- Highmark Health (Hartford, CT)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Hartford, CT)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- The Hartford (Hartford, CT)
- …oversight + Help to create a positive team environment that achieves Group Benefit Claims culture initiatives and objectives Qualifications: + 1+ yeas of ... Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured… more
- The Hartford (Hartford, CT)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer-focused ... Sr Ability Analyst - C409AN We're determined to make a...initial and ongoing Long Term Disability benefit determinations using vocational, medical, and financial claim management.… more
- Prime Therapeutics (Hartford, CT)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Evolent (Hartford, CT)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols...total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits ) to qualifying… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Point32Health (CT)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- Baylor Scott & White Health (Hartford, CT)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Evolent (Hartford, CT)
- …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more