• Medical Director -- Claims

    Humana (Hartford, CT)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
    Humana (10/29/24)
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  • Director , Medical Affairs - NYC…

    Merck (Hartford, CT)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
    Merck (12/19/24)
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  • Director Account Management, PACE…

    Prime Therapeutics (Hartford, CT)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Director Account Management, PACE - Remote **Job Description** + Owns overall ... Management Centers (CMC) and Shared Services, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit analysis… more
    Prime Therapeutics (12/19/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Hartford, CT)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote more
    Takeda Pharmaceuticals (10/16/24)
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  • Director , Senior Counsel, Regulatory…

    United Therapeutics (Hartford, CT)
    …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... Compliance departments related to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other healthcare related laws and… more
    United Therapeutics (12/14/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Hartford, CT)
    …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (01/07/25)
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  • Director , Risk Management

    Western Digital (Hartford, CT)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... requirements. + Insure the proper and efficient handling of claims as they relate to workers' compensation insurance requirements....to be performed in California, Colorado, New York or remote jobs that can be performed in California, Colorado… more
    Western Digital (12/27/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Hartford, CT)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • Loss Control Director Sr

    Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
    Loss Control Director Sr **Company** HSB **Location** Hartford , United States Location: Remote , USA Job Description Develop and deliver pro-active risk ... Client Integration Team (CIT) providing technical input for marketing initiatives, aggregate claims data analysis, as well as overall business operation analysis for… more
    Hartford Steam Boiler Inspection and Insurance Company (01/02/25)
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  • Director & Actuary Financial Lines, Global…

    The Hartford (Hartford, CT)
    Director & Actuary - AM06AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments to develop and explain strategy...levels. Location: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… more
    The Hartford (12/12/24)
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  • Assistant Director & Actuarial Associate

    The Hartford (Hartford, CT)
    …theirs, too. Join our team as we help shape the future. The Assistant Director & Actuarial Associate position is part of the Global Specialty US Actuarial pricing ... in close partnership with our Underwriting Divisions as well as Finance, Product, Claims , and IT departments. ** Please note, candidates pursuing exams as well as… more
    The Hartford (12/18/24)
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  • Principal Client Solution Architect - State…

    Mathematica (Hartford, CT)
    …data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and ... and Mathematica's contractual and regulatory requirements. * Act as Project Director on select awarded projects, ensuring successful execution from kickoff through… more
    Mathematica (01/04/25)
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  • Underwriter - Remote

    Prime Therapeutics (Hartford, CT)
    …and drives every decision we make. **Job Posting Title** Underwriter - Remote **Job Description** The Underwriter is responsible for assisting in the development ... Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data +… more
    Prime Therapeutics (12/18/24)
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  • Senior Business Integration Consultant…

    Prime Therapeutics (Hartford, CT)
    …we make. **Job Posting Title** Senior Business Integration Consultant - Remote **Job Description** The Senior Business Integration Consultant is responsible for ... efforts + Proficiency in one or more of the following areas: claims , eligibility, prior authorization, accumulators, and/or benefits + Previous PBM or healthcare… more
    Prime Therapeutics (12/19/24)
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  • Technical Principal Clinical Program Pharmacist…

    Prime Therapeutics (Hartford, CT)
    …we make. **Job Posting Title** Technical Principal Clinical Program Pharmacist - Remote **Job Description** **We are offering a great opportunity for a pharmacist ... Gather, analyze, and synthesize market information, clinical guidelines and member claims data to support clinical product management initiatives, products and… more
    Prime Therapeutics (12/28/24)
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  • Treasury Reporting Principal - Remote

    Prime Therapeutics (Hartford, CT)
    …every decision we make. **Job Posting Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
    Prime Therapeutics (12/17/24)
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  • Construction Professional Liability Underwriter…

    Zurich NA (Hartford, CT)
    …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (10/12/24)
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  • Sales Administrator

    Fujifilm (Hartford, CT)
    …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... US** **Responsibilities** + Interface daily with varying departments, such as, Director of Sales, customer service, credit, finance, supply chain team, product… more
    Fujifilm (01/07/25)
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  • Operations Supervisor - Move Management…

    HomeSafe Alliance (Hartford, CT)
    …with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of transit ... risks of not meeting RDDs as directed by the Director of International Operations, for all shipments that may...International Operations, for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
    HomeSafe Alliance (01/01/25)
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