- CVS Health (Hartford, CT)
- …credentialing, provider network adequacy, provider reimbursement. * Optimizes service operations and enhance customer support efforts through innovative technologies ... teams, leveraging technology and data analytics to optimize service operations , improve efficiency, and enhance customer insights. **Education** Bachelors degree… more
- CVS Health (Hartford, CT)
- …effective partnering within network as well as other business areas (clinical, operations , Medicaid segment). **Skills In** + Project management fundamental ... and manage complex projects in support of Government Programs Network team's process, operations , and strategy as it relates to alignment with CVS Care Delivery… 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 ... allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for… more
- Gentiva (Branford, CT)
- …Reports directly to the Executive Director, Administrator, or Senior Patient Care Manager . Responsible for the day to day operations of your assigned hospice ... Managing the site in the absence of the Executive Director, Administrator, or Senior /Executive Patient Care Manager . + Managing and overseeing clinical and… more
- Deloitte (Hartford, CT)
- …of business and people. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... Deloitte Managers, Senior Managers and Partners in providing strategic and technical...and present client presentations and reports + Conduct other Manager level health actuarial consulting activities, as required The… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Manager , Business Intelligence for Membership and Plan Services will support the account services, ... business decision makers within the business and drive results. The ** Manager , Business Intelligence** will utilize various tools, technologies, applications and… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- Prime Therapeutics (Hartford, CT)
- …ability to adjust focus **Reporting Structure** + Reports to a Supervisor or a Manager in PBM Operations Potential pay for this position ranges from $64,700.00 ... make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst is responsible for serving as the claims analysis… more
- Elevance Health (Wallingford, CT)
- …and execution of department strategic priorities; must be comfortable interfacing with senior leadership. + Partner with business operations to understand ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Project...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more