- Elevance Health (Wallingford, CT)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health ... location. Work Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for coordinating cases for… more
- Medtronic (Hartford, CT)
- …the continuum of care for Venous Disease. Practice good, ethical territory management in terms of organization, planning, administration and expense planning and ... staff on products and procedures. Meet expectations as defined by Sales Management . **A DAY IN THE LIFE: POSITION RESPONSIBILITIES:** Planning/Results Orientation: +… more
- J&J Family of Companies (Hartford, CT)
- …development and clinical success, including procedure sales, support and driving utilization for all Auris Surgical Robotics Technologies. The Field Sales Account ... any post sales installation and will support after sales adoption and utilization of Auris Surgical Robotics products, including educating physicians and staff on… more
- Ryder System (Hartford, CT)
- …CI Manager or Sr. CI Manager and is closely aligned with Operations Management . + Lean background is mandatory + Warehouse Engineer experience is required + ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more
- RTX Corporation (Windsor Locks, CT)
- …many different technologies across a variety of avionics products from Flight Management Solutions, Cabin Management Systems to next generation aircraft ... training for company-wide use. + Ensure software meets performance metrics through utilization of instrumentation and benchmarks + Manage a team of professionals… more
- RES (Hartford, CT)
- …routine maintenance schedules and communicates schedules for maintenance, repairs and utilization to Equipment Manager and field personnel. + Reviews third (3rd) ... to monitor repairs and ensure timely turnaround to keep utilization of assets high. + Oversees performance of and...& Abilities:** + Advanced knowledge in solar equipment + Management of multiple direct reports + Experience with diagnostic… more
- Highmark Health (Hartford, CT)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …unit utilizes web-based and desktop GIS technology to increase access to, and utilization of, authoritative data assets. The Data Management & Integration Unit ... , Enterprise GIS, Visualization & Analytics Unit, and the Data Management & Integration Unit, in Newington, Connecticut. This office is the… more
- Fresenius Medical Center (Springfield, MA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Guardian Life (Hartford, CT)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- Humana (Hartford, CT)
- …and Monitoring team. Provide guidance to members who have potential medication over utilization or medication interaction concerns. Your role will be to work within ... PM Eastern Monda-Friday The Rx Clinical Programs ORM Pharmacy Technician Representative 2 assists in reviewing members pharmacy history for overutilization. Job… more
- HealthEdge Software Inc (Hartford, CT)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... ; ideally with a variety of experience in primary care, chronic disease management and/or public health. **Must have active license + Prior experience in **clinical… more
- QuEST Global (Windsor, CT)
- …the programs, projects and the related non project work through optimum resource utilization and adherence to quality and technical standards. Lead a team of direct ... propose solutions, and review program performance; work with account management to write proposals for new business development +...visit customer locations. The physical demands described here are representative of those that must be met by an… more
- CBRE (Hartford, CT)
- …13-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Project Management Location(s) Phoenix - Arizona - United States of America, Remote - US ... healthcare vernacular. **What you'll do** Leads all facets of project management (budget, schedule, procurement, quality & risk) for individual healthcare projects… more
- HealthEdge Software Inc (Hartford, CT)
- …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- QuEST Global (Windsor, CT)
- …improvement actions. This remote position requires aspects of Supply Chain Management , Procurement, Manufacturing, and Quality Assurance disciplines along with the ... easily develop positive, customer-facing, working relationships with engineers, buyers, and program management at both the OEM and supply base levels. + Conduct part… more
- Sutherland Global Services (Hartford, CT)
- …+ Billing Inquiries & Complaints + Authorizations + Status Inquiries + Utilization Management Inquiries **Eligibility and Benefits** + Status Inquiries + ... working in a high-volume call center environment as a customer service representative + Effective verbal and written communication skills + Strong typing and… more
- Sutherland Global Services (Hartford, CT)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Penske (South Windsor, CT)
- …achieve cost savings. **Fleet/Assets** * Lead effort to improve fleet/equipment utilization , maintenance availability and fuel efficiency * Contribute to equipment ... required * Bachelor's Degree in Business or Supply Chain Management preferred * Proficiency with computers including Microsoft Outlook,...- The physical and mental demands described here are representative of those that must be met by an… more
- Air National Guard Units (East Granby, CT)
- …service conditions; and conducts post-flight checks. Serves as the Air Commander's representative when performing duties as Supervisor of Flying (SOF) and is ... Air National Guard aviation programs. Experience in aviation unit quality control management programs. Experience in the unit flying, explosive, and ground safety… more