- Highmark Health (Hartford, CT)
- …product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ... and claims experience. + Working knowledge of Highmark products, systems (eg, customer service and clinical platforms, knowledge resources, etc.), operations and… more
- Highmark Health (Hartford, CT)
- …evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- CVS Health (CT)
- …defect triage, root cause analysis, and leading resolution efforts for critical business functionalities like enrollment, billing, and claims + Insurance Domain ... are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital… more
- CVS Health (Hartford, CT)
- …** **Key Responsibilities** + Own engineering strategy and execution for commercial claims systems , including routing, adjudication, and operational reporting. + ... teams that support the development, maintenance, and modernization of legacy systems -primarily IBM Mainframe platforms-used for commercial claims routing,… more
- Cognizant (Hartford, CT)
- …our growing organization. **In this role, you will:** + Analyze user and business requirements for Claims domain and translate them into technical specifications ... systems design. + Liaise with project managers and business analysts to gather requirements and provide technical ...business analysts to gather requirements and provide technical solutions . + Conduct code reviews to ensure adherence to… more
- CVS Health (Hartford, CT)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... and every day. **Senior Manager, Program Design and Operations Strategy, Cardiometabolic Solutions ** We have an outstanding opportunity for a highly driven and… more
- Zurich NA (Hartford, CT)
- … for our agents supported by technology + Identify opportunities to optimize our business model, systems , tools, and service delivery. + Partner with Product, ... Business Change Lead - Crop 128458 Zurich RCIS...in Crop insurance, Mobile apps, GIS mapping development, and systems integration You will lead cross-functional transformation initiatives, support… more
- The Cigna Group (Bloomfield, CT)
- …production teams to scale solutions . + Explore and implement innovative solutions to business challenges in a team environment. **Required Qualifications:** ... and network design. + Predict and monitor outcomes from provider networks, ensuring solutions are effective and scalable. + Partner closely with business teams… more
- RTX Corporation (East Hartford, CT)
- …F135 Sustainment Supply Chain Management (SCM) team is looking for a **F135 Logistics Solutions Specialist** - (TAV) that will work with the team to deliver materiel ... via QLIK Sense and other tools, validate loss reporting and transportation claims , and conduct follow-on investigations for delayed in-transit spares + Coordinate… more
- Edgewell Personal Care (Shelton, CT)
- …the marketing budget. Responsibilities will also include forecasting, business analytics, project management of activations/customer projects/e-retail/new items, and ... identify key issues impacting brand volume performance and recommend potential solutions . + Initiate market research projects to deliver powerful consumer and… more