- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary** The ** Senior ** ** Manager , Reporting & Insights - Network Medicaid Ops** will apply ... as a key though-partner to stakeholders, proposing analytical solutions to complex challenges. The Senior Manager will serve as a technical SME leader within the… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial Compliance Programs. This role reports directly to the Managing… more
- The Cigna Group (Bloomfield, CT)
- …cloud acumen, a strategic mindset, and demonstrated empathic collaboration. The Cloud Engineering Senior Manager will oversee a team dedicated to creating and ... The Medicare Technology Operations organization is looking for experienced, innovative and...ensure scalable, secure, and efficient solutions, collaborating with other senior leads. Operational Efficiency: + Implements DevSecOps to streamline… more
- The Cigna Group (Bloomfield, CT)
- …managing client facing products, broad-based knowledge of Regulated Markets/Pharmacy Benefit Manager (PBM) operations , experience leading people, a strategic ... **Job Summary:** + Lead a team of Senior Advisors and Advisors responsible for the development...will ensure compliance with the Center for Medicare and Medicaid Services (CMS) guidance/regulations regarding M3P, provide subject matter… more
- Prime Therapeutics (Hartford, CT)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The… more
- Conviva (Hartford, CT)
- …of our caring community and help us put health first** The Revenue Cycle Manager (Onshore Operations ) oversees the onshore team responsible for the comprehensive ... Professional and Payment Posting Auditors who work to ensure accurate financial operations and proper payment posting. The manager is also responsible… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Manager , Encounter Data Management develops business processes to ensure successful submission and ... reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and… more
- Prime Therapeutics (Hartford, CT)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Public Consulting Group (Hartford, CT)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... www.publicconsultinggroup.com . PCG is seeking candidates for a Project Manager (Fire & EMS Consultant) position who will work...part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for… more
- Deloitte (Hartford, CT)
- …role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... Deloitte Managers, Senior Managers and Partners in providing strategic and technical...and present client presentations and reports + Conduct other Manager level health actuarial consulting activities, as required The… more
- Prime Therapeutics (Hartford, CT)
- …perception, and ability to adjust focus **Reporting Structure** + Reports to a manager or director in the Clinical Operations , Contact Center, Network Management ... **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions of departmental regulatory… more
- Elevance Health (Wallingford, CT)
- …Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plus. + 5+ years of experience leading and managing Pharmacy Benefit Manager /PBM end-to-end testing for web and mainframe-based applications, including defining… more
- Cardinal Health (Hartford, CT)
- **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties ... receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case … more