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Clinical Wellness Nurse - Orlando, FL
Role Summary
The primary focus of the Clinical Wellness Nurse focuses on individual coaching, site health promotion, and Clinic Functions.
In collaboration, with the Cigna benefits and account teams, this Nurse balances individual coaching sessions with appropriate delivery and coordination of wellness programs including event scheduling and appointment coordination and monitors effectiveness of the programs.
A core objective of this position is to facilitate wellness programs that educate and influence employees at the worksite to lead healthy lifestyles.
Coach Responsibilities
* Individual coaching sessions
* Assist in the identification of members' health advocacy needs.
* Utilize motivational interviewing and engagement strategies to support overall health and wellness of employees.
* Provide onsite support to members in order to help them identify a need for behavior change to improve health status, reduce health risks and improve quality of life.
* Provide health and wellness education utilizing a multitude of media including group presentations, support group facilitation, creative use of modalities (i.e.
games, quizzes, etc.), newsletter contributions, etc.
* Follow up with employees to ensure that wellness program engagement has been achieved and assess future educational and/or program referral needs.
Health Promotion
* Educate about wellness programs, tools and services
* Raise awareness and create visibility for wellness
* Wellness Events and Campaigns
Clinical Functions/Telemedicine
* Prepping patient for virtual provider
* CLIA waived testing
* Labs
* Input HPI info into the system
* Overall management and day to day operations of the health center
* Biometric Testing
* Vaccine administration
What we expect from you :
* Active and unrestricted RN in FL
* Minimum of 3 or more years clinical experience as an RN a physician's office or hospital setting
* Experience in health education and wellness coaching preferred.
* Demonstrated experience and ability in providing superior Client service to organizations and individuals.
* Positive role model in demonstrating healthy behaviors.
* Proven administrative abilities with strong computer and software application skills.
* Excellent interpersonal skills and the ability to work in a team environment.
* A high energy level and excellent written and oral communication skills are essential.
* Self-directness and the ability succeed in an independent role.
Bonus points for :
* Virtual/telemedicine experience
* Positive role model in demonstrating healthy behaviors.
* Passion for health improvement and patient education.
* Strong computer/technical skills
This Clinical Wellness Nurse will be based in the health center in Orlando, FL
Cigna is committed to a healthy work force.
New hires must complete a...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:26
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Job Description
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel to patients' homes within a large geographic region
* Ability to work 40 hours a week (can include days, evenings, and weekends, per business need)
* Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without r...
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Type: Permanent Location: Austin, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:26
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Description of Position:
* The Product Management Senior Advisor is responsible for supporting the Medicare Prescription Payment Plan (M3) solution.
The ideal candidate will have a broad-based knowledge of Regulated Markets/PBM operations, strong product management experience, the ability to influence and drive change, and skilled in project management.
This position will ensure compliance with the Center for Medicare and Medicaid Services (CMS), Inflation Reduction Act and Medicare Prescription Payment Plan, provide subject matter expertise to internal/external stakeholders, deliver presentations in account team/client forums, and ensure metrics and performance guarantees are met.
Position Details:
* Manage vendor relationships including contract requirements and SLAs
* Lead vendor oversight, meetings, and project management
* Review and provide strategic direction guidance/regulations to maintain compliance
* Be the Subject Matter Expert and capability advocate with cross-functional areas of the organization
* Oversee the product development life cycle leveraging agile methodology, partnering with Business and Technical Product Owners to communicate, document, and prioritize business needs
* Analyze trends and develop recommendations to ensure client needs, compliance metrics, and/or internal support is met
* Creates project scope, project plan, tracks project deliverables, and communicates project status
* Ensure internal/external policies and procedures are documented, maintained, and followed
* Develop and deliver training to clients and internal resources
* Understand and use system tools to research and resolve issues and concerns
* Cross-train and support other team initiatives where appropriate
* Exhibit problem solving capabilities in a complex environment and make specific recommendations with rationale to leadership
* Participate in cross-functional projects or work teams
* Ability to appropriately interact with clients/account teams including:
+ Day-to-day contact for issue resolution
+ Communicate information about area of expertise to clients
+ Manage account team expectations and ensure appropriate follow-up
Qualifications:
* College degree or equivalent experience preferred.
* 5-10 years work experience, preferably in product management or project management.
* Familiarity with PBM industry and operations
* Excellent organizational agility skills with a strong understanding of business processes and operations to facilitate execution of initiatives
* Experience in managing capabilities in Regulated Markets preferred
* Skilled in review and interpretation of complex guidance and regulations
* Ability to see and apply business needs outside of one's own work area
* Analytical and detail oriented in all work activities/tasks, with a strategic perspective to enable the translation of me...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:25
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The job profile for this position is Software Engineering Advisor which is a Band 4 Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities:
Develop scalable and secure web and mobile healthcare applications in
the pharmacy domain powered by complex Application Programming
Interfaces (APIs) orchestration.
Contribute to various phases of Software
Development Life Cycles (SDLC), including Design, Development and
Testing.
Work closely with developers, technical project managers,
principal engineers, and business stakeholders to ensure that application
solutions meet business and customer requirements.
Design and develop
Spring Boot microservices, RESTful APIs, and event-driven services in a
distributed environment.
Develop REST services using Spring Boot, Spring
REST, and Java.
Develop MongoDB queries to extract, transform, and
analyze data.
Work with medium-to-large scale web development using
advanced, distributed technologies to process, store and quickly retrieve
large volumes of data.
Develop unit test cases and conduct system and
integration testing.
