- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **What** **You Bring** **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including all related processes… more
- HealthEdge Software Inc (Hartford, CT)
- … Product Management Experience: You should have a strong background as a Product Manager at an organization delivering SaaS. Healthcare industry experience is ... **Overview** **Position Overview** **:** As aSenior Manager , Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the… 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 ... matrix teams under responsibility (c) is expected to be the largest focus for the manager in the medium and long term. This individual will work with various teams… 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 ... opportunities, as this is a newer product line and we're growing. As well as professional...benefits. **What You'll be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility… 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 ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, ancillaries, and large physician groups) for… more
- WTW (Hartford, CT)
- …ambitious growth plans for our North America P&C propositions, especially for Pricing, Product , Claims and Underwriting (PPCU). Our goal is to substantially ... experience in the US market to join as a Senior Consultant in our Insurance Consulting and Technology (ICT)...our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to… more
- WTW (Hartford, CT)
- …benchmarking, predictive modeling, competitive market strategy, and implementing underwriting, claims , and actuarial technology solutions. This position can be based ... to deliver client projects, such as capabilities benchmarking, market entry strategy, product development, and + Leverage experience and market knowledge to serve as… more
- Norstella (Hartford, CT)
- Senior Analytic Consultant Company: Panalgo Location: Remote, United States Date Posted: Sep 5, 2024 Employment Type: Full Time Job ID: R-475 **Description** ... is looking to grow to the next level with the help of an outstanding Senior Analytic Consultant. The Analytic Services team is at the forefront of engaging IHD's… more
- The Cigna Group (Bloomfield, CT)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician groups) for… more
- Crawford & Company (Waterbury, CT)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...and quality assessment (QA) requirements to ensure a quality product . + Reviews cases with supervisor monthly to evaluate… more
- Trinity Health (Hartford, CT)
- …cultivating service/ product quality and customer satisfaction. Ensures the Regional Manager , THS and RHM stakeholders are kept abreast of issues or problems ... to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS...are followed at all times to minimize/eliminate workman's compensation claims and create a safe working environment for all… more
- The Cigna Group (Bloomfield, CT)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... + Coordinate and partner with the key Medicare operations teams, including claims , enrollment, fulfillment, network operations, and technology, to ensure delivery of… more
- The Hartford (Hartford, CT)
- Manager Software Engineering - IE07FE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... is looking for a transformational technology leader to help us modernize our Claims administrative platforms to both uplift our customer experience as well as drive… more
- Trinity Health (Hartford, CT)
- …cultivating service/ product quality and patient satisfaction. Ensures the General Manager and staff are appropriately kept abreast of issues or problems ... is based on East Coast **POSITION PURPOSE** Functions as the Patient Services Manager responsible for the direct supervision of local RHM supervisors and/or staff… more
- Wolters Kluwer (Hartford, CT)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... drive world-class business outcomes. **Basic Function** This remote-friendly Account Management Team Manager , you will build a team to drive profitable sales growth.… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor...ensure payment accuracy and recovery projects based on specific claims outlier and trend findings. * Manage a team… more
- Elevance Health (Wallingford, CT)
- …Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing individual contributor will be ... + Defines appropriate testing methods to employ to assure the developed product conforms to requirements and design. + Reviews/Approves all project-related test… more
- The Cigna Group (Bloomfield, CT)
- …training, product development, filing, compliance, competitive analysis, call centers, claims , etc., strongly preferred. + Prior experience with ACA medical and ... will have the skills and desire to manage a true product line P&L. We are looking for a strong general manager who has a keen business acumen of dental, can work… more