114 jobs found in Bloomfield

Job Qualifications: Accountable for identifying, shaping and delivering strategic results through multiple business analytics disciplines. Works in collaboration with business leaders to provide thought partnership and drive decision making based on data and analytical insights across different parts of the organization. Consistently has a seat at the table with the leaders they support to influence the strategic direction of the organization and solve the most complex, highest priority problems. Able to make analytically sound decisions, often based on limited information, that inform solutions for business priorities. Position Summary: Reporting to the head of the Client and Customer Experience (C&CE) Strategy and Analytics team, this individual will be responsible for providing strategy and analytics support for the operation. The C&CE team builds and delivers inspiring, efficient service experiences that ensure our customers and patients are at the...

This is a #hybrid position, open to #anywhere in the United States , working in the office 3 days a week. You will lead the business insights partnership between Acosta and our client. Working with cross-functional teams to deliver advanced, value-added, and insight-driven analytical solutions that provide actionable insights , business solutions , and profitable recommendations . With a high-level understanding of the sales drivers that affect clients and customers. Analyze complex data and provide thoughtful, proactive guidance and recommendations that address the 4-Ps (product, pricing, promotion, placement), supporting the General Merchandise category . Lead and direct the category review process through the 3-call process while engaging with cross-functional teams to provide a complete category management solution. Build compelling sales presentations using syndicated , shopper, and other sources of data that provide in-depth...

Job Title Senior Short-Term Disability Claim Specialist Job Location Virtual within a commutable distance of Bloomfield, CT. New Hires must live within a commutable distance of Bloomfield. Training IN-PERSON TRAINING for up to 7 weeks. Key Expectations Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc Applies all appropriate provisions of the disability contract to ensure that MetLife's liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support return to work through a variety of programs and methodologies. Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.)...

As a Lead Analyst, Invoice Review & Audit, you will play a critical role in ensuring financial accuracy, transparency, and trust across our Coverage Review Operations (CRO). You will partner with Global Service Partners (GSPs), Finance, and Procurement teams to strengthen invoice governance, support informed decision-making, and continuously improve how we manage vendor spend. This role is ideal for someone who enjoys detail-driven work while thinking strategically about process improvement and business impact. Responsibilities Ensure invoices from Global Service Partners and third-party suppliers are accurate, compliant, and aligned to contract terms, budgets, and forecasts. Perform thorough invoice reviews and audits, identifying trends, variances, and risks that impact financial performance. Approve invoices in Ariba to support timely and accurate payment processing. Partner with Finance, Procurement, and Accounts Payable teams to resolve...

We are seeking a detail-oriented Lead Analyst to support the Voluntary Out-of-Network Protection Team. This role focuses on driving accurate, fair, and cost-effective pricing for voluntary out-of-network claims, with expertise in Maximum Reimbursable Charge (MRC), Fair Health pricing, and Medicare-based methodologies . The Lead Analyst resolves pricing disputes, analyzes claims data, and develops tools and insights that support manual pricing teams and external pricing operations. This role directly impacts affordability for members, consistency for providers, and cost efficiency for clients. Key Responsibilities Resolve voluntary out-of-network pricing disputes using MRC, Fair Health, and Medicare methodologies. Analyze pricing data to identify trends, variances, and improvement opportunities. Develop tools, reporting, and insights to support manual and external pricing operations. Collaborate with Claims, Call Center, and matrixed teams to...

SUMMARY The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. We seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success. RESPONSIBILITIES Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits, mail-order pharmacies, or Medicare. Take calls back-to-back while toggling through several applications on multiple screens. Attend 100% of trainings and the first 90 days of employment. Update conversion requests and provide shipment status to members Facilitate transition of requested medications to home delivery Advocate for the member patient by placing phone calls,...

We are seeking a highly skilled, customer-focused Senior Analyst to support our Voluntary Out-of-Network team. This role plays a critical part in resolving complex pricing disputes, supporting cost containment efforts, and strengthening provider relationships. While not a people-management role, the Senior Analyst serves as a key contributor and subject-matter expert, guiding execution and supporting strategic initiatives. This position is ideal for someone with strong analytical capabilities, a passion for customer service, and the ability to work independently while collaborating effectively across teams. Key Responsibilities Lead the execution of pricing dispute resolution activities within Voluntary Out-of-Network cost containment programs. Conduct thorough investigations of pricing disputes to determine appropriate next steps, involved vendors, and resolution pathways. Ensure timely follow-up and resolution in alignment with established turnaround...

