- The Cigna Group (Bloomfield, CT)
- The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud ... cost accountability across applications and project teams. + Build partnerships with Medicare programs and operations , and collaborate to prioritize, design, and… more
- The Cigna Group (Bloomfield, CT)
- …and usage of each element. The team will work with multiple stakeholders across Medicare operations , as defined by the Dedicated Medicare Operating Model ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims,enrollment, fulfillment, network operations… more
- The Cigna Group (Bloomfield, CT)
- …Provider Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manger or Director, this individual ensures the effective ... reside in Delaware or Pennsylvania** **Role Summary** The Provider Performance Senior Advisor is an integral part of a cross-functional, collaborative organization… more
- The Cigna Group (Bloomfield, CT)
- The Systems Analysis Senior Advisor is a member of the Agile Team and a conduit between the Agile Team and the business. This individual is responsible for defining ... story prioritization in accordance with the Manager's priority requests. The Systems Analysis Senior Advisor also reviews the quality of the product that the Team… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is ... team focused on data, data visualization and data science supporting Humana's Service Operations . The team is focused on converting data to actionable insights for… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex… more
- Humana (Hartford, CT)
- …industries (Healthcare, Banking, Cybersecurity) **Additional Information** Solid understanding of operations , technology , communications and processes Must be ... Enterprise Observability engineering team is looking for a well versed and experienced Senior Software Engineer-Splunk. As a Senior Engineer, you should be… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a journey to ... reimagine its omnichannel health experience while harnessing cutting-edge technology to streamline and simplify the stakeholder experience. Our team will leverage… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Cloud Security Engineer ensures that cybersecurity policies are engineered and deployed in ... and approaches to assignments. **Join our team as a Senior Cloud Network Security Engineer!** We are looking for...**Prisma portal** based on least privilege roles, and provide operations training and support, as needed. + Participate in… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** Job Description Summary Technology is what will help us create a more integrated healthcare experience for our ... services across Humana. We are in search of a Senior Business Systems Analysis Professional to be a liaison...Business Systems Analysis Professional to be a liaison between operations and IT and assist in making decisions on… more
- The Cigna Group (Bloomfield, CT)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid ... but not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. Given the close partnership between this… more
- Conviva (Hartford, CT)
- …and help us put health first** The Revenue Cycle Manager (Onshore Operations ) oversees the onshore team responsible for the comprehensive management of revenue ... Payment Posting Auditors who work to ensure accurate financial operations and proper payment posting. The manager is also...for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making… more
- Humana (Hartford, CT)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... data, and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looks for long term improvements of encounter submission processes. Decisions… more
- Hartford HealthCare (Hartford, CT)
- …in legal research, including Lexis, Westlaw & other research tools, as well as technology used in operations , such as contract and document management * Strong ... a clinical care organization, a regional home care system, an array of senior care services, a mobile neighborhood health program and a comprehensive physical… more
- CVS Health (Hartford, CT)
- …system and for providing ongoing progress reports. + Partner with Strategy, Product, Technology and Operations on strategic roadmap and capability delivery that ... growth in Value-Based Care. This position is responsible for selling Medicare Advantage and Fee-for-Service Provider Enablement services to providers and payers.… more
- The Cigna Group (Bloomfield, CT)
- …plan for the development of occupational health programs, components, technology adoption, and training/integration. * Understands and recommends resource needs ... that aligns with general organization orientation. * Provides ongoing orientation to operations and other leaders to assure their effective oversight of occupational… more
- Conviva (Hartford, CT)
- …applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management Program + Facilitate the creation ... of clear, concise, and easy to access technology standards to provide engineering teams with tactical direction...to multiple levels of audiences of stakeholders - ie senior executives in business and IT, architects, developers, etc.… more
- Humana (Hartford, CT)
- …performance of business and growth strategies. The position will work directly with senior management, including the Segment President, Senior Leaders, and SVPs, ... - KPI's/OKR's. + Present analysis and engage in in strategic discussions with senior management. **Use your skills to make an impact** **Required Qualifications:** +… 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 ... part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for...public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of… more