Jobs in Somers, CT

Transform clinical standards and quality initiatives across the enterprise, ensuring compliance with established protocols. Lead medical direction, drive operational improvement, and foster partnershi...

Empower healthcare outcomes by engaging in data analytics and reporting. This senior role manages complex datasets, collaborates with cross-functional teams, and creates dashboards to enhance operatio...

Shape the future of healthcare by managing integrated care for complex needs. Collaborate with diverse teams and community resources to enhance health outcomes and enrich the lives of dually-eligible...

Drive optimal enrollment operations through strategic leadership, overseeing member lifecycle processes, compliance, and data integrity while managing vendor partnerships and operational transformatio...

Join a dynamic team dedicated to transforming care for dually-eligible enrollees. Drive comprehensive clinical management by integrating health services and advocating for members' diverse needs in th...

Engage with diverse populations as a community-based nurse, managing complex care for dually-eligible individuals. Collaborate with providers to enhance health outcomes and integrate services, ensurin...

Transform payment integrity outcomes by leading advanced analytics initiatives. Drive anomaly detection and Fraud, Waste, and Abuse prevention while mentoring junior analysts and collaborating across...

Transform the Enrollment Operations team, ensuring quality execution and compliance while driving operational efficiency. Guide staff in delivering high-quality service and adapt to regulatory changes...

Pioneer scalable AI applications using low-code platforms. Collaborate with data scientists and engineers to integrate AI solutions into business processes efficiently and effectively, enhancing opera...

Join a team that’s dedicated to enhancing healthcare through innovative care coordination. Make a difference by managing complex medical, behavioral, and social needs for vulnerable populations, ensur...

Unlock potential by leading the design and operationalization of advanced analytics and AI solutions to enhance healthcare operations and patient outcomes, while mentoring teams and influencing enterp...

Join a team that's dedicated to enhancing claims management through data analysis, policy development, and system implementation, ensuring accuracy in clinical edits and reimbursement strategies for i...

Lead the charge in improving health outcomes for dually-eligible enrollees by providing tailored clinical care management and support. Collaborate with healthcare providers and community resources to...

Advance data analysis of health encounters to ensure compliance with SLAs while driving continuous process improvement. Collaborate across teams to enhance data usability and support regulatory initia...

Partner with us to drive strategic HR initiatives, aligning organizational culture and business objectives while fostering employee development and engagement in a collaborative environment...

Lead the development of integrated vendor governance frameworks and strategies to optimize third-party partnerships within healthcare operations. Collaborate with cross-functional teams to ensure comp...

Engage in clinical oversight and support staff training while ensuring adherence to quality standards and regulatory compliance in a collaborative healthcare environment focused on member care and ope...

Empower healthcare delivery by leading clinical reviews, provider education, and quality improvement initiatives. Collaborate with teams to enhance member care standards and support compliance with re...

Provide strategic project management leadership for large electric substation projects, ensuring successful execution across all phases with a focus on scope, schedule, and budget while fostering coll...

Drive business analysis by gathering requirements, documenting processes, and validating Salesforce solutions to enhance customer satisfaction and operational efficiency through effective stakeholder...

Champion strategic leadership in construction claims, enhancing client advocacy and support across various teams while driving innovation and collaboration for best-in-class service delivery...

Empower your career by leading cross-functional program management initiatives, driving process improvements, and ensuring compliance in a dynamic environment. Collaborate with key stakeholders to del...

Pioneer impactful change as you lead structured management initiatives, engaging clients with strategies that enhance technology and process adoption, while leveraging strong analytical skills and fos...

Empower innovative solutions by leading PTC Service Lifecycle Management implementations, bridging gaps in service operations, and enhancing technical documentation processes across diverse teams and...

Champion compliance and creativity in crafting compelling Medicaid proposals, aligning with team strategies while enhancing knowledge of industry best practices. Collaborate with experts to produce co...