16 business systems analyst jobs found in Bloomfield

The Fraud Investigator leads in-depth investigations into suspected or confirmed fraud impacting our customers or the company. Using strong judgment and independence, this role identifies the right investigative approach, gathers and analyzes critical information, and drives cases toward resolution and potential restitution. You'll prepare clear investigative reports, build evidence packages for external partners, and collaborate closely with state and federal agencies. You may also respond to subpoenas and represent the company in legal proceedings. This role requires protecting customer PHI while managing sensitive, high-value cases. Key Responsibilities: Conduct interviews, research, and analysis to resolve fraud allegations. Manage complex, high-dollar investigations with minimal supervision. Prepare detailed reports and evidence packages for insurance fraud bureaus, contract holders, and law enforcement. Coordinate investigations with local,...

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this early-career opportunity is designed for you. This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization. As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings. What you'll do: Analyze information gathered by...

Join our team as a Cyber Security Analyst and help safeguard critical systems while driving innovation in security practices. We are looking for a proactive professional who thrives in a collaborative environment and is passionate about protecting data and infrastructure. Responsibilities Lead efforts to monitor and maintain security across servers, networks, and endpoints. Administer and enhance network security defenses to prevent breaches. Analyze vulnerabilities and implement solutions to strengthen system integrity. Respond to and investigate cyber incidents, ensuring timely resolution and documentation. Develop and maintain security policies, standards, and guidelines aligned with best practices. Collaborate with IT teams to ensure security controls, and compliance and risk management strategies are effective. Educate staff on cybersecurity awareness and best practices. Qualifications Required: Minimum 5 years...

Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help others? We are looking for an Operations Sr Analyst/PACE Program Manager to join our team. This person will be a client facing point of contact for our external partners (i.e. Reimbursement Hubs and Pharma Manufacturers) and act as a liaison between those customers and our internal operations teams. What you'll do to make a difference *: * Interact with internal and external partners at all levels the majority of your workday. Manage the relationship between your aligned pharmaceutical client(s), their HUBs and their program(s). Act as a liaison to answer questions related to Accredo Specialty Pharmacy processes, service issues and mitigate any escalations. Understand the nuances of how to position Accredo Specialty Pharmacy externally in a professional and discreet manner (what to say/not to say)....

Must be within a commutable distance of the Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, office location In office once a month for meetings The Team You Will Join: At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create innovative solutions to address core business challenges within MetLife. This role will conduct quality reviews of disability claims, collecting and analyzing quality opportunities, and delivering results and driving improvements to ensure quality standards are achieved. How You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Operations Quality Analyst is responsible for: Evaluating and improving business and associate performance by effectively conducting quality evaluations of Short...

Are you passionate about using data to make a difference in healthcare? At Evernorth, we believe that smart, compassionate experts can unlock new possibilities for patients and communities. As a Market Insight Senior Analyst, you’ll help shape the future of healthcare by turning complex data into strategies that drive innovation and improve lives. If you’re ready to grow, collaborate, and make an impact, we invite you to join our ambitious team. Responsibilities Collaborate with cross-functional teams to uncover opportunities and deliver impactful research insights. Translate data into clear, actionable recommendations that inform strategic decisions. Develop reproducible analytical solutions using tools like R, Python, and SQL to address business and research challenges. Create compelling reports, visualizations, and presentations that communicate findings effectively. Drive continuous improvement in data analytics practices and governance....

Are you ready to shape the future of healthcare with your curiosity and expertise? At Evernorth, we believe in the power of data to unlock better health outcomes for all. Join our ambitious and compassionate team as a Market Insight Lead Analyst / Lead Research Analyst, where your insights will drive meaningful change and help us deliver innovative solutions for patients, clients, and communities. If you thrive on solving complex challenges and want to make a real impact, this is your opportunity to grow and lead. Responsibilities Collaborate with cross-functional teams and clients to uncover strategic opportunities and deliver actionable research insights that influence healthcare decisions. Transform large-scale healthcare datasets into clear, compelling stories that guide business strategy and improve patient outcomes. Champion best practices in data analytics and governance, elevating our research capabilities and ensuring high-quality, reproducible results....

Cigna Investment Management (CIM) manages over $20 billion in assets on behalf of Cigna, a publicly traded global health services company. CIM’s assets are invested in public and private corporate bonds, commercial mortgages, private equity, private credit, real estate equity, public equity and short-term investments. Join our Alternative Investments team and help source, evaluate, and execute attractive new investment opportunities with third-party fund managers. In this role, you will collaborate with experienced investment professionals, contribute meaningful insights, and develop expertise across private credit, mezzanine debt, private equity secondaries, and equity buyout strategies. If you’re curious, analytical, and eager to learn in a dynamic environment, this is an exciting opportunity to build your career in alternatives. Responsibilities Support sourcing, evaluation and execution of limited partnership fund commitments and direct co-investment opportunities...

Date Posted: 2026-01-05 Country: United States of America Location: OT325: NSP - BLOOMFIELD, CT 212 WEST NEWBERRY RD, BLOOMFIELD, CT, 06002 USA Otis is the world leader in reliable, efficient and technologically advanced elevators, escalators and people-moving systems. Our revolutionary Gen2® elevators, energy-saving ReGen drives and NCE "green" escalator have clearly set the industry standard for innovation, safety, and performance. More than 2.4 million Otis elevators and escalators are currently in operation throughout two hundred different countries. We are proud to have a global team that continues to rise to the challenges of a fast-moving company. Together, the people of Otis are creating new ideas and opportunities by collaborating across time zones, geographies and cultures. So just imagine where we can take you! The Otis Service Center, NA Parts Center, is looking for a Operations Analyst to join our team. On a typical day you will: The NA Parts...

