39 medical assistant health jobs found in Bloomfield, CT

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...

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...

About the Role: Cigna partners with over 150 delegated medical groups in California to process healthcare claims. The California Department of Managed Health Care ( DMHC ) enforces strict requirements for claims processing , provider disputes , and regulatory compliance . As a Remote Claim Delegation Auditor , you will ensure these delegated groups meet all state and federal healthcare regulations . Through claims audits , performance monitoring , and collaboration, you'll help improve member experience and support cost-saving initiatives. Key Responsibilities: Conduct Commercial HMO (non Medicare) claims audits to ensure compliance with DMHC regulations , federal and state requirements. Review audit packages, including questionnaires and claims reports . Coordinate with delegated provider groups on claim and dispute selections; verify accuracy of self-reported scores. Perform onsite and virtual audits to assess...

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...

Position Description The Nurse Supervisor is a key member of the Clinical Nursing Team, dedicated to delivering world-class telehealth services in a fast-paced online environment. This role most closely correlates to that of a supervisor in a busy urgent care or primary care practice. Responsibilities include overseeing daily team operations, providing clinical guidance, supporting staff development, assisting MD Live Providers and clinical operations, and contributing to onboarding, training, and team data analytics. The Nurse Supervisor directly supervises a pod of nursing and support staff. Work schedules may consist of either four 10-hour shifts or five 8-hour shifts, as assigned by management, with rotating weekend and holiday rotations. This position reports to a Nurse Manager. Essential Job Functions Uphold Professional Standards: Applythe ANA Code of Ethics and evidence-based nursing practices to all aspects of care. Lead and Mentor: Provide...

As an Infrastructure Engineering Senior Advisor, you will help ensure the reliability, performance, and security of Cigna’s enterprise security network. In this role, you’ll apply deep technical expertise to support large‑scale network environments, lead complex firewall engineering initiatives, and drive improvements that strengthen our overall security posture. Responsibilities Support the security, scalability, performance, availability, and usability of the enterprise security network. Lead firewall engineering efforts for long‑term, large‑scale enterprise projects. Analyze firewall requirements and design solutions for application migrations. Execute planned changes on Palo Alto firewalls. Manage and validate firewall changes using ServiceNow, Panorama, and AlgoSec. Facilitate application check‑out meetings to validate firewall changes. Remove outdated firewall configurations. Provide updates and insights during project meetings. Troubleshoot complex...

As a key contributor to our growth strategy, you will build strong relationships with healthcare providers, expand referral opportunities, and support patients transitioning into our specialty pharmacy services. You will bring energy, professionalism, and strategic focus to achieving quarterly performance goals while ensuring an exceptional experience for both patients and partners. Responsibilities Drive sales effectiveness within the assigned territory to meet or exceed individual and team goals. Support the transition of patients to the pharmacy by facilitating communication and providing timely information. Utilize CRM and company tools to identify priority accounts, optimize referral potential, and document account activity. Maintain a consistent call cycle to ensure proactive follow-up, detailed communication, and effective account management. Collaborate with Operations and internal teams to deliver clear, coordinated messaging to offices...

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)....

Role Overview This hybrid position blends analytical rigor with executive partnership. As a trusted advisor and operational partner to the SVP, you will drive strategic planning, performance insights, and cross-functional alignment across technology initiatives. This role is ideal for individuals who excel at the intersection of data-driven strategy and executive-level influence. Key Traits and Skills for Success Analytical Thinking: Ability to synthesize complex data into actionable insights for strategic decision-making. Exceptional Communication: Strong written and verbal skills to bridge technical and business perspectives. Executive Presence: Professionalism and confidence to represent the CIO effectively. Problem-Solving: Skilled at resolving conflicts and addressing operational challenges. Emotional Intelligence: Ability to foster collaboration and understand team dynamics. Core Responsibilities Strategic...

As a strategic leader, the Senior Director, Executive Compensation shapes and advances executive pay programs that support business performance, leadership excellence, and long‑term enterprise growth. In this role, you will guide the design and governance of executive compensation programs that are competitive, market‑aligned, and built to inspire high performance across senior leadership. You will partner with senior HR, Finance, Legal, and Governance leaders to deliver thoughtful, data‑driven solutions that reinforce our commitment to responsible, future‑ready reward strategies. Responsibilities Lead the strategy, design, and delivery of executive compensation programs—including annual incentives, long‑term incentives, and total compensation frameworks—ensuring strong alignment to business goals and talent needs. Oversee equity strategy, grant processes, performance metrics, and long‑term value creation through effective incentive plan design. Guide governance and...

Join us as a Change Management Principal and lead transformative initiatives that empower organizations to thrive in times of change. You’ll influence transformative change initiatives that will drive strategic outcomes and foster a culture of resilience and innovation. We’re looking for a passionate expert who thrives on solving complex challenges and inspires others to achieve their best. Responsibilities Develop and execute change strategies that align with organizational goals and deliver measurable results. Partner with senior leaders to foster a culture of adaptability and continuous improvement. Lead enterprise-wide change initiatives ensuring stakeholder engagement and successful adoption. Provide expert guidance on change impacts, risk mitigation, and communication strategies. Measure and report on change effectiveness to inform future improvements. Provide thought leadership and coaching on change management best practices, fostering...

