- The Cigna Group (Bloomfield, CT)
- … unit of Evernorth's Data & Analytics organization is searching for an innovative business analytics manager to bring best in class solutions to shape ... client account. You will collaborate with other data and analytics teams and medical management business leads...functions + Closely collaborate with client-dedicated Medical Director and Clinical Program Manager to identify and prioritize… more
- The Cigna Group (Bloomfield, CT)
- …Cost of Care (TCC) reduction initiatives. Reporting to the Affordability Analytics Senior Manager , the Business Analytics Senior Advisor will work in a ... **Position Summary:** The Clinical and Affordability Analytics team's mission...+ Master's degree preferred + 5 years of healthcare-related data/ analytics experience, solving business problems with various… more
- Elevance Health (Wallingford, CT)
- …using data modeling tools like Power Pivot. + Develops predictive models to forecast business needs and meet key objectives. + Serves as a resource for complex ... of claims, provider contracts and data, eligibility, member contracts, benefits, clinical decisions, pharmacy on pre-service and post service appeals and grievances… more
- Cardinal Health (Hartford, CT)
- **_What_** **_Gastroenterology (GI) Customer Success_** **_contributes to Cardinal Health_** The Clinical Manager for our Gastroenterology (GI) Customer Success ... team is responsible for leading the Customer Success Clinical function of PPS Analytics . This individual...the VP of Customer Success. In this role, the manager will be held primarily accountable for the overall… more
- Cardinal Health (Hartford, CT)
- …innovative strategies for programs and solutions to enhance Cardinal Health's clinician facing business . The Clinical Programs Manager manages the research, ... the strategy set by the leadership of the Navista business pillar they report in. This job works with...with the Director) for a portfolio of patient centered clinical products and/or services (ie value based care programs).… more
- The Cigna Group (Bloomfield, CT)
- …affordability targets are achieved, compliance with regulatory requirements, and business strategy intent is met. Affordability solutions encompass activities that ... across the medical organization, PBM partners, Contracting, Pharmacy pricing/finance, Clinical Operations, Coverage Policy Unit, Pharmacy and Medical client facing… more
- Hartford HealthCare (Hartford, CT)
- …and contract compliance opportunities. Works closely with clinical and non- clinical leaders to develop sound business case by integrating multiple ... will contribute to overall cost savings targets 2. Participates and presents supporting analytics for recommendations in Clinical Care Redesign meetings with … more
- Elevance Health (Wallingford, CT)
- …data + Experience with data analytics (predictive)/ data science / clinical analytics End-to-End Systems Thinking + Proven experience demonstrating execution ... includes, but not limited to a wide array of analytics , utilizing large data sets, paid claims experience and...for identifying the neediest patient cohorts for service and clinical focus. + Support business development team… more
- Abbott (Hartford, CT)
- …customer service & communication skills. This position collaborates with the Territory Manager , Regional Sales Director, Clinical Lead Specialist to advance ... + Provide documentation as required for quality assurance initiatives + Co-develop commercial business plan for assigned region with Territory Manager (TM) +… more
- Elevance Health (Wallingford, CT)
- …Health PulsePoint location listed in the requisition.** **Work schedule: M-F normal business hours** The ** Clinical Fraud Investigator II** is responsible for ... ** Clinical Fraud Investigator II** **Location: This position will...+ Collaborates with the Special Investigation Unit, Oral Health Analytics department and other internal areas on matters of… more
- Elevance Health (Wallingford, CT)
- **Digital Product Manager Lead** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of one of ... IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Digital Product… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Manager , Internal Audit, leads audits in the Clinical and Enterprise Compliance area, ... working closely with the Internal Audit Director, Clinical and Enterprise Compliance. The right individual will execute...CISSP, PMP, CFE + Advanced degree preferred + Data Analytics / Business Intelligence experience a plus.… more
- Highmark Health (Hartford, CT)
- …assesses health management needs of the assigned member panel and utilizing data/ analytics in conjunction with professional clinical judgement to identify the ... incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management of ... assigned book of business for the company's products and services in order...those objectives and specifically guides our operational, financial, network, clinical and relationship initiatives. + Understands the customer's structure… more
- The Cigna Group (Bloomfield, CT)
- …including but not limited to, local market provider engagement, claims operations, clinical , Legal, analytics , compliance, sales, and provider relations. + ... builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates,… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... team atHealthEdge. We empower our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that work for our … more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... improvement. We empower our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that work for our … more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... integrity that focuses on comprehensive reimbursement, agile editing, and integrated analytics . Our interoperable, cloud-based solution is modular to meet a health… more
- The Cigna Group (Bloomfield, CT)
- …Product, Go-To-Market/Sales, Pricing, Underwriting, Digital, Marketing, Communications, Analytics , Finance, Evernorth, Service Operations, Technology, Quality ... The Cigna Pharmacy / Core Solutions Project Manager will provide end-to-end project management for initiatives from inception, through execution, and implementation… more
- CVS Health (Hartford, CT)
- …Cross functional collaboration on campaign development and delivery, including creative, analytics , digital, product, clinical , operations and legal, and ... a supportive, collaborative and agile environment. **Position Summary** As a Senior Marketing Manager for the PBM Member & Patient Experience team, you will be… more