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61 Jobs in Hartford, CT

  • Clinical Program Manager Remote

    Prime Therapeutics - Hartford, Connecticut
    ... ** Clinical Program Manager Remote Job Description This Clinical Program Manager opening is ... utility player/SME of the department. The Clinical Program Manager is responsible for the management ...
  • Manager, Business Consultant (IC)

    CVS Health - Hartford, Connecticut
    ... , analytic, and consultative skills to join our team of Medicare Advantage Manager, Business Consultants (MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan ...
  • Manager of Payer Contracting

    Takeda Pharmaceuticals - Hartford, Connecticut
    ... Manager of Payer Contracting. Where you will lead the development and implementation of assigned Payer and PBM contracts with an emphasis on drafting and editing complex agreements for Commercial and Medicare ...
  • Senior Data Manager

    Humana - Hartford, Connecticut
    ... Senior Data Manager acquires, cleans and develops datasets from internal and external sources to support ... other teams to ensure all aspects of data needs are taken into account. Coordinate the completion ...
  • Senior Product Manager - Claims

    HealthEdge Software Inc - Hartford, Connecticut
    ... Overview Position Overview:   As a Senior Product Manager, within theclaimsvalue ... key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and ...
  • Oncology Sales Representative/Specialist - St. Louis, MO

    Merck - Hartford, Connecticut
    ... collaborating with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. ​ **Position Qualifications ...
  • Executive Director, Group Medicare Performance Optimization

    CVS Health - Hartford, Connecticut
    ... Medicare Organization. Our vision is to develop an industry-leading group retiree health care business by ... Group Medicare Performance Optimization team. This leader will preside over performance management ...
  • Senior Financial Analyst - Remote

    Prime Therapeutics - Hartford, Connecticut
    ... problems and issues. If supporting Medicare Part D, will be responsible for implementing CMS ... Structure** Reports to Manager or Sr Director in the Finance department Responsibilities 3 ...
  • Manager, Member Billing

    CVS Health - Hartford, Connecticut
    ... Part D members utilizing the Medicare Prescription Payment Program (M3P). The Manager will oversee team ... Application. M3P is a Medicare Part D requirement effective January 1, 2025, and thus, the Manager will ...
  • Manager, Member Billing

    CVS Health - Hartford, Connecticut
    ... Part D members utilizing the Medicare Prescription Payment Program (M3P). The Manager will oversee team ... Application. M3P is a Medicare Part D requirement effective January 1, 2025, and thus, the Manager will ...
  • Group Medicare Proposal Development/Contract Review Professional

    Humana - Hartford, Connecticut
    ... Become a part of our caring community and help us put health first The Group Medicare ... proposals (RFPs)/request for renewals (RFRs). The Group Medicare Proposal Development/Contract Review ...
  • AVP, Provider Process and Network Operations Transformation Office

    Humana - Hartford, Connecticut
    ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare ...
  • VP, Brokerage Channel

    Humana - Hartford, Connecticut
    ... (typically 10+ years) in the insurance brokerage industry, with a significant focus on Medicare products and ... qualifications and personal attributes are also sought: In-depth knowledge of Medicare regulations, market ...
  • Dental Network Relations Senior Analyst (Fully Remote)

    CVS Health - Hartford, Connecticut
    ... assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO ... resolution, and effectively communicate to all parties. Responsible for account management of DSOs ...
  • Patient Navigator

    Cardinal Health - Hartford, Connecticut
    ... professional communication Clear knowledge of Medicare (A, B, C, D) 1-2 years of Pharmacy and/or ... -being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA ...
  • Dental Network Relations Senior Analyst (Fully Remote)

    CVS Health - Hartford, Connecticut
    ... assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO ... resolution, and effectively communicate to all parties. Responsible for account management of DSOs ...
  • PA Office Support Representative

    Highmark Health - Hartford, Connecticut
    ... ), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and ...
  • Senior Manager, Commercialization and Sales Enablement

    CVS Health - Hartford, Connecticut
    ... . Position Summary As the Senior Manager of Commercialization and Sales Enablement, part of the ... Organizations (ACO), Medicare Shared Savings Program (MSSP), ACO REACH, or other value-based care arrangements ...
  • Audit Manager

    Public Consulting Group - Hartford, Connecticut
    ... Responsibilities** Provide strong leadership on all Medicare/Medicaid cost settlement and supplemental payment ... relevant Medicare or other government program regulations. Develop a comprehensive understanding of ...
  • Medical Director - Medical Affairs (Oncology)

    CVS Health - Hartford, Connecticut
    ... consultative clinical support to Account Management in support of Key Clients as assigned. The Medical ... commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage ...
  • Medical Director - Medical Affairs (Oncology)

    CVS Health - Hartford, Connecticut
    ... consultative clinical support to Account Management in support of Key Clients as assigned. The Medical ... commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage ...
  • Director Provider Quality Outcomes

    Highmark Health - Hartford, Connecticut
    ... , locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across ... Organization are met and to optimize outcomes. Collaborates with the company's Medicare Advantage matrixed ...
  • Government Health Actuary Senior Consultant

    Deloitte - Hartford, Connecticut
    ... a career in Deloitte's Human Capital practice. The wage range for this role takes into account ... Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types ...
  • Government Health Actuary Consultant

    Deloitte - Hartford, Connecticut
    ... Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various ... into account the wide range of factors that are considered in making compensation decisions including ...
  • Delaware Valley ACO Fellowship/Provider Engagement Professional

    Humana - Hartford, Connecticut
    ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based ...
  • Senior Vendor Management Professional

    Humana - Hartford, Connecticut
    ... they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid ...
  • Behavioral Health Medical Director

    CVS Health - Hartford, Connecticut
    ... aligned plan's members. Position Description: Aetna Medicare Duals Center of Excellence is ... Independently motivated and capable of researching and adjudicating Medicare and Medicaid benefit and coverage ...
  • Internal Auditor 2

    Humana - Hartford, Connecticut
    ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare ...
  • Senior Analyst, Client Analytics - 2+ years of Healthcare Experience Needed

    Evolent Health - Hartford, Connecticut
    ... Opportunities:** The Senior Analyst, Client Analytics role will be serving key internal (Evolent Account ... ** Working knowledge of health plan billing and reimbursement structures associated with Commercial, Medicare ...
  • Supervisor, Provider Engagement

    Humana - Hartford, Connecticut
    ... leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military ...
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