This role will report to the Senior Director, Pharma Strategy & Contracting and will focus on Pharma industry/Managed Markets/Specialty. Knowledge of PBM/Health plans consistent with Contract negotiations with Pharma manufacturers. The Principal will be responsible for management of Pharma Manufacturing drug portfolios and pipelines, and strategic thinking around rebate contracting deal structures. In this role, you will have the opportunity to consult with Health Plans, develop strategic initiatives, cross functionality with products; own day to day responsibility for manufacturer relationship from negotiating, invoicing issues, payment, contract setup, confirmation and strategic development for health plan clients. ESSENTIAL FUNCTIONS: Assisting the Sr. Director of Pharma Strategy and Contracting in determining manufacturer, product class, and drug tactics and executing on these tactics. Collaborate with Ascent Health Services on product class strategies and...

SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting than one where we are not. Today SpaceX is actively developing the technologies to make this possible, with the ultimate goal of enabling human life on Mars. SOFT GOODS TECHNICIAN The Bloomfield soft goods team produces a variety of specialized fabric products (parachutes, rip-stitch modulators, protective closeouts, insulative covers etc.) for all SpaceX programs such as, Falcon, Dragon, Starship and Starlink. As a technician on the soft goods team, you will have the opportunity to develop a diverse skillset, from sewing and hardware installation to operating automated machinery. RESPONSIBILITIES: Prepare work to be accomplished by gathering and sorting materials and tools Handle a range of fabrics and materials with various properties, including nylon, Kevlar, zylon, spectra, Teflon etc. Cut and mark materials from templates and...

Position Summary The Claims Manager leads the day-to-day operations of the claims organization, managing Claim Supervisors and/or Project Lead Analysts. This role partners closely with internal stakeholders and Global Service Partners (GSPs) to ensure appropriate staffing, inventory control, quality outcomes, and achievement of performance metrics across assigned claim platforms. Key Responsibilities Lead and develop Claim Supervisors, ensuring performance aligns with established KPIs, quality standards, and processing timelines. Drive efficient inventory management to meet time-to-process, quality, and LPI goals. Partner with Global Service Partners to achieve SLA commitments and operational objectives. Collaborate with workforce management to balance staffing levels and operating expenses. Analyze eMOS and operational data to identify trends, remove barriers, and improve efficiency. Coach, mentor, and develop high-performing teams...

Make a measurable impact on healthcare affordability and accuracy by leading initiatives that improve claim payment precision and reduce unnecessary medical spend. In this role, you will combine analytical expertise, collaboration, and strategic thinking to strengthen pre- and post-pay solutions that protect customers and the business alike. Responsibilities Lead policy and quality improvement initiatives that enhance medical claim accuracy and reduce overpayments across pre- and post-pay programs. Partner with internal teams and external vendors to identify overpayment opportunities and design effective edit rules with balanced accuracy and financial outcomes. Own assigned edits throughout their lifecycle, monitoring performance, implementing corrective actions, and driving continuous improvement. Analyze weekly and monthly performance reports to assess effectiveness, identify trends, and recommend enhancements. Build clear, data-driven business...

As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization, focusing on specialty pharmacy and infusion services in partnership with hospitals and health systems. We are seeking a forward-thinking Business Analytics Lead Analyst who brings curiosity, analytical strength, and a growth mindset to help drive meaningful insights and strategic decision-making. Responsibilities Lead the development and preparation of quarterly business reviews, budget-to-actual performance analyses, gross margin analytics, and profitability models for 28+ partners. Deliver monthly financial and non-financial performance metrics, providing clear commentary and actionable insights. Partner with cross-functional teams to track and analyze KPIs across key business units and functions. Build pricing models, proformas, and business cases to support new investments and strategic initiatives. Utilize BI tools to surface...

This is a Hybrid position (3 days per week in-office + 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that are listed in this posting. JOB SUMMARY The Clinical Program Advisor/Program Management Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects and provide financial rebate modeling support to assigned clients. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses clinical professional knowledge and acumen to advise functional leaders and educate other team members. Delivers formulary consulting clinical modeling support, but also works on broader projects, which require understanding on a more global perspective. Recognized internally as a clinical subject matter expert. Represents supply chain department internally and externally serving as conduit to educate downstream formulary...

