Director, Pharmacy AmTrust Financial Services, Inc.Director, PharmacySouthington, Connecticut$130,000–$155,000 / yearFull timeAbility to prepare and effectively communicate presentations, interpret/develop reports, metrics and improvement plans, and to interact collaboratively and work effectively with a multi-functional team and throughout the organization; foster an environment of shared responsibility and accountability. This role will achieve outcomes by focusing on analytics, clinical operations, and development of new programs to support organizational vision, and cost savings.
Vocational Case Manager - Boston / Springfield, MA Paradigm Management Services LLCVocational Case Manager - Boston / Springfield, MASpringfield, MARemoteQualifications: Bachelor's degree (B.S., B.A.) required in Rehabilitation Counseling or related field with course work in rehabilitation philosophy, rehabilitation history, rehabilitation ethics, medical aspects of disability, psychological aspects of disability, job placement, occupational information, counseling theory, personal and vocation adjustment, work evaluation (minimum of 24 credit hours). We are seeking a Vocational Case Manager (VCM) to cover the Boston and Springfield areas, including Cambridge, Rockport, Concord as well as other areas in Massachusetts.
ESIS ProClaim Manager Chubb LtdESIS ProClaim ManagerSimsbury, CT$86,000–$136,400 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
Supv Accts Rec FollowUp Denial / PA Third Party Follow Up Hartford HealthCare CorpSupv Accts Rec FollowUp Denial / PA Third Party Follow UpFarmington, 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.
Investigator Ethos Risk ServicesInvestigatorHartford, CTFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSpringfield, MassachusettsThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthHartford, CT$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewUtilization Review Nurse (40 Hour)(Office/On-Site) State of ConnecticutUtilization Review Nurse (40 Hour)(Office/On-Site)Hartford, CT$82,454–$111,760 / yearFOR THOSE WHO HOLD AN RN LICENSE IN A STATE OTHER THAN CONNECTICUT AND DO NOT HOLD A MULTISTATE OR COMPACT REGISTERED NURSING LICENSE, AND WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE: Review the eligibility and documentation requirements for CT license by endorsement of an out-of-state license; Complete a CT DPH online application online (expand the 'Public Health Practitioners' grouping, select 'Registered Nurse' and then 'Start'; Request verification of your out-of-state license(s) electronically through the National Council of State Boards of Nursing's: Nursys System. In a state agency this class is accountable for a full range of duties involving the assessment and review of health care delivery systems or medical cost containment activities and programs related to agency efforts to promote cost effective quality of care of cost containment in accordance with various federal and/or state statutes, regulations and guidelines.
Contents & Pack-out Technician ServiceMaster Apple ValleyContents & Pack-out TechnicianSouthington, ConnecticutThis role has built-in growth potential : We're looking to hire someone who can lead pack-outs from day one, or a detail-oriented candidate with the drive and people skills to grow into running contents jobs independently. In the midst of disaster, this role puts homeowners at ease by treating their belongings as if they were your own: caring for what can be saved, and carefully tracking what can't so it's properly reimbursed.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceHartford, CTThe wage range for this role 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. 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.
Medical Front Desk Rep - Quincy, MA Gather HealthMedical Front Desk Rep - Quincy, MAQunicy, MA$18–$25 / hourGather's model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary "Tech Enabled Home Model.". To address the needs of these clinically and socially complex patients, Gather Health's Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.
Automotive Body Shop Appraiser Liberty HondaAutomotive Body Shop AppraiserHartford, ConnecticutExperience in auto damage estimating a must , auto body repair, or automotive repair roles with a strong understanding of vehicle structures and systems. Conduct thorough inspections of damaged vehicles to assess auto body and mechanical repairs needed.
On Site - CT; Accounts Receivable Specialist Summit Health IncOn Site - CT; Accounts Receivable SpecialistRocky Hill, CTCore duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
Automotive Body Shop Appraiser WallingfordAutomotive Body Shop AppraiserWallingford, ConnecticutExperience in auto estimating, auto body repair, or automotive repair roles with a strong understanding of vehicle structures and systems. Conduct thorough inspections of damaged vehicles to assess auto body and mechanical repairs needed.
JanSport/Eastpak/Kipling: Senior Analyst, Demand Planning KiplingJanSport/Eastpak/Kipling: Senior Analyst, Demand PlanningJersey City, New Jersey$79,200–$99,000 / yearSeasonal Planning & Forecasting: Develop and present seasonal carry-over plans for the marketplace (~40% of Seasonal Revenue), aligning with marketplace trends, brand direction, and pre-season forecasts in collaboration with Merchandising. Lead for Seasonal MFP & Regional OTB Support: Lead the creation and execution of the seasonal Merchandise Financial Plan (MFP) and support the Regions Open-to-Buy (OTB), ensuring alignment with financial targets and marketplace needs.
Analyst, Financial Planning & Analysis Fordham UniversityAnalyst, Financial Planning & AnalysisBronx, NYSitting Nearly Continuously Repetitive Hand Motion (such as typing) Nearly Continuously Hearing, Listening, Talking Often Standing Not Required Walking Not Required Running Not Required Bending, Stooping, Kneeling, squatting, Crouching, Crawling Not Required Climbing stairs Not Required Climbing ladders Not Required Reaching overhead Not Required Pulling, pushing Not Required Shoveling Not Required Lifting - up to 20 pounds Not Required Lifting - up to 50 pounds Not Required Lifting - over 50 pounds Not Required. Title of Position Analyst, Financial Planning & Analysis Position Number A11000 FLSA Exempt Scheduled Hours Per Week 35 Department Treasury Department Campus Rose Hill, Lincoln Center Work Arrangement Hybrid Hybrid Policy: Please review the Hybrid Policy at www.fordham.edu/hybridpolicy.
Strategic Finance Senior Associate, Commercial Finance Imagen TechnologiesStrategic Finance Senior Associate, Commercial FinanceNew York, New YorkRemoteWith over $250 million in funding from investors such as Google Ventures and some of the largest clinical networks in the country, we are rapidly expanding this platform across the U.S. — from 22 states and 2.7 million patients in 2025 to more than 35 states and over 5 million patients annually by 2027. Analyzing prospective customers’ profitability and conducting in-depth strategic assessments, identifying key trends, opportunities, and risks to inform customers’ strategic decisions through Imagen’s value proposition.
Sr. Oncology Sales Specialist- S2 - (Hackensack, NJ) EisaiSr. Oncology Sales Specialist- S2 - (Hackensack, NJ)Newark, New JerseyExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
Oncology Sales Specialist- S2 - (White Plains, NY) EisaiOncology Sales Specialist- S2 - (White Plains, NY)White Plains, New YorkCollaborates appropriately with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner. Experience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred.
Sr. Oncology Sales Specialist- S2 - (Hackensack, NJ) Eisai IncSr. Oncology Sales Specialist- S2 - (Hackensack, NJ)Newark, NJExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.