Join our team as an Organizational Development Principal and help shape the future of our organization. You’ll lead transformative design initiatives that empower teams, drive strategic outcomes, and foster a culture of growth and adaptability. We’re looking for a passionate expert who thrives on solving complex challenges and inspires others to achieve their best. Responsibilities Lead strategic organization and operating model design projects that deliver measurable business impact. Diagnose and configure capabilities, structures, processes, and people practices to enable organizational strategy and effectiveness. Partner with senior leaders, HR Business Partners, and cross-functional teams to align design solutions with business needs. Provide thought leadership and coaching on organization design best practices, fostering continuous learning and improvement. Track and report on the effectiveness and outcomes of organization design initiatives, using...

The Cigna Operation Leadership Development Program Internship Start Date May 19, 2026 Location: Bloomfield, CT Work Style: Hybrid (3 days in-office/week) Duration: 10 Weeks Make an Impact This Summer Join a 10-week internship where you'll work on real business challenges, learn from leaders across a Fortune 500 health care company, and build skills that accelerate your early career. This program is designed for rising seniors (students who will have completed at least three years of study by the start date) who are curious, motivated, and eager to explore what a career in Operations can look like. What You'll Gain Work on a real business problem that develops strategic thinking, business acumen, and leadership skills. Experience a dynamic, flexible work environment and gain exposure to Operations within a large, complex organization. Build professional connections through mentorship, networking events, and leadership exposure. Present...

The Senior Director, Human Resources Business Partner is a critical strategic leader who partners directly with the SVP, Enterprise Operations/Client and Customer Experience and their leadership team. This highly visible role is accountable for shaping and executing a forward-looking talent strategy that fuels business growth, fosters a diverse and inclusive culture, and drives organizational performance. Reporting to the Human Resources Officer for Technology & Operations, you will be a trusted advisor and enterprise leader who thrives on solving complex challenges, enabling transformation, and building future-ready talent capabilities. What Makes This Role Exciting Strategic Impact: You’ll have a seat at the leadership table and shape the future of the Enterprise Operations/Client and Customer Experience organization. Transformational Work: Lead critical organizational initiatives in a highly dynamic, growth-oriented environment, inclusive of planning for the...

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....

Medical Billing Rep -Enrollment/Billing Representative Summary We are seeking a dedicated Enrollment/Billing Representative to join our Revenue Cycle Team. This role is responsible for accurate and timely billing, insurance claims processing to ensure optimal reimbursement and compliance. Essential Duties and Responsibilities Understand and apply Third-Party Billing guidelines. Identify root causes of claim denials and recommend corrective actions to prevent recurrence. Ensure accuracy and timeliness of billing processes. Meet quality assurance standards and productivity benchmarks set by management. Process patient and insurance information updates. Handle Home Infusion/Nursing claims . Identify billing trends and escalate issues as needed. Education and Experience High school diploma or GED required. At least 1 year of related experience in medical billing, collections, health care, clinical setting,...

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in...

Principal, Head of Real Estate - Pharmacy Division Reports to: Global Head of Global Workplace Background Cigna's Pharmacy division manages a complex and mission-critical real estate portfolio that includes high-volume distribution centers, specialty and mail-order pharmacy facilities, office locations, and critical data centers that support pharmacy operations nationwide. The portfolio supports business units that deliver essential medications, specialty therapies, and patient-centric services across the United States. Given the operational, regulatory, and logistical importance of pharmacy real estate, Cigna is seeking a seasoned real estate leader with significant experience in industrial leasing, mission-critical facilities, and large-scale operational portfolios. This Principal will be responsible for shaping strategy, optimizing performance, and overseeing execution across the entire Pharmacy real estate footprint. The ideal candidate has 10+ years in...

Join us as an Application Development Advisor and help shape the future of digital experiences. We are looking for a creative problem-solver who thrives at the intersection of design and technology. In this role, you will turn complex ideas into intuitive, engaging solutions that empower users and drive innovation. Responsibilities Lead the design and development of user-friendly applications that deliver measurable impact. Collaborate with cross-functional teams to create solutions that align with strategic goals and enhance user experience. Drive innovation by introducing modern frameworks and best practices for scalable, maintainable applications. Mentor team members and contribute to a culture of continuous learning and improvement. Ensure seamless integration of design and engineering for high-quality, interactive digital products. Required Qualifications 7+ years of experience in UI/UX engineering, frontend development, or...

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....

The Senior Product Manager – Emerging Technologies leads strategy and execution for AI-driven solutions that transform healthcare operations. This role focuses on leveraging Generative AI to enhance efficiency, accuracy, and speed within Provider Operations and Coverage Review Ops. Responsibilities include rapidly gaining functional knowledge of business areas, collaborating with product designers, operations, and tech leads to define and deliver solutions, and ensuring alignment across Empowered Product Teams (EPTs). The position requires clearing roadblocks, maximizing AI capabilities, and driving value targets. The Emerging Technologies team operates in a fast-paced, matrixed environment, developing cutting-edge applications to reinvent internal workflows. Responsibilities Leads EPT(s) consisting of product, technology and operations to: Develop solution approach that is oriented to leadership vision Drive development of product to hit value targets Creates,...

Evernorth Health Services positions product management as a driver of innovation in healthcare technology. The mission is to reimagine care access by creating seamless, personalized, and efficient experiences. Product managers are expected to challenge the status quo, identify opportunities for value creation, and deliver sustainable solutions that improve health outcomes and customer satisfaction. Evernorth leverages advanced technology, data and intelligent design to simplify complex healthcare processes. Investments in digital transformation, automation, and AI-driven solutions enable scalable, secure, and customer-centric experiences. Product Manager, Client Installation & Experience Join Evernorth Health Services as a Product Manager for Client Installation & Experience, where you’ll shape the onboarding journey for new and renewing clients. Your work will directly impact operational efficiency and client satisfaction, helping redefine how technology and...

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...