- The Cigna Group (Bloomfield, CT)
- …The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... to ensure delivery of operational excellence. + Monitoring of provider data quality and accuracy...Establish and track KPIs to measure the effectiveness of data governance initiatives. Provide regular reports to… more
- The Cigna Group (Bloomfield, CT)
- **Summary** The Provider Data Quality &..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a ... data cleansing algorithms and processes. + Communicate data quality findings and recommendations to both...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- The Cigna Group (Bloomfield, CT)
- …and clinical metrics data collection, and design plans for enhanced provider engagement in quality initiatives + Perform financial analysis & participate ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior...provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- The Cigna Group (Bloomfield, CT)
- …a member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) and Chief ... Medical Officer for Cigna Medicare (CMO), and will be responsible for supporting the...will assist in the management process for the Clinical Quality , Strategy and Solutions leadership team, including facilitating leadership… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role… more
- Humana (Hartford, CT)
- …Health Medical Director will attend and participate in meetings involving care management, provider relations, quality of care, audit, grievance and appeal and ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- The Cigna Group (Bloomfield, CT)
- …tasks and deadlines, while producing high quality results + Ensure quality and integrity of data collected and analyses performed **Qualifications** + ... **Summary** The Medicare Risk Adjustment Analytical Consulting team is searching...business analytics advisor to identify key analytics needs and provide insights which address business questions and influence decision-making.… more
- The Cigna Group (Bloomfield, CT)
- …Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic direction and management of digital acquisition marketing initiatives ... in driving marketing strategy and initiatives with a strong focus on data -driven decision-making and a deep understanding of digital marketing. Additionally, will be… more
- Prime Therapeutics (Hartford, CT)
- …mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts + Provide strategic pricing advice on structures ... decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Highmark Health (Hartford, CT)
- …and authority. + Develop, implement and execute, the Provider STARs quality strategy, support/develop technology and data strategies to support STARs ... Responsibilities include but are not limited to the overall field facing STARs Provider Strategy, supporting and developing technology and data strategies to… more
- Humana (Hartford, CT)
- …rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality , and the ... Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- … relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, ... community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …with data analytics teams to use insights in enhancing provider visibility and member decision-making + Manage the product backlog, prioritize features ... us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …and Reporting Professional's primary role is to develop organized analytics, reports and data management to support the market's Quality team within the Medicaid ... community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Highmark Health (Hartford, CT)
- … data management solutions. + Provide business process, system support and data quality governance through data coordination and integration to ensure ... management solutions. Provides business process, system support and data quality governance through data ...analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision… more
- CVS Health (Hartford, CT)
- …for the achievement of quality performance and leadership of Aetna's quality government programs ( Medicare , Medicaid, IFP, Duals). This leader will focus ... experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/ Medicare /Duals/IFP Quality program performance management, analytics, reporting… more
- Humana (Hartford, CT)
- … assets, enterprise-wide governance processes and tools, sensitive data management, data literacy and data quality . This individual will collaborate ... data governance, data lineage and mapping, data enrichment, data quality , ...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …of successful software development. Your expertise will drive the creation of high- quality test data , helping teams to innovate with confidence. Embrace ... software development. Your expertise will enable the creation of high- quality test data , empowering teams to innovate...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …+ Proficient in root cause analysis + Demonstrated ability to problem solve and provide solutions for business or data issues + Good presentation skills to ... Intelligence is an Enterprise Shared Services team focused on data , reporting and data science supporting Humana's...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Humana (Hartford, CT)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... us put health first** Join our team as a Data Visualization Engineer 2 and revolutionize how we interact...the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role._** **Location/Work Style:**… more