- 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 ... Centers for Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will support our Medicare… more
- Cardinal Health (Hartford, CT)
- **_What Individualized Care contributes to Cardinal Health_** The Sr . Coord, Individualized Care ( Reimbursement Coordinator) supports patient access to therapy ... notations for every interaction using the appropriate database for the inquiry * Self- audit intake activities to ensure accuracy and efficiency for the program *… more
- The Cigna Group (Bloomfield, CT)
- **ROLE SUMMARY** The Senior Manager of Quality, Coaching, and Audit Programs will develop and execute a comprehensive operational quality and coaching program ... leads Supervisors and/or managers of clinical quality, non-clinical quality and Behavioral External Audit teams. The Sr . Manager is expected to lead effective… more
- Elevance Health (Wallingford, CT)
- **Nurse Auditor Senior - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and ... eliminate, and prevent unnecessary medical-expense spending. The **Nurse Auditor Senior ** is responsible for identifying, monitoring, and analyzing aberrant patterns… more
- The Cigna Group (Bloomfield, CT)
- …delegated responsibilities associated with Call Center and Grievances oversight, regulatory audit support, issue management and analytics. The Senior Analysts' ... mitigation, impact analysis and closure of all client and audit issues associated with regulatory compliance of Grievances. +...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Bloomfield, CT)
- …delegated responsibilities associated with Call Center and Grievances oversight, regulatory audit support, issue management and analytics. The Senior Advisor's ... conceiving, planning, and delivering initiatives. + As necessary, follows audit support processes to notify to Express Scripts of...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the ... patterns or trends. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical… more
- Takeda Pharmaceuticals (Hartford, CT)
- …company to inspire you and empower you to shine? Join us as a Senior Manager, Clinical Trial Tools & Technologies based remotely reporting to the Clinical Trial ... Clinical Trial Tools & Technologies (CT3) group in a formal inspection or audit . + Follow designated strategy for study level technology & deployment and defines… more
- UNUM (Hartford, CT)
- …industry trends advising stakeholders on actions that reduce risk. + Develop and present audit results to business partners, including senior leaders, in a way ... + Career advancement opportunities + Student loan repayment options + Tuition reimbursement + Flexible work environments **_*All the benefits listed above are… more
- IGT (Wallingford, CT)
- …lottery--including games, parameters, odds, and claims. + Interfaces with more senior technical resources to plan, implement, and monitor recommended/needed software ... + Data analysis and reporting to support/resolve complex customer issues. + Support Audit Best Practices: Capture audit evidence repository and comply with … more
- Takeda Pharmaceuticals (Hartford, CT)
- …supporting local country (LOC) activities, including the development of strategic internal audit plans, and the execution of internal audits + Ensures Labeling ... are documented and tracked in the appropriate repository + Escalate issues/problems to senior management as needed + Provides input on budgets for the group as… more
- Haleon (Hartford, CT)
- …to present technical design proposals and reports to customers and/or other senior engineering, management, and government groups in clear, complete, concise, and ... (OT 4.0 experience) + Exposure of onsite travelling, site audit /security audit would be plus. **Embrace Flexibility...benefits program. This includes a generous 401(k) plan, tuition reimbursement and time off programs including 6 months paid… more
- The Cigna Group (Bloomfield, CT)
- …ACA Marketplace plans. **ESSENTIAL FUNCTIONS:** + Serve as member of the legal senior leadership team and lead the business law team supporting Cigna Healthcare. + ... Provide strategic legal advice to senior leadership on enterprise-wide growth strategies, legal and regulatory issues, risks, and opportunities. + Oversee and manage… more
- Verint Systems, Inc. (Hartford, CT)
- …data, identifying trends, preparing recommendations with impact assessments for senior leadership, creating content for employee information sessions and ... pillars. + Responsible for all aspects of leave management, 401(k), tuition reimbursement , paid time off, annual holiday schedules and worker's compensation. +… more
- Takeda Pharmaceuticals (Hartford, CT)
- …and alignment of the labeling strategy and labeling content. Interface with Senior Management Cross-Functional Team (GLOC) + In alignment with TAU/MPD Labeling Lead, ... coordinates the process to obtain labeling approval by Labeling Senior Management Cross-functional team (Global Labeling Oversight Committee - GLOC) driving… more
- Deloitte (Hartford, CT)
- …in Deloitte's Human Capital group, you will assist Deloitte Managers, Senior Managers and Partners in providing strategic and technical consulting services ... health plan initiatives + Prepare IBNR modeling spreadsheets for audit reviews + Provide project management support including preparing...of Health Care Reform 3 Rs + Exposure to reimbursement mechanisms + Strong client presence + Ability to… more
- Stanley Black and Decker (Manchester, CT)
- …submit request to update any inaccuracies at end of project. + Audit specific Work Instructions and current processes as related to Stockroom/Receiving/Shipping ... the following qualifications: + Be a rising junior or senior with a target graduation date of 2026 or...including paid vacation, holidays & personal days, and tuition reimbursement . And, of course, discounts on Stanley Black &… more