Provide support to and triage issues for applications in
production.
Coordinate the master release process deploying applications
in healthcare/pharmacy domain.
Partial virtual/work from home benefit
available.
Qualifications:
Position requires a bachelor's degree or foreign equivalent in Computer
and Information Science or related and four years of software development
experience.
Must have experience developing healthcare applications
within the pharmacy domain, and experience with REST services, Java,
Spring Boot, Spring Boot microservices, Spring REST, Mongo DB, SQL,
Jenkins, and Open Shift/Cloud.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not e...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:24
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POSITION SUMMARY:
The Financial Analysis Senior Advisor is responsible for working collaboratively internally and with external client partners to identify and manage value.
This individual will work closely with the Centene client, Account Management teams, Supply Chain, and Pricing to ensure all pricing related contractual commitments are met.
As a Senior Advisor, you will manage large data tables and tools that measure client guarantee performance, develop tracking reports, and communicate any known risks or opportunities.
ESSENTIAL FUNCTIONS:
* Complete pricing related activities for rental network clients, which includes development of custom network pricing and rate counters.
* Develop and maintain all price points on client pricing files.
* Participate in coordination with Network Operations to ensure production price points reflect desired rates.
* Monitor and track client and provider guarantee performances.
* Perform monthly client guarantee accrual and reconciliation reporting for select clients.
* Report on pricing guardrail performance and adherence.
* Work closely with Contracting team to help research pharmacy inquiries around reimbursement due to rental network/PBM relationship.
* Complete financial assessment of re-contracted retail network rates.
* Design and implement tools and financial models to support decision makers with forecasting, reporting, and analysis.
* Develop reporting for discussions around annual plan, monthly operating report, and mid-year projections.
* Meet collaboratively with clients to discuss any financial or operational issues or opportunities.
* Direct client interaction to build relationship and triage issues.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
* Bachelor's Degree (or equivalent experience) with 6+ years of experience in Finance, Client Setup, or Supply Chain
* Experience in financial modeling and financial planning and analysis
* Experience in PBM retail network pricing including client and/or provider guarantee management
* Experience in SQL and managing/analyzing large data sets
* Experience working cross functionally in a collaborative environment
* Advanced knowledge of Microsoft Excel including macros
* Comfort working in dynamic and deadline driven environments
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 95,300 - 158,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting yo...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:24
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Primary Care Physician - Outpatient Practice - Internal or Family Medicine
Positions available, onsite:
Downtown Phoenix, AZ 1300 N.
12th St.
Phoenix , AZ 85006
Mesa, AZ 1840 S.
Stapley Dr.
Mesa , AZ 85204
Paradise Valley, AZ 3805 E.
Bell Rd Phoenix , AZ 85032
Scottsdale, AZ 10900 N Scottsdale Rd.
Scottsdale , AZ 85254
Who We Are:
Evernorth Care Group continues to build on its foundation as a trusted leader in integrated primary care.
For more than 50 years, we've been delivering high-quality, affordable, and accessible care for our patients and the community.
The physician will provide primary care for Evernorth Care Group patients deemed to fall within the scope of practice of Internal Medicine or Family Medicine.
Diagnoses and treats patients for disorders on a general level, without restriction to special systems or regions of the body; serves as the general practitioner to patients for general diagnostic and therapeutic medical care.
Our Patient-First Care Model:
* Team Approach - Quality-driven patient care model
* Low daily patient census - to allow our physicians to provide the "gold standard" in patient care
* Dedicated clinical staff to help alleviate the administrative requirements
What you'll enjoy about working here:
* Compensation package includes competitive base salary and bonuses
* Benefits start on day one
* Predictable work schedules, no nights, weekends or holidays
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Responsibilities:
* This position is responsible for providing excellent care to patients in an outpatient clinical setting.
* This is specifically for adult medicine and geriatric medicine.
* The incumbent must be effective in unifying the business, operational, support and clinical arms into a cohesive team.
Qualifications:
* MD or DO Degree
* Board Certification in Family Medicine or Internal Medicine (new grads who are board eligible are welcome to apply)
* Active and unrestricted AZ medical license, or ability to obtain
* Outpatient practice experience, preferred
* Proficient computer skills - MS Office Products (Word/Excel) and Electronic Health Records systems
* Demonstrates flexibility
* Displays excellent/compassionate communication skills with staff and patients
* Epic experience, a plus - not required
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we ...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:23
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The Product Manager Advisor will take a lead role in managing a portfolio of reporting andanalytics to support our Employer Group Waiver Plan (EGWP) clients within Regulated Markets.
This individual will assist in improving the design, content, and timing of our suite of reporting toensure the demanding expectations of our clients are met along with the increasingrequirements of external regulators.
The advisor will serve as a SME collaborating with variousteams to assist with questions related to EGWP client financials and payments and to createnew reporting as needed to satisfy state insurance department requirements.
Additionally, theadvisor will support client and external audits, manage PDE reporting and adjustment process,update client pricing proposals, and create insurance policies and certificates in accordanceapproved state formats.
The individual will join related calls when needed, follow up with internalpartners to ensure deadlines are met, and track issues to completion.
The candidate should be extremely comfortable assisting in data analysis, as well as tools tofacilitate reporting such as SQL, TeraData, Tableau, and VBA, along with advanced MS Excelutilization including Pivot Tables, Macros, Advanced Formulas, etc.
Key accountabilities include (but not limited to):
• Develop and maintain monthly, quarterly, and annual client and external regulatory reporting
• Provide audