- CVS Health (Hartford, CT)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, waste, and ... abuse investigations by managing and responding to Requests for Information...The analyst will also provide **leadership support** to the Manager by assisting with team coordination, reporting, and strategic… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc.* Work with Risk Engineering Manager on special projects and developing reports to support Regional ... include conducting report and file reviews, coaching, etc.* Active participation in special projects that could be technical in nature (ie) Biotech, Technology,… more
- Synchrony (Stamford, CT)
- …other production team members as needed. + Perform other duties and/or special projects as assigned. **Qualifications & Requirements:** + Bachelor's Degree with 6+ ... and all our voices matter, tell us about your special way of influencing others. **Grade/Level: 12** The salary...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Synchrony (Stamford, CT)
- …help you realize your unique ambitions. As an **Associate Vice President, Audit Manager ,** you'll play an integral part of ensuring our ongoing financial health. In ... meetings, training and culture events._** As an **AVP, Audit Manager - Finance and Platforms** a typical day might...relationships with key stakeholders + Perform other duties and/or special projects as assigned **This role is a great… more
- Synchrony (Stamford, CT)
- …**Role Summary/Purpose:** This position reports into the VP, Senior Audit Manager - Credit, responsible for providing independent and objective assessment of ... through ongoing professional development. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree in… more
- Synchrony (Stamford, CT)
- …Description: **Role Summary/Purpose:** The AVP, Information Security Engineering Program Manager will lead major strategic initiatives within the Information ... and proactive problem-solving mindset. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree in… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Travelers Insurance Company (Hartford, CT)
- …with Unit Manager on use of Claim Coverage Counsel. + Investigation /Evaluation: + Investigates each claim to obtain relevant facts necessary to determine ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Travelers Insurance Company (Hartford, CT)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more