- The Cigna Group (Bloomfield, CT)
- **The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information in the record and validates accurate coding ... demonstrate knowledge of and utilize auditing skills related to coding quality and compliance.** **Maintains and continuously improves knowledge base of… more
- Bank of America (East Hartford, CT)
- … and execute audit programs designed to measure and report on data risk. The Audit Manager will lead audit engagements and guide junior team members. You ... Will work with team to provide input to draft quality audit reports and supports sharing ...Automation Skills (SQL, SAS, Python. Alteryx, Advanced Excel) + Audit Planning + Internal Audit Review… more
- Bank of America (East Hartford, CT)
- …equivalent years of experience **Skills:** + Audit Planning + Coaching + Internal Audit Review + Issue Management + Risk Management + Business Acumen + ... leads and supports change. Executes assigned components of the audit plan in a timely manner, within quality...+ Ability to successfully communicate to influence management and lead change on both strategic and tactical initiatives. +… more
- Bank of America (East Hartford, CT)
- …+ Experience with Data Analysis Tools (Tableau, SAS, SQL) **Skills:** + Analytical Thinking + Audit Planning + Internal Audit Review + Issue Management + ... is executed in a timely manner and conforms with quality standards, audit policies, and procedures +...Creative thinker who can map out creative solutions and lead their implementation. + Strong organizational skills and attention… more
- Bank of America (East Hartford, CT)
- …complete audit activities more efficiently (eg, testing) **Skills:** + Analytical Thinking + Audit Planning + Internal Audit Review + Issue Management + ... Audit Supervisor - Commercial Credit Atlanta, Georgia;East Hartford,...automation and innovative methods in a timely and high quality manner + Exercises sound knowledge of product, business,… more
- Elevance Health (Wallingford, CT)
- ** Audit & Reimbursement Senior** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's family of ... Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
- Bank of America (East Hartford, CT)
- …+ Stakeholder Management + Underwriting + Decision Making + Influence + Internal Audit Review + Portfolio Analysis + Regulatory Compliance + Executive Presence ... to make a difference. Join us! **Job Description:** Credit Review and Credit Risk Audit support the...organization to drive short and long term goals + Lead several OpEx initiatives to streamline and drive efficiencies… more
- Bank of America (East Hartford, CT)
- …experienced associates **Skills:** + Audit Planning + Financial Analysis + Internal Audit Review + Risk Management + Underwriting + Business Acumen + Credit ... issue management. Serve as subject matter expert for and/or lead risk-based and regulatory examinations. Credit Review ...the level of issues + Actively engage with Corporate Audit to ensure ongoing awareness of review … more
- Wolters Kluwer (Glastonbury, CT)
- ** Lead Product Manager - Hybrid R0042653** **Job Description Summary:** ** ** TeamMate specializes in delivering state-of-the-art B2B products that empower ... businesses to enhance their risk management, compliance, and audit processes. Our commitment to excellence and continuous improvement...a competitive market. We are looking for an experienced Lead Product Manager to join our team. The ideal… more
- Deloitte (Hartford, CT)
- …on compliance with regulations and policies? Are you passionate about quality -assurance and risk-management in a professional services environment? Then our ... on January 31st, 2025. Work you'll do As a Business Relationships Lead Analyst supporting the Deloitte Independence Conflicts Network (ICN) you'll be responsible… more
- Takeda Pharmaceuticals (Hartford, CT)
- …therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of ... Senior Management Cross-Functional Team (GLOC) + In alignment with TAU/MPD Labeling Lead , coordinates the process to obtain labeling approval by Labeling Senior… more
- Sedgwick (Hartford, CT)
- …analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Team Lead **PRIMARY PURPOSE** : To supervise the operation of multiple teams of… more
- Actalent (East Hartford, CT)
- …group with material procurement, special process, and approved supplier requirements. + Generate quality metrics and review quality trends to mitigate ... program or area, in accordance with customer and division quality requirements. Responsibilities + Review design drawings...utilizing tools such as 8D and 5 Why's. + Lead and support Quality Clinic activities. +… more
- Eversource Energy (Berlin, CT)
- …with the Eversource Pipeline Safety and Management System \(PSMS\) and quality assurance/ quality control \(QA/QC\) program, including the testing, standards ... programs to best practice QA/QC programs\. + Coordinates the review of construction and maintenance inspection procedures and protocols\....the QC SIMS Data base of all reports, QC audit forms maintenance and updates + Extracts occupational safety… more
- The Cigna Group (Bloomfield, CT)
- …for ongoing professional growth. The Senior Internal Auditor will be: + Empowered to lead the execution of audit and advisory projects focused on risks that ... Cigna Group is looking for talented people with prior audit experience, who are interested in being a part...related to Cigna's global business units; + Ability to lead staff while also managing upwards to ensure objectives… more
- Elevance Health (Wallingford, CT)
- …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- United Therapeutics (Hartford, CT)
- …safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in ensuring that ... PM case processing operations team + Operational Oversight and Quality Assurance: Oversee day-to-day quality and compliance...support for recruitment process (as needed) + Inspection and Audit Management: Act as the point of contact for… more
- Amazon (Windsor, CT)
- …Associates are trained and knowledgeable of their responsibilities under each policy. Audit the quality , delivery (including qualifications of the trainer), and ... to all applicable local, regional and federal regulations. This individual will lead continuous improvement initiatives to reduce conditional and ergonomic risk in… more
- Humana (Hartford, CT)
- …re-engineering, change management and measurement, and/or process-driven systems requirements. + Review of internal quality metrics. + Support process ... and present education as requested by the Process Improvement Lead . + Support Operations Managers in quality ...quality improvement initiatives: + Assist Managers in communicating audit findings to individuals and teams. + Communicate and… more
- Whole Foods Market (Wallingford, CT)
- …chain management, environmental health and safety, product total quality management, manufacturing digitalization transformation, and continuous improvement. + ... Lead and ensure that a complex US Department of...( OSHA ) and other required regulations . + Review Key Performance Indicator ( KPI ) reports and… more