• Manager , Financial Analysis

    Travelers Insurance Company (Hartford, CT)
    …them to make informed decisions rooted in economic reality. As a Manager , Financial Analysis in Claim Finance, you will prepare, evaluate, validate, and ... $87,400.00 - $144,400.00 **Target Openings** 1 **What Is the Opportunity?** Travelers' financial analysis team translates raw numbers into actionable insights to… more
    Travelers Insurance Company (11/21/24)
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  • R2417865 Experienced General Adjuster / Associate…

    The Hartford (Hartford, CT)
    …and execute the investigation, valuation, disposition and settlement of large property claims in a manner consistent with corporate claim settlement policies ... . They will report to a Property Major Case Manager and operate in a team environment that will...and settlement of large commercial and personal lines property claims in a manner consistent with corporate claim more
    The Hartford (11/16/24)
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  • Clinical Content Analyst

    Elevance Health (Wallingford, CT)
    … edit rules and references strongly preferred. + Solid understanding of claims workflow including the interconnection with claim forms strongly preferred. ... content scope in alignment with the product and content strategy to meet financial and operational targets. The Clinical Content Analyst role will research and… more
    Elevance Health (12/21/24)
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  • Vocational Case Manager

    The Hartford (Hartford, CT)
    Vocational Case Manager - CT08HE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Case Managers to work in the dynamic Group Disability Claims Offices to serve the needs of individuals who...Hartford Disability Insurance plan. As a Vocational Rehabilitation Case Manager , you will be responsible for review of ADA… more
    The Hartford (12/13/24)
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  • External Partner Consultant

    The Hartford (Hartford, CT)
    …work as requested. + Works independently under minimum supervision and support from manager . + Ensure proper implementation and claims adjudication of Group ... Benefit contracts with business partners to optimize Group Benefit claims results to best position our claims and operational capabilities for competitive and… more
    The Hartford (12/11/24)
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  • Sr. Manager , Actuarial & Analytics,…

    Travelers Insurance Company (Hartford, CT)
    …thrive on analyzing complex problems and influencing key business decisions? As a Sr. Manager on our Enterprise Risk Management team you will play a critical role in ... factors to optimize risk-adjusted returns and support the company's target financial performance *Contributing to innovative projects aimed at enhancing the… more
    Travelers Insurance Company (10/29/24)
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  • Manager /Specialist Master, Operations…

    Deloitte (Hartford, CT)
    …insurance data model + Proven experience in Guidewire Policy, Billing, and Claims data analysis across the underlying entities, attributes, relationship, data ... Manager /Specialist Master, Operations and Technology Transformation, Guidewire Data...spanning core, digital, data, analytics, cloud and AI. Deloitte's Financial Services Industry consulting practice is the largest in… more
    Deloitte (10/09/24)
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  • Senior Manager , Business Consultant…

    CVS Health (Hartford, CT)
    …as well as the customers we serve. **Minimal Functional Experience:** + Finance - Financial reporting and analysis + Information Management - Medical economics + ... industry experience interpreting/analyzing all aspects of a customer's experience ( financial results, medical management results, population health, effectiveness of… more
    CVS Health (12/11/24)
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  • Manager , Payer Relations

    CVS Health (Hartford, CT)
    …contracting efforts under the Retail Health division of CVS Health, the Manager , Payer Relations manages and optimizes relationships with payers which serve as ... rates, terms, and conditions that align with business objectives and financial goals. + Maintains strong working relationships with external partners and… more
    CVS Health (12/22/24)
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  • Industrial Hygiene Technical Manager

    The Hartford (Hartford, CT)
    …Our Risk Engineering Organization is currently seeking an Industrial Hygiene Technical Manager to lead the Industrial Hygiene Discipline at The Hartford. This role ... effective relationships with National Account Managers, field Risk Engineering Consultants, Claims and Brokers to develop a valuable Industrial Hygiene service plan… more
    The Hartford (12/11/24)
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  • Contract Manager

    Sedgwick (Hartford, CT)
    …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager **PRIMARY PURPOSE** **:** To negotiate fee-for-service hospital and medical… more
    Sedgwick (12/18/24)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Wallingford, CT)
    …organizations. **How you will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... to create predictive impact decision making tools. * Performing healthcare cost analysis to identify strategies to control costs. * Projecting cost increases in… more
    Elevance Health (12/12/24)
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  • Director, Actuarial & Analytics

    Travelers Insurance Company (Hartford, CT)
    …to leadership and business partners, and share ownership of the business's financial results. The Director, Actuarial and Analytics will work within broad limits ... of enterprise Actuarial & Analytics community. This role may act as a manager of a small team. Specific Responsibilities Include: * Evaluate the adequacy of… more
    Travelers Insurance Company (11/08/24)
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  • Senior Pricing Analyst

    Prime Therapeutics (Hartford, CT)
    …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and ... financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities...+ 5 years of work experience in pricing or financial analysis using large data sets and… more
    Prime Therapeutics (12/19/24)
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  • Sr Mgr, Medicare Business Analytics - FEP

    CVS Health (Hartford, CT)
    …The role serves as the authority for FEP program data analytics, trend analysis , contractual guaranteed financial metrics, and ad hoc client requests. He/she ... Manager incorporates these into all aspects of the claims quality assurance as well as initiates corrective actions...Lastly, the Medicare Business Analytics - FEP - Sr. Manager conducts ad-hoc data analysis for FEP… more
    CVS Health (12/21/24)
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  • Senior Implementation Specialist

    Elevance Health (Wallingford, CT)
    …in payment Integrity strongly preferred. + Extensive knowledge in payment ntegrity, claims analysis , and healthcare payment models strongly preferred. + Agile ... Administration, or related field strongly preferred. + Strong understanding of data analysis , claims processing, and audit processes associated with healthcare… more
    Elevance Health (12/21/24)
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  • Operations Coordinator

    1st Financial Bank USA (Farmington, CT)
    …losses due to motor vehicle collisions. **Job Responsibilities : Maintenance, Insurance Claims , Subrogation & Analysis ** + **Maintenance PO's** + Assist the ... **Job Title:** Operations Coordinator **Reports to** : Fleet Services Manager **Department/Team:** Fleet Services **Job Purpose** Motorlease is a fleet… more
    1st Financial Bank USA (12/20/24)
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  • Business Information Consultant (HEDIS Quality)

    Elevance Health (Wallingford, CT)
    …(HEDIS Quality)** is responsible for serving as an expert in data analysis , reporting and formulating recommendations and providing guidance to other data analysts. ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
    Elevance Health (12/18/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Wallingford, CT)
    …identify opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new ... activities using available tools and internal data warehouse. + Performs comprehensive analysis and clinical evaluation of the collected data. + Performs in-depth… more
    Elevance Health (10/01/24)
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  • HEDIS Business Information Consultant

    Elevance Health (Wallingford, CT)
    …Information Consultant** is responsible for serving as an expert in data analysis , reporting and formulating recommendations, and providing guidance to other data ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
    Elevance Health (12/17/24)
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