- Prime Therapeutics (Hartford, CT)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is responsible ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support... Medicaid ). This role will also provide actuarial support in complex projects that are highly visible to… more
- Prime Therapeutics (Hartford, CT)
- …We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The ... support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support , and maintain financial and actuarial… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse Case ... Manager Senior Analyst , through the case management process, will promote the...candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** **For this position, Nurse ... Case Manager Senior Analyst , through the case management process, will promote the...candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... **JOB DUTIES:** + Conduct criteria reviews for commercial payers, Medicare, and Medicaid + Provide prior authorization assistance, and denial appeal assistance +… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and assist ... Ideal candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model of Care… more
- The Cigna Group (Bloomfield, CT)
- …necessary, route to the proper area/department for their review and decision /response + Complete necessary documentation of final documentation of final ... report and summarize required changes to all levels department management and staff. + Support the implementation of new process as needed. + Based on case work and… more
- The Cigna Group (Bloomfield, CT)
- …+ Technical knowledge of relational database concepts, querying, data warehouses and decision support tools, including but not limited to: SQL, BiQuery, ... other data applications and must have the creativity and flexibility to also support product discussions and understand when a custom solution is warranted. **JOB… more