8 jobs found in Bloomfield

Provides advanced professional input to complex Operations Management assignments/projects. Supports and provides direction to more junior professionals. Works autonomously, only requiring "expert" level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Business Operations. May lead projects or project steps within a broader project or have accountability for ongoing activities or objectives. May assist in business processing, service levels and reporting. Is responsible for preparing and reviewing key statements and document related to business operations or key accounts. May gather results and prepare reporting for distribution to clients. Ensure that production levels and targets are achieved and effective processing controls are in place. The IMT Operations Lead...

POSITION SUMMARY The Client and Customer Experience (C&CE) team is responsible for the servicing of Cigna customers across multiple lines of business, including US Employer, Pharmacy Benefit Services, Individual and Family Plans, and more. C&CE owns the delivery of exceptional customer and client experiences. Within C&CE, the Workforce Management team supports staffing and scheduling across the enterprise, ensuring our phone calls are answered, authorizations are completed and clients are onboarded in timely and efficient manner. The Business Analyst Advisor works within an analytics team that provides support to Workforce Management by delivering high-quality analytics, reporting, and insights that enable effective operational decision-making and performance management across multiple lines of business. In this role, the Business Analyst Advisor partners closely with operations leaders, business analysts, and other stakeholders to translate business...

OVERVIEW The Enterprise Management Operating System (eMOS) is a platform that equips our operations with structured practices and data-driven insights to lead effectively. It supports ongoing leadership development and enhances supervisor capabilities, enabling better outcomes for the ~30K users across Cigna. Within eMOS, there are four supporting functions: onboarding, tool development, sustainment, and training. The Operations Director is responsible for the daily oversight and management of these teams powering eMOS, as well as the forward-looking vision of where the platform should evolve. This role will work in collaboration with Product, Operations and Business leaders to understand the unique needs of the many organizations eMOS supports. This is a fully remote opportunity for candidates in select geographies. Candidates who reside within 50 miles of the following locations will be required to perform onsite 3 days per week: Bloomfield, CT; Chattanooga, TN;...

Job Summary Leads clinical quality measurement and improvement activities, ensuring successful execution of Healthcare Effectiveness Data and Information Set (HEDIS®) while advancing the transition to digital quality measurement (dQM). Accountable for market performance, regulatory compliance, vendor management, and the modernization of data acquisition, measurement, and reporting capabilities. Scope & Impact Primary market lead for end-to-end HEDIS execution and performance outcomes Drives measurable improvement in quality metrics and Stars/HEDIS performance Leads adoption of digital quality measurement capabilities, including EHR-enabled data capture and interoperability Influences cross-functional teams (clinical, IT, provider, vendor, customer facing, and enterprise stakeholders) Manages vendors, budget, and operational efficiency for quality programs Key Responsibilities 1. HEDIS/QRS Market Leadership Direct annual...

JOB DESCRIPTION: The Product Management Advisor supports product strategy, readiness, and go-to-market execution for Pathwell Specialty and related medical specialty solutions. This role is responsible for translating business needs into actionable plans, coordinating across a vast network of cross-functional partners, supporting Client and Sales Teams, and ensuring timely responses to PBAB/GTM inquiries. The Product Management Advisor drives product enablement, strengthens operational readiness, and ensures seamless end-to-end product delivery across the enterprise. Success requires strong collaboration across Sales/Account Teams, Client Services, Contracting, Clinical, IT, Marketing, RFP, Go‑to‑Market, Finance, Delivery, and Communications. The Advisor must effectively manage competing priorities, work comfortably in ambiguity, proactively identify risks and opportunities that drive product adoption and enhance product performance. RESPONSIBILITIES: Lead...

Product Management Lead Analyst - Regulated Markets - Operations - Centene Support Join a team that sits at the center of regulatory excellence and client success. As a Product Management Lead Analyst, you will help shape how we support members and clients across Medicare, Medicaid, and Marketplace businesses. This role is ideal for someone who enjoys solving complex problems, influencing outcomes, and turning regulatory requirements into clear, actionable strategies. You will work alongside thoughtful, driven professionals who care deeply about doing the right thing-for our clients, our members, and each other. Responsibilities Drive high-quality regulatory and client communications that strengthen trust, support compliance, and improve the overall member and client experience Serve as a subject matter expert in regulated market operations, guiding internal teams and supporting client-facing conversations with clarity and confidence Translate CMS...

The Director of Risk Management - MidAtlantic will play a key role in adapting, monitoring, and implementing the market strategy with both their Market Growth Leader and Senior Director of Risk Management/Managing Director. This position will provide useful risk and financial insights to help make better decisions and execute the market strategy. The Director of Risk Management (DRM) will interact effectively both internally and externally, and be viewed as a trusted business advisor. Critical outcomes include supporting the market with key risk and financial information and analytics, driving a culture of accountability in managing the business, and voicing well-substantiated dissenting opinions. Key Responsibilities Share market P&L accountability for the local market with MGL and market's Senior DRM / Managing Director Build and maintain working knowledge of all lines of business operating within the market. Support management process that measures...

We are seeking a Product Management Director who is passionate about building products that solve meaningful problems and create lasting value. In this role, you will lead product strategy, roadmap development, and execution across multiple platforms, partnering closely with technology, operations, growth, and regulatory teams. You will help move the organization beyond feature delivery toward outcome-driven, customer-centered product leadership in a complex and highly regulated environment. What You Will Do Own and drive product strategy, prioritization, and roadmap planning across core platforms, ensuring alignment with enterprise goals. Translate business strategy, client insights, and market trends into clear, actionable product plans and investment recommendations. Lead the full product lifecycle-from discovery and definition through delivery, launch, and ongoing optimization. Establish clear product outcomes and measurable OKRs that guide teams...