- Molina Healthcare (Farmington, CT)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated… more
- The Cigna Group (Bloomfield, CT)
- …aligned to the Connecticut Market. Must live in Connecticut._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead . This role assists and supports the day to day contracting and network activities. **DUTIES… more
- Highmark Health (Hartford, CT)
- …7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project leadership ... and non-technical, and internal and externbal audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about… more
- Elevance Health (Wallingford, CT)
- **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per ... Tampa, FL, or Houston, TX. The **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** is responsible...an impact:** + Works with Epic tools to support claims , billing, and finance. + Defines functional, usability, reliability,… more
- Elevance Health (Wallingford, CT)
- **Business Information Analyst Senior** **Location:** Norfolk, VA; Ashburn, VA; Wallingford, CT; Indianapolis, IN; Cincinnati, OH (preferred). Alternate locations ... one of our Elevance Health PulsePoint locations. The **Business Information Analyst Senior** is responsible for analyzing, reporting, and developing recommendations… more
- Elevance Health (Wallingford, CT)
- **Proposal Develop Analyst Sr- Commercial Proposals Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live ... Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr** is responsible for providing technical and consultative support relative… more
- CVS Health (Hartford, CT)
- …individual to join our Rebate Client Services organization. The Rebate Client Support Sr. Analyst will work directly with our clients and help us deliver the highest ... and external partners. The position will help coordinate and lead meetings with our clients, thoroughly and effectively document...answer our client's questions, the Rebate Client Support Sr. Analyst will be expected to understand all steps of… more
- The Hartford (Hartford, CT)
- Sr. Portfolio Analyst - BA07EE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... real impact! We're looking for a collaborative and innovative Senior Portfolio Analyst to help manage and mature our Strategy/Planning, Portfolio Operations, and… more
- Hartford HealthCare (Farmington, CT)
- …high financial risk and make resolution recommendations to senior management. . Lead projects as assigned to successful, on time completion including effective ... solutions. 6. Recommends policies and standard work that will speed processing of claims payments and reduce the amount of follow up required by the hospital,… more
- The Cigna Group (Bloomfield, CT)
- …support team in an Application Development Advisor role supporting inbound/outbound claims /encounters/enrollment data using a variety of data sources in a dynamic ... owning them from end to end as a technical lead independently with little to no support from a...necessary. + Knowledge of Health Care (Medicare/Medicaid, Members, Providers, Claims , etc.) - 5+ years of experience + Technologies:… more
- Highmark Health (Hartford, CT)
- …thought leadership and subject matter expertise. + Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise ... 2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project leadership in… more
- Travelers Insurance Company (Hartford, CT)
- …legal or administrative venue. As the Director, Forensic Accounting, Claim, you will lead a team of professional accountants to quantify the financial aspects of ... customer claims to ensure current, accurate, and complete information. You...reports, as well as performance management and development. + Lead catastrophe response by providing accounting resource coordination, such… more
- Elevance Health (Wallingford, CT)
- …guidance to other data analysts. The position is part of the **Enterprise HEDIS Analyst Team** . It will be responsible for working with management and peers on ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Nuvance Health (Danbury, CT)
- …without having products assigned). Investigates and corrects excessive billing unit claims Reviews and corrects all rejected charges that occur Monitors and ... medication in question Coordinates CDM maintenance with the appropriate Revenue Integrity analyst . This would be in conjunction with the formulary review, leveraging… more