- The Cigna Group (Bloomfield, CT)
- …not limited to the following: + Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify populations of ... Deep healthcare data (eg, PBM experience, Provider Networks, Billing, Medical and Pharmacy claims ), statistical analysis experience, and an understanding of all… more
- Elevance Health (Wallingford, CT)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… 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 ... individuals to expand our network of Market Access focused Senior Managers to help us expand our footprint of...team in development of quantitative and/or qualitative analysis (eg, claims data analysis, market research data) to drive meaningful… more
- Genesis Healthcare (Forestville, CT)
- …to improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants ... Help articulate the AlignMed Partners mission to the community and professional organizations Help the center establish appropriate relationships, and coordinate… more
- CenterWell (Hartford, CT)
- …+ Experience with Medicare Advantage + Experience with member level claims **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... many other opportunities. Application Deadline: 03-02-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive,… more
- Prime Therapeutics (Hartford, CT)
- …operations systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, ... considering the business needs and direction. Experience serving as the senior member on business intelligence or analytics/data warehousing projects with… more