Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHartford, ConnecticutSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Membership Representative I Elevance Health IncMembership Representative IWallingford, CTAdditional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. How you will make an impact: Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers.
YM New Provider Auditor And Educator Yale UniversityYM New Provider Auditor And EducatorNew Haven, CT$82,000–$131,500 / yearThe University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
YM New Provider Auditor and Educator Yale UniversityYM New Provider Auditor and EducatorNew Haven, CT$82,000–$131,500 / yearThe University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Contract Compliance & Financial Operations Specialist RSMContract Compliance & Financial Operations SpecialistConnecticutBy supporting partners and senior members of the RRC leadership team, executing key processes, guiding support staff, and contributing to financial and risk-mitigation efforts oversight, this role enhances engagement execution, improves team efficiency, and supports the firm’s ability to deliver high-quality client service to its clients. Other responsibilities may include: Support the proposal process, when necessary, and perform QA reviews to ensure message quality, format, and content meet the stated objectives and are consistent with internal communication guidelines; serve as a backup to assist proposal team in a hands-on capacity, when required.
Senior Manager, Premium Operations Sun Life FinancialSenior Manager, Premium OperationsHartford, CT$64,700–$97,100 / yearThe Senior Manager provides direction, coaching, and oversight for the U150 Resolution team, acts as an escalation leader for high-impact or financially sensitive issues, and partners across Client Account Management, Underwriting, Billing, Claims, Sales, Technology, Finance, and other operational teams to drive timely and sustainable resolutions. The Senior Manager, Premium Resolution leads a team responsible for resolving complex premium administration issues, payment inquiries, collections concerns, billing discrepancies, lapse prevention, and premium reconciliation activities across Sun Life's Group Benefits business.
NewGuest Experience Specialist Signature Aviation LtdGuest Experience SpecialistWhite Plains, NYThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Effectively collaborate, cooperate, and work closely with all team members, guests, and other visitors to ensure services are promptly and correctly handled in a professional and courteous manner.
Guest Experience Specialist - HPN Signature Aviation LtdGuest Experience Specialist - HPNWhite Plains, NYThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Effectively collaborate, cooperate, and work closely with all team members, guests, and other visitors to ensure services are promptly and correctly handled in a professional and courteous manner.
Inpatient Coding / Abstraction Specialist Hybrid Work Environment Hospital for Special CareInpatient Coding / Abstraction Specialist Hybrid Work EnvironmentNew Britain, ConnecticutRequired: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies.
E-Banking and Card Services Support Specialist Waterbury CT Teachers FCUE-Banking and Card Services Support SpecialistMiddlebury, CTFull timeWaterbury CT Teachers Federal Credit UnionJob Description Job Title: Card Services/E-Banking SupportDepartment: Member ServiceReports To: VP – Member ExperienceSupervises: NoneLocation: Middlebury BranchNMLS: Not RequiredFLSA Status: Non-ExemptLevel: 8Date: September 2025 SUMMARY Under general supervision and in compliance with Credit Union policies and procedures, assist with coordinating the Credit Union's Debit and Credit Card services and all remote banking services, ensuring that services are performing as expected. E Services: Analyze and assist members with online banking issues including determining source of issue, guiding member to corrective action or contacting internal or external services to have issue addressed.
Sr. Neurology Account Specialist (Hartford E, CT) (Field Based) Eisai USSr. Neurology Account Specialist (Hartford E, CT) (Field Based)Hartford, CTExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management.
Registered Cardiovascular Invasive Specialist Next Move HealthcareRegistered Cardiovascular Invasive SpecialistWhite Plains, New York$40.91–$61.37 / hourWorking under the direction of an invasive cardiologist and nursing leadership, this position assists with diagnostic and therapeutic cardiac, electrophysiology, and peripheral vascular procedures. The specialist will support procedures in scrub, monitoring, documentation, imaging, and circulating roles while maintaining a strong focus on patient safety and procedural efficiency.
Expeditor- Materials Specialist K&A EngineeringExpeditor- Materials SpecialistOrange, CT$70,000–$75,000 / yearSupports Project Manager, Construction Manager and Commission Manager sourcing materials, issuing purchase orders, tracking, expediting, managing materials and equipment manufacturing process and delivery to storage areas and project site. K&A Power Group – is a privately held engineering firm delivering worldclass technical expertise and engineering excellence to power utility and industrial clients across the United States, Asia, the Middle East, and Africa.
Senior Accounts Receivable Representative WheelerSenior Accounts Receivable RepresentativeBristol, CTMaintain Work-Life Harmony: Recharge with generous paid time off, including: 15 vacation days per year to explore and recharge8 sick days per year for your well-being2 personal days per year for your personal needs2 floating holidays per year to celebrate what matters to you9 paid company holidays to spend with loved ones. Handles client and payer refund process by regularly identifying any refunds that are due and taking documented timely action to execute such refunds and participating in in preparing the organization's annual filing with the State of Connecticut.
Contract Compliance & Financial Operations Specialist RSM US LLPContract Compliance & Financial Operations SpecialistFarmington, CT$95,400–$163,900 / yearBy supporting partners and senior members of the RRC leadership team, executing key processes, guiding support staff, and contributing to financial and risk-mitigation efforts oversight, this role enhances engagement execution, improves team efficiency, and supports the firm's ability to deliver high-quality client service to its clients. Other responsibilities may include: Support the proposal process, when necessary, and perform QA reviews to ensure message quality, format, and content meet the stated objectives and are consistent with internal communication guidelines; serve as a backup to assist proposal team in a hands-on capacity, when required.
Sr. Neurology Account Specialist (Hartford E, CT) (field based) EisaiSr. Neurology Account Specialist (Hartford E, CT) (field based)Hartford, ConnecticutSkills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management Eisai Salary Transparency Language: Experience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems).
Neurology Account Specialist - (Hartford W, CT) (Field Based) Eisai IncNeurology Account Specialist - (Hartford W, CT) (Field Based)Hartford, CTExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States.
Neurology Account Specialist (Hartford E, CT) (field based) Eisai IncNeurology Account Specialist (Hartford E, CT) (field based)Hartford, CTExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management.
Patient Acct Clerk Westchester Medical Center Health NetworkPatient Acct ClerkValhalla, NY$20.28–$25.87 / hourJob Category Job Category Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Administrative Assistant Mountainside Treatment CenterAdministrative AssistantChappaqua, NY$20–$28 / hourCollect client co-payments, process payment pages, document financial transactions, assist with insurance and billing processes, and ensure client accounts, invoices, and supporting financial documentation remain accurate and up to date. This position is responsible for managing front desk operations, appointment scheduling, client communications, urine toxicology (UTox) administration, insurance and billing processes, and other administrative functions that support quality client care and efficient site operations.