML, or personalization platforms. + Demonstrated success in ... advanced agentic AI decision-making across our organization. As a Lead Technical Product Manager (PM-T), you will be responsible for shaping the vision, defining the… more
- Elevance Health (Rocky Hill, CT)
- …databases to track business performance. + Develops and analyzes reports (eg for claims data , provider data , utilization data ) and provides notations ... **Population Health Data Analyst** **Locations:** This role requires associates to...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Experiences and Competencies:**… more
- Cardinal Health (Hartford, CT)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Humana (Hartford, CT)
- …us put health first Humana's Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience ... translating business needs into platform capabilities that enable personalized, data -driven customer experiences. You'll work closely with cross-functional teams to… more
- Humana (Hartford, CT)
- …at the center of everything it does. We are seeking a Lead Product Manager to drive the vision, strategy, and execution of our Sales and Marketing Technology ... our sales and marketing teams to achieve growth targets. The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The Lead… more
- Baystate Health (Westfield, MA)
- …are an 85-bed acute care community hospital in Westfield, Massachusetts. We provide access to the world-class doctors, treatments, diagnostics, and technology of the ... team members, including skilled, compassionate nurses and medical support staff members, provide advanced and compassionate care. As our patient, you can expect… more
- CVS Health (Hartford, CT)
- …CVS Health offers an exciting opportunity to join our team as Senior Manager , Financial Reporting & Analysis within HCB Controllership. This role will lead the ... and other Aetna counterparts to obtain and summarize financial data accurately to meet established deadlines. **What you will...and external auditors. + Develops team management processes to provide guidance and support to team members to ensure… more
- Datavant (Hartford, CT)
- …needs, and determine the right methodology for analysis and assumptions to provide data -driven insights into program performance and partnerships + Create ... + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and...problem-solving skills with the ability to think critically and provide data -driven solutions + Expertise in the… more
- CVS Health (Hartford, CT)
- …data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate ... and data integrity. + Stay informed about changes in Medicaid policy, regulatory requirements, and FWA detection techniques to ensure ongoing compliance.… more
- Hartford HealthCare (Farmington, CT)
- …manor. o Exemplary communication skills; ability to navigate challenging conversations and provide effective provider training in large and small groups. o ... adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager of Audit and Education **_Position Responsibilities:_** **Key Areas of… more
- Hartford HealthCare (Hartford, CT)
- …Psych Residents, social worker, Nutritionist, Pharmacy Liaison, APRNs, RNs, MA/MAAs, a Case Manager and a Data Manager who provides compassionate care, ... most-advanced medical simulation training centers in the world. When hospitals cannot provide the advanced care, expertise and new treatment options their patients… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …for case presentations; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs; + May testify in court; + May coordinate review and ... high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check...with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418 - 6148 or ###@ct.gov PURPOSE… more
- CenterWell (Hartford, CT)
- …Internal Medicine, or Geriatric Medicine . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Excellent verbal and ... Primary Care, Humana's Primary Care Organization. This group will provide virtual wraparound services to support patients when they...to act as a resource for the advanced practice provider to ensure exceptional patient care. . Follow policy… more