- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...**Must have 5+ years' experience working as a Product Manager on a Core Administrative Processing System** + Proven… more
- Ryder System (Hartford, CT)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Ryder System (Hartford, CT)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Job Description **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- The Cigna Group (Bloomfield, CT)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior ... manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other...targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and… more
- The Cigna Group (Bloomfield, CT)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...both proposed projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide… more
- The Cigna Group (Bloomfield, CT)
- The Military OneSource (MOS) Network Management Senior Manager will have oversight of the Military OneSource network and lead a multi-specialty team in support ... team who is accountable for network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and network knowledge to… more
- Wolters Kluwer (Hartford, CT)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en-gb/solutions/legisway) **What We Offer: ** This Senior Field Sales Manager role offers growth potential ... remote schedule, and amazing benefits. **What You'll be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility will be the sales… more
- Elevance Health (Wallingford, CT)
- **Telephonic Nurse Case Manager Senior ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- The Cigna Group (Bloomfield, CT)
- The **Regional Medicare** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... partners including but not limited to, local market provider engagement, claims operations, clinical, Legal, analytics, compliance, sales, and provider relations. +… more
- The Cigna Group (Bloomfield, CT)
- The job profile for this position is Architecture Senior Manager which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services, Inc. ... UDeploy, Scaled Agile (SAFe) Framework, sprint planning, and experience in healthcare claims and benefits domains. If you will be working at home occasionally… more
- Deloitte (Hartford, CT)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... issues and provide clear path for implementation. Typical responsibilities of a Sr. Manager could include: + Design and establish engagement objectives and scope +… more
- RTX Corporation (Farmington, CT)
- …that create a safer, more secure world. We have an exciting opportunity for a Senior Manager , Supply Chain (SC) Legal Advisor, who will report to the Associate ... standard provisions + Review and advise SC on performance issues such as claims and insolvency + Assist the organization in writing business processes, policies and… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- The Cigna Group (Bloomfield, CT)
- …Total Cost of Care (TCC) reduction initiatives. Reporting to the Affordability Analytics Senior Manager , the Business Analytics Senior Advisor will work ... initiatives through multiple stages of the affordability lifecycle. The Senior Advisor will use healthcare claims and...lifecycle. The Senior Advisor will use healthcare claims and enrollment data, clinical outcomes data, and financial… more
- Elevance Health (Wallingford, CT)
- **Researcher Senior - Safety and Epidemiology Research** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Louis, MO, Wallingford, CT or Louisville, KY. The **Researcher Senior - Safety and Epidemiology Research** is responsible for...to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior… more
- WTW (Hartford, CT)
- …with personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance Consulting and Technology (ICT) practice. In this role, you ... our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to...cross-functional teams + Serve as a mentor and project manager to more junior colleagues, training them on both… more
- The Cigna Group (Bloomfield, CT)
- …initiatives + Perform financial analysis & participate in market financial review with senior management. + Trouble shoot claims issues for providers + ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other… more
- The Cigna Group (Bloomfield, CT)
- …in order to correct risks identified and present findings to Sr. Audit Manager . Thoroughly read, interpret and fully understand the key elements of each specific ... personal knowledge of medications to identify clients, members and claims representing financial risks. + Responsibility for reprocessing ...+ Submit findings to Sr. Auditors and Sr. Audit Manager for review. + Responsibility for providing ad hoc… more
- WTW (Hartford, CT)
- …benchmarking, predictive modeling, competitive market strategy, and implementing underwriting, claims , and actuarial technology solutions. This position can be based ... a subject matter expert + Develop a trusted advisor relationship with senior insurance carrier leaders through effective communication + Contribute to the… more
- Elevance Health (Wallingford, CT)
- **Provider Contract/Cost of Care Analyst Senior -Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 ... Value Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more