-
Remote GRC Analyst
1 week ago
Insight Global Bloomfield, United StatesJob Description · A healthcare client is looking for a Governance Risk and Compliance Analyst to sit remote. This person is going to be part of the Information Protection organization and is intended to work as a liaison for client risk management. This person is responsible for ...
-
Remote GRC Analyst
2 weeks ago
Insight Global Bloomfield, United StatesJob Description · A healthcare client is looking for a Governance Risk and Compliance Analyst to sit remote. This person is going to be part of the Information Protection organization and is intended to work as a liaison for client risk management. This person is responsible for ...
-
Remote Data Analyst
2 weeks ago
Insight Global East Hartford, United StatesJob Description · Insight Global is currently seeking a remote data analyst to work fully remotely. This role supports the Engineer and Global Technology solutions for a large enterprise company. The ideal candidate will have the responsibility of accurately inputting, organizing ...
-
Remote Performance Analyst/Engineer
1 week ago
Insight Global East Hartford, United StatesAn aerospace employer is looking for a Performance Analyst/Engineer to join their team remotely. This digital technology group is responsible for delivering digital solutions within the company's Manufacturing Execution System (MES) and Manufacturing Operations Management (MOM) e ...
-
Remote Product Analyst
1 week ago
The MH Group Springfield, United StatesJob Description · Job DescriptionAre you passionate about product analysis and regulatory compliance? Are you looking for a remote opportunity that allows you to utilize your strong analytical and problem-solving skills? If so, we have an exciting opportunity for you as a Remote ...
-
Presale Analyst- Group Benefits
1 week ago
The Hartford Hartford, United StatesNA Pre-Sale Analyst - ON09EN · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team ...
-
Billing Specialist- Group Benefits
2 days ago
The Hartford Hartford, United StatesBilling Analyst - OB10KN · Billing Specialist - OB09ON · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish ...
-
File Transfer/sftp Application Support Lead
1 week ago
Voya Financial Hartford, United StatesTogether we fight for everyone's opportunity for a better financial future._ · We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone's access to opportunities. The status quo is not go ...
-
Remote Voluntary Insurance Product Analyst
1 week ago
The MH Group Springfield, United StatesJob Description · Job DescriptionAre you passionate about product analysis and regulatory compliance? Are you looking for a remote opportunity that allows you to utilize your strong analytical and problem-solving skills? If so, we have an exciting opportunity for you as a Remote ...
-
Compliance Analyst
1 day ago
Symmetry Partners LLC Glastonbury, United StatesSymmetry Partners provides independent Financial Advisors with a complete business solution, including Evidence-Based investment strategies and operational services and support. To help Advisors deliver a better client experience, we also provide marketing, technology, and busine ...
-
Business Intelligence Analyst
1 day ago
Garnet Health Middletown, United StatesOverview: · At Garnet Health, the Hudson Valley's leading integrated health system, you'll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals ...
-
Program Analyst
1 week ago
SAIC Middletown, United StatesJob ID: · **Location**:MIDDLETOWN, RI, US · **Date Posted**: · **Category**:Program Management · **Subcategory**:Project Analyst · **Schedule**:Full-time · **Shift**:Day Job · **Travel**:No · **Minimum Clearance Required**:None · **Clearance Level Must Be Able to Obtain**:Secre ...
-
Configuration Management Analyst
3 days ago
SAIC Middletown, United StatesJob ID: · **Location**:MIDDLETOWN, RI, US · **Date Posted**: · **Category**:Engineering and Sciences · **Subcategory**:Config Analyst · **Schedule**:Full-time · **Shift**:Day Job · **Travel**:No · **Minimum Clearance Required**:None · **Clearance Level Must Be Able to Obtain**: ...
-
Cigna Health And Life Insurance Company Bloomfield, United StatesDigital Data Analyst- Evernorth Health Services - Remote page is loaded · Digital Data Analyst- Evernorth Health Services - Remote · Apply · remote type · Remote · locations · Bloomfield, CT · United States Work at Home · time type · Full time · posted on · Posted 6 Da ...
-
Data Governance Analyst
16 hours ago
Conexess Bloomfield, United StatesWho We Are: · Conexess is a full-service staffing firm offering contract, contract-to hire, and direct placements. We have a wide range of recruiting capabilities extending from help desk technicians to CIOs. We are also capable of offering project-based work. · Conexess Group i ...