Evening Schedule - Shifts begin at 12pm and 3pm CST. Our mission is to provide immediate, personalized clinical support-whether it's a moment of crisis, clinical consultation, or a step towards lasting change. Our mission is to be responsive, collaborative, and impactful with each connection. As a Behavioral Licensed Clinician on our 24/7 Clinical Support Team, you will deliver expert, compassionate care across a wide spectrum of behavioral health needs. This team is designed to ensure continuity-each Behavioral Licensed Clinician remains with the customer throughout their journey, becoming a trusted clinical partner. While every team member supports various clinical populations and needs, we value and will leverage subject matter expertise in the development of training, curriculum, and clinical consultation. You'll be called on to bring depth into your areas of specialization while remaining flexible and responsive across all cases. The successful candidate will have...

The role of an Operations Analyst - Client Audit Coordinator responsible for managing external client audits, collaborating with cross-functional teams, analyzing audit results, and supporting overpayment recovery, requiring at least three years of claims processing experience and proficiency with the Proclaim system, with preferred qualifications including experience with additional processing platforms and virtual project leadership. Responsibilities Manage external client audits from initiation through post-audit follow-up, ensuring timely, accurate completion and clear communication of audit status. Research and respond to audit inquiries by leveraging KnowledgeXchange, internal partners, and deep claims processing expertise to provide clear, well-supported responses. Collaborate with cross-functional partners including Enterprise Operations, Eligibility, Auto Adjudication, Quality, Client Audit Managers, and Client Service teams to resolve audit...

Evening Schedule - Shifts begin at 12pm and 3pm CST Our mission is to provide immediate, personalized clinical support-whether it's a moment of crisis, clinical consultation, or a step towards lasting change. Our mission is to be responsive, collaborative, and impactful with each connection. As a Behavioral Licensed Clinician on our 24/7 Clinical Support Team, you will deliver expert, compassionate care across a wide spectrum of behavioral health needs. This team is designed to ensure continuity-each Behavioral Licensed Clinician remains with the customer throughout their journey, becoming a trusted clinical partner. While every team member supports various clinical populations and needs, we value and will leverage subject matter expertise in the development of training, curriculum, and clinical consultation. You'll be called on to bring depth into your areas of specialization while remaining flexible and responsive across all cases. The successful candidate will have...

Hiring for a Quality Technician in Bloomfield, CT Job Description The Quality Technician will provide crucial support for aero-derivative gas turbine programs, extending beyond mere inspection of parts. This role involves reviewing paperwork, inspection plans, working with suppliers to rectify issues, and overseeing first article inspections. Proficiency in Microsoft Office and Excel is essential. Responsibilities Perform inspection of new and overhauled parts received from suppliers. Inspect parts stored in the warehouse before they are moved to the parent company/owner. Inspect parts at supplier, partner, or customer locations as needed. Ensure all supplier documentation is accurate and meets requirements as part of the inspection process. Execute supplier source inspections. Essential Skills Quality engineering and materials engineering knowledge. Experience with ISO Standards, Auditing, Root Cause Analysis, Quality...

Position Summary: We are seeking a highly skilled Lead Applied AI Analyst to support a strategic initiative aimed at transforming financial workflow across the enterprise. This role will be responsible for designing, developing, and operationalizing AI-driven solutions that automate workflows, modernize legacy processes, and unlock new analytical and decision-support capabilities. The Lead Applied AI Analyst will partner closely with the Director of Program Delivery, business teams across Finance and related functions, and technical delivery teams to embed AI into daily operations and deliver measurable business outcomes. Key Responsibilities: AI Solution Design & Development Lead the design and development of AI capabilities, including NLP, GenAI, predictive modeling, and agent-based automation. Build AI-driven workflows that simplify multi-step business processes and reduce manual effort. Business Problem Solving & Use Case Development...

