- Segal (Farmington, CT)
- …The Role:The role of a Consulting Actuary includes client management, project management, technical review, subject matter expertise and new business development. ... GASB 74/75 (or 67/68) is preferred and experience developing or reviewing claims costs is preferred;Experience reviewing OPEB liabilities is preferred and ability to… more
- Humana (Hartford, CT)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Elevance Health (Wallingford, CT)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal candidate will ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… more
- Humana (Hartford, CT)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- CVS Health (Hartford, CT)
- …accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network Contract Validation team, you will ... contract setup against contract intent and evaluate the pricing performance of claims . Accurate provider pricing configuration is critical to claims … more
- Burns & McDonnell (Wallingford, CT)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project Execution Plan, ... execution, construction quality assurance plan, safety & health plan, subcontracting plan, project staffing plan, organization chart, and procurement plan. +… more
- American Heart Association (New Haven, CT)
- …such as code book, Case Report Forms, Surveys, EHR queries and other data project documentation process . + Develop and implement guidelines to manage data ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- Guardian Life (Hartford, CT)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Hartford, CT)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Burns & McDonnell (Wallingford, CT)
- … Execution Plan, Quality Assurance Plan, Safety & Health Plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Contribute ... Request for Information (RFI's), submittals, meeting minutes, change management, and claims mitigation. + Support project cost reporting, scheduling, work… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Elevance Health (Wallingford, CT)
- …all testing for one or more projects/program. + Manages the relationship with project /program stakeholders (IT and business). + Plays a leadership role in the ... developed product conforms to requirements and design. + Reviews/Approves all project -related test assets for completeness and quality. + Collects testing metrics,… more
- Burns & McDonnell (Wallingford, CT)
- … Execution Plan, Quality Assurance Plan, Safety & Health plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Assist ... required. + Assist with the Prime Contract, subcontractor, and supplier invoicing process . + Establish and administer project documentation and filing systems.… more
- Emerson (Hartford, CT)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Elevance Health (Wallingford, CT)
- …communicates requirements to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior quality of research ... study deliverables and presentation of such and facilitates collaboration among project team members towards their development. **Minimum Requirements:** Requires a… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Prime Therapeutics (Hartford, CT)
- …Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out ... reports that give a detailed description of the current project 's progress and indicates time devoted to each task...in easily understandable format for varying levels of the organization . **Responsibilities** + 3+ years of transact-SQL (MS SQL… more
- Elevance Health (Rocky Hill, CT)
- …data analysis, review and incorporation of relevant literature, collaborative project design, associated data collection activities including extracting and ... to: + Prepares analytical data sets based on Medicaid claims and authorization data in support of modeling studies....industry, looking for leaders at all levels of the organization who are passionate about making an impact on… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