The Network Data Analytics Senior Analyst is responsible for maintaining, analyzing, and optimizing provider and network data to support Retail Compliance and Network Operations within the Supply Chain organization. This role leverages advanced data analytics and automation using tools such as Excel, SQL, R, and Python to ensure data accuracy, integrity, and operational efficiency. The Senior Analyst partners closely with cross-functional teams to solve complex business problems, enhance workflows, and support strategic initiatives, while independently managing projects from concept through implementation with minimal supervision. Responsibilities Perform professional-level activities within the Provider Data job family. Maintain accurate and timely provider and network data across claims and provider databases, ensuring synchronization and adherence to business requirements across multiple business regions. Participate in system testing and analysis to...

Date Posted: 2026-01-05 Country: United States of America Location: OT325: NSP - BLOOMFIELD, CT 212 WEST NEWBERRY RD, BLOOMFIELD, CT, 06002 USA Otis is the world leader in reliable, efficient and technologically advanced elevators, escalators and people-moving systems. Our revolutionary Gen2® elevators, energy-saving ReGen™ drives and NCE “green” escalator have clearly set the industry standard for innovation, safety, and performance. More than 2.4 million Otis elevators and escalators are currently in operation throughout two hundred different countries. We are proud to have a global team that continues to rise to the challenges of a fast-moving company. Together, the people of Otis are creating new ideas and opportunities by collaborating across time zones, geographies and cultures. So just imagine where we can take you! The Otis Service Center, NA Parts Center, is looking for a Operations Analyst to join our team. On a typical day you will: The NA Parts Center...

Delivers specific delegated tasks assigned by a supervisor within the Network Management job family. Prepares, analyzes, reviews, and projects the financial impact of facility, ancillary, group, and/or behavioral health contracts. Drafts contracts and conducts pre-contractual audits and surveys. Demonstrates knowledge of contracting processes, contract management, network operations, Medicare fee schedules, financial terms, and performance metrics. Completes day-to-day Network Operations tasks with minimal supervision, while maintaining ready access to guidance from more experienced team members. Responsibilities require forward planning and anticipation of needs or issues. Resolves non-routine issues escalated by more junior team members. POSITION SUMMARY The Senior Analyst, Provider Claims Support is responsible for supporting both Network Providers and Internal Business Partners across all aspects of provider-submitted claims. This role assists with claim-related...

Job Summary The Pharmacy Clinical Consulting (IC) Senior Advisor is a key member of the Evernorth Pharmacy Payer Sales and Account Management team, responsible for managing strategic relationships between Evernorth Pharmacy and PBM and Health Plan clients. This role supports Evernorth Pharmacy sales and solutions, driving volume and revenue growth in Specialty, Home Delivery, and Fertility business segments. The Advisor serves as a client expert, sales support resource, and internal leader, helping the team deliver financial targets, strategic insights, and client satisfaction. Key Responsibilities Client Relationship Management Act as the primary pharmacy subject matter expert for assigned accounts. Provide clinicaland strategicconsultation and analysis to improvepatientexperience,managecosts, and optimize network performance. Retain assignedbusiness bookthrough proactive portfolio management and renewal strategies. Strategic P lanning...

Location -?Tampa: Florida or Aurora, IL Open to internals commutable to a MetLife office Role Value Proposition:? MetLife is leading growth in Specialty Market relationships.? We are looking for you to drive a consistent and extraordinary customer service experience for both new and existing customers as part of the Specialty Market Service & Operations Organization.??In this role, you will partner closely with sales, underwriting and external relationships to execute on customer commitments.??Specialty Market Service & Operations is a diverse team of implementation, client service and billing associates supporting the General Agent, Third Party Administrators, Professional Employer Organization (PEO), Association and Trust market space.??? Job Description: The Sr. Client Services Consultant will be responsible for the end-to-end client experience for a block of Jumbo-sized PEO relationships that range from 10,000 to over 100,000 eligible members and have over...

Primary Duties & Responsibilities: Support of NPI projects as they move through the development cycle. The goal is to ensure a smooth transition from R&D to production. Once the product is released, the product engineer is the primary engineering support for the product. Part of the involvement with the NPI process is to come to the level of understanding to provide this later level of support. Provide guidance to customers on product function and performance. The product engineer also should be able to provide design guidelines to support customer system development. Be an expert on the optical, mechanical, electrical, thermal and software interfaces that define our laser systems. Collaborate with a larger team of optical, electronic, software, reliability, applications, marketing and research professionals to tackle cross-functional challenges. Provide the first level of engineering response to production issues, in collaboration with the manufacturing...

This role provides expert leadership and guidance on complex Program Management initiatives. It requires significant creativity, foresight, and judgment in conceiving, planning, and delivering strategic projects. The position leverages deep professional knowledge to advise functional leaders and deliver thought leadership within Program Management, while contributing to broader enterprise initiatives. Recognized internally as a subject matter expert. Key Responsibilities: Partner with business leaders to develop and execute the enterprise Business Continuity Strategy . Drive awareness and understanding of Business Continuity planning and preparedness across the organization. Maintain all assigned Incident Response and Business Continuity Plans annually, including facilitating the development of recovery strategies. Lead training and provide guidance to Plan Coordinators to ensure plans are accurately maintained in Fusion Risk Management and can...