- Sedgwick (Hartford, CT)
- …Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Manager | VA Jurisdiction | Remote **PRIMARY PURPOSE** : To manage the ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- Elevance Health (Wallingford, CT)
- **Anticipated End Date:** 2024-10-04 **Position Title:** Claims Rep I (Health & Dental) **Job Description:** **Title: Claims Representative I** **Location:** ... This position will work a hybrid model ( remote and office). Ideal candidates will live within 50...50 miles of one of our PulsePoint locations. The ** Claims Representative I** will be responsible for successfully completing… more
- Sedgwick (Hartford, CT)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured … more
- Elevance Health (Wallingford, CT)
- **Anticipated End Date:** 2024-09-17 **Position Title:** Account Service Manager **Job Description:** **Account Service Manager ** **Location: Must be within 50 ... miles of any location listed; position has both office/ remote expectations.** AmeriBen is a proud member of the Elevance Health family of companies. We are a… more
- Elevance Health (Wallingford, CT)
- **Anticipated End Date:** 2024-09-23 **Position Title:** CarelonRx Account Manager II **Job Description:** **CarelonRx Account Manager II** **Location:** This ... position will work a hybrid model ( remote and office). The ideal candidate must live within...PulsePoint locations listed on the requisition. The **CarelonRx Account Manager II** is responsible for retention and operational excellence… more
- Elevance Health (Wallingford, CT)
- **Anticipated End Date:** 2024-09-12 **Position Title:** Account Service Manager - Pharmacy Account Management **Job Description:** **Account Service Manager - ... Pharmacy Account Management** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within 50 miles of one of our… more
- Elevance Health (Wallingford, CT)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from our ... of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you… more
- Elevance Health (Wallingford, CT)
- …Group Clinical Validation Auditor** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Wallingford, CT)
- …Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing individual contributor will be ... **Location:** This position will work in a hybrid model ( remote and office) with once a week from the...5+ years of experience leading and managing Pharmacy Benefit Manager /PBM end-to-end testing for web and mainframe-based applications,… more
- Elevance Health (Wallingford, CT)
- …Investigator II **Job Description:** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Elevance Health (Wallingford, CT)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one the ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Aflac (Farmington, CT)
- Product Strategy Lead The Company: Aflac Columbus The Location: Remote , US, 31999 Farmington, CT, US, 06032 The Division: PLADS Job Id: 6785 Salary Range: $72,000 - ... home and a flourishing career for you at Aflac. Worker Designation - This role is designated as aremoterole....the continental US. Although this role is designated as remote , there may be occasions when you are requested… more
- Elevance Health (Wallingford, CT)
- …in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside ... increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Wallingford, CT)
- …Senior - Health Services Research** **Location:** This position will work a hybrid model ( remote and in office one day per week). Ideal candidates will live within ... requirements to the programming group. + Conduct analyses of administrative claims /electronic medical records/survey data and review of statistical output to ensure… more
- Rexel USA (Hartford, CT)
- …quality work, join Capitol Light as a Project Manage! **The position of Project Manager will be based out of our Hartford, CT location! ( Remote )** Employee's ... on their level of experience, knowledge, and capabilities. Summary The Project Manager is responsible for managing project business by placing orders, tracking… more