Sr. Mainframe Developer Cognizant Technology Solutions CorpSr. Mainframe DeveloperHartford, CT$60,000–$90,000 / yearOur deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com for roles based in the Americas or CareersIndia2@cognizant.com for roles based in India.
RCM Training And Quality Analyst DeloitteRCM Training And Quality AnalystHartford, CT$57,300–$76,400 / yearAs an RCM Training and Quality Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Pega Platform Admin LTM LtdPega Platform AdminHartford, CT$100,000–$130,000 / yearPega Platform Administrator to manage maintain and optimize Pega applications across environments Dev QA UAT Prod The role involves platform configuration deployment monitoring troubleshooting and ensuring high availability scalability and performance of Pega systems deployed on Prem or cloud AKSEKSOpenShift. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Commercial Lines Account Manager - Hybrid (Farmington, CT) Digital InsuranceCommercial Lines Account Manager - Hybrid (Farmington, CT)Farmington, ConnecticutOneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs.
Commercial Lines Account Manager - Hybrid (Farmington, CT) OneDigital Health and Benefits, Inc.Commercial Lines Account Manager - Hybrid (Farmington, CT)Farmington, CT$60,000–$80,000 / yearOneDigital complies with all criminal history inquiry [or 'ban the box'] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington. Our Newest Opportunity: Summary: OneDigital is seeking an experienced and knowledgeable Account Manger to service existing clients and help develop new client relationships.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesCT$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Project Manager Padmore Global ConnectionsProject ManagerHartford, ConnecticutRemoteIn support of Connecticuts Department of Developmental Services, CTDDS requires an experienced PM with an understanding of data migrations, data governance, data cleansing, data exports, APIs and enterprise data modernization efforts.10+ years of experience in project management, planning, and tracking of projects, including overseeing IT projects and schedules/roadmaps from conception to completion. Ideal candidates will have previous PM experience working with projects related to managing patient and/or health-related data migration, data governance, data cleansing, data export, APIs and enterprise data modernization efforts, with a thorough understanding of the compliance and regulatory requirements related to managing patient and/or health data including, but not limited to, HIPAA, HITECH, and FedRAMP.
NewAppeals and Grievances Clinical Specialist HealthfirstAppeals and Grievances Clinical SpecialistCT$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.
NewSupv Accts Rec FollowUp Denial / PA Medicare Billing Hartford HealthCare CorpSupv Accts Rec FollowUp Denial / PA Medicare BillingFarmington, CTPosition Summary: Responsible for the daily operations of an Accounts Receivable (AR) Follow Up team, tasked with timely and accurate collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare to insure optimal revenue cycle performance. Job Title(s) of HHC positions reporting to this Job: Direct supervision of AR Team Lead and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments and overpayments.
Lead Director - Performance Analytics & Optimization CVS Health CorpLead Director - Performance Analytics & OptimizationCT$100,000–$231,540 / yearThis Lead Director will provide objective oversight of edit performance, savings realization, edit accuracy, quality, false-positive rates, production quality, and continuous optimization across the Payment Integrity editing portfolio, including GCP, Lyric, Cotiviti, and related editing solutions. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
PT Legal Assistant (HARTFORD) Connecticut TransitPT Legal Assistant (HARTFORD)Hartford, CT$25–$30 / hourThe ideal candidate will assist with document management, legal compliance, labor relations tracking, and claims processing, ensuring the highest level of organizational data integrity and confidentiality. Minimum possession of an Associate degree in legal studies, paralegal studies, criminal justice, criminology or a closely related field & two (2) years of relevant work experience is required.
Accts Rec & Denial Spec 2 / PA Third Party Follow Up Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Third Party Follow UpFarmington, CTPosition Summary: Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic Fund Transmission (EFT) responses, respond on underpayments or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays.
Epic Denials Manager DeloitteEpic Denials ManagerHartford, CTRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Customer Service Representative - State Farm Agent Team Member Christopher Schoelen - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSuffield, CTFull timeAs a Customer Service Representative - State Farm Agent Team Member with Christopher Schoelen - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Amie Chasse - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberBristol, CTFull timeAs a Customer Service Representative - State Farm Agent Team Member with Amie Chasse - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Insurance Account Position - State Farm Agent Team Member Tiffany Nguyen - State Farm AgentInsurance Account Position - State Farm Agent Team MemberBerlin, CTFull timeROLE DESCRIPTION: Tiffany Nguyen, State Farm Agency in Berlin is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Insurance Account Position, your knowledge of insurance products and industry trends equips you to communicate directly with customers, identify their needs, and market products or services that maximize value.
NewCustomer Service Representative - State Farm Agent Team Member Jo Ann Walk - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberEnfield, CTFull timeAs a Customer Service Representative - State Farm Agent Team Member with Jo Ann Walk - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. As a board member of the Rotary Club of Enfield, North Central Chamber of Commerce, and Allied Community Services, I believe in making a positive impact both in and out of the office.