This role plays a critical part in strengthening payment integrity outcomes by partnering with providers, vendors, and internal teams to drive accurate and timely recovery of provider overpayments. The Business Project Lead Analyst brings expertise, collaboration, and a continuous improvement mindset to help maximize recoveries while building trusted relationships across the enterprise. Responsibilities Lead strategic collaboration between recovery vendors, providers, and internal network partners to improve provider overpayment refund outcomes. Drive monthly provider and vendor discussions to review overpayment inventory, resolve barriers, and accelerate recoveries. Partner with Network and Contracting teams to address uncooperative providers and implement effective remediation strategies. Monitor vendor performance and accuracy, translating findings into corrective action plans that improve results and compliance. Serve as a subject matter...

Position Summary: We are seeking a highly skilled Business & Data Analyst leader to support a strategic, enterprise-wide transformation of the end-to-end client financial workflow. This role will serve as a senior analytical leader within the program, responsible for driving business requirements, end-to-end process redesign, data insights, and analytical solutions that modernize legacy processes and enable automation, AI-driven capabilities, and a modern technology ecosystem. The Lead Business & Data Analyst will work closely with the Director of Program Delivery, cross-functional business stakeholders, and technical teams to ensure the program delivers measurable business value, improved operational efficiency, and enhanced data-driven decision-making. Key Responsibilities: Business Analysis & Process Transformation Lead end-to-end business requirements gathering across multiple functional areas (Finance, Operations, Accounting, Sales/Account...

Position Summary: We are seeking a highly skilled Business & Data Analyst leader to support a strategic, enterprise-wide transformation of the end-to-end client financial workflow. This role will serve as a senior analytical leader within the program, responsible for driving business requirements, end-to-end process redesign, data insights, and analytical solutions that modernize legacy processes and enable automation, AI-driven capabilities, and a modern technology ecosystem. The Lead Business & Data Analyst will work closely with the Director of Program Delivery, cross-functional business stakeholders, and technical teams to ensure the program delivers measurable business value, improved operational efficiency, and enhanced data-driven decision-making. Key Responsibilities: Business Analysis & Process Transformation Lead end-to-end business requirements gathering across multiple functional areas (Finance, Operations, Accounting, Sales/Account...

Sr. Account Executive - Specialty Pharmacy - Oncology Join our team as a Sr. Account Executive supporting Accredo's oncology partnerships, where you'll drive patient centered impact while expanding access to specialty pharmacy care. In this role, you'll build trusted relationships with oncology practices, deliver meaningful education, and achieve strategic sales goals that strengthen the patient experience. Responsibilities Achieve sales objectives across St. Louis, MO through strategic territory planning. Interpret prescribing and market data to guide territory strategy and identify growth opportunities. Engage oncology offices with high quality educational interactions that promote exceptional patient care. Meet productivity expectations for customer engagement, reach, and frequency. Manage account planning, sales strategy development, and call documentation in Salesforce. Complete all administrative responsibilities accurately and on...

The National Ancillary AR Manager plays a critical role in supporting Cigna's affordability programs by ensuring effective claims administration and accounts receivable management for National Ancillary partners. This role is part of the National Ancillary Service and Operations Team and is responsible for end-to-end service delivery within assigned segments. Aligned with an Account Team Manager, the AR Manager ensures timely and accurate claims processing, proactively monitors performance, conducts root-cause analysis, and drives service improvements. This individual partners closely with internal stakeholders and external National Ancillary partners to resolve claims issues, improve service quality, and minimize accounts receivable challenges. The AR Manager serves as a subject matter expert on claims-related matters, provides guidance on policies and workflows, and influences stakeholders to achieve strong service outcomes. This role requires strong analytical,...

Are you passionate about transforming data into actionable insights? Join our ambitious and compassionate team, where your expertise will drive innovative solutions that empower our business and technical leaders to make impactful decisions. Responsibilities Partner with business and technical stakeholders to deeply understand and translate requirements into scalable data solutions. Design and document robust, high-performance data architectures that support strategic business outcomes. Build and optimize production-grade ETL pipelines using Spark and PySpark, ensuring reliability and efficiency. Develop and maintain data models that enable advanced analytics and reporting. Write efficient, complex SQL queries (Teradata SQL, Hive SQL, Spark SQL) across platforms such as Teradata and Databricks Unity Catalog. Implement and manage CI/CD pipelines to seamlessly deploy code artifacts to AWS and Databricks. Orchestrate and monitor...