-
Systems Analyst
5 days ago
Conexess Bloomfield, United StatesOur History: · From our start in 2009, Conexess has established itself in 3 markets, employing nearly 200+ individuals nation-wide. Operating in over 15 states, our client base ranges from Fortune 500/1000 companies to mid-small range companies. For the majority of the mid-small ...
-
Market Insight Analyst
3 days ago
Aquent Bloomfield, United StatesJob Title: Market Insight Analyst · Client Location: Bloomfield, CT (ONSITE) - This is NOT REMOTE · Starting: 06/01/2024 · Salary/Pay Rate: $30 to $35 an hour. · Firm, non-negotiable: Yes · Hours: Full-time · Duration: Dec 2024+ · Job Description: · Our clients enterprise s ...
-
Sales Compensation Lead Analyst
1 week ago
Cigna Health And Life Insurance Company Bloomfield, United StatesSales Compensation Lead Analyst - Hybrid page is loaded · Sales Compensation Lead Analyst - Hybrid · Apply · remote type · Hybrid · locations · Bloomfield, CT · time type · Full time · posted on · Posted Yesterday · job requisition id · The Cigna Group is seeking a Sa ...
-
Financial Analysis Advisor
1 week ago
Cigna Health And Life Insurance Company Bloomfield, United StatesFinancial Analysis Advisor page is loaded · Financial Analysis Advisor · Apply · remote type · Hybrid · locations · Bloomfield, CT · St. Louis, MO · Philadelphia, PA · time type · Full time · posted on · Posted 3 Days Ago · job requisition id · Role Summary · Financ ...
-
Business Analyst
1 week ago
Eliassen Group Bloomfield, United StatesJob Description · Our industry-leading healthcare/insurance client is seeking a mid to senior level business analyst with 5+ years of experience preferred. This role is 100% remote and has the potential to convert to a full-time role. · Due to client requirement, applicants must ...
medicare & cob operations lead analyst - remote - Bloomfield, CT, United States - The Cigna Group
Description
Job DescriptionRole is within Payment Integrity (Medicare and Commercial Coordination of Benefits Operations and Enhancements).
This position reports directly to the team's Operations Manager as a key contributor.
RESPONSIBILITIES:
The Medicare and Coordination of Benefits Operations Lead Analyst fulfills the following duties:
Utilizes Medicare expertise in conjunction with strong analytical and collaboration skills to partner with matrix partners and vendors ensuring accurate and timely benefit primacy determination in complex scenarios.
Responds timely to complex share point inquiries (Intake application).
Analyzes weekly/monthly vendor management reporting for accuracy and assists with Cigna's determination as primary or secondary payer in complex situations.
Analyzes reporting data for trends within the share point intake application to identify performance or educational areas of opportunity.
Partners effectively with claim, call and client technical coaches to address primacy determination quality trends and efficiency improvement opportunities. Proactively engages with matrix partners (including legal) and vendors to educate when new laws impacting primacy are enacted.
Reviews/analyzes Knowledge Xchange articles to ensure team and vendor adherence.
Responds to requests for access to COB Smart portal and trouble shoots access issues within portal.
Participates in projects to support business initiatives.
QUALIFICATIONS
Bachelor's degree or higher strongly preferred or equivalent work experience required.
2+ years of work experience with Medicare and coordination of benefits primacy rules required.
Strong knowledge/experience in PROCLAIM, CED, Vipr.
Ability to work collaboratively within team as well as with matrix partners and outside vendors.
Strong analytic and problem-solving skills.
Proficiency in MS Office products such as Word, Outlook and Excel (experience with pivot tables/VLOOKUP) preferred.
Ability to recognize and respond to issues with the appropriate sense of urgency, escalating problems as appropriate.
Excellent communication skills to include written, oral and group presentation skills.
Strong time management skills.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 61, ,000 USD / yearly, depending on relevant factors, including experience and geographic location.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
_If you require reasonable accommodation in completing the online application process, please email:_ .com_ _for support.
Do not email_ .com_ _for an update on your application or to provide your resume as you will not receive a response.
_
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include:
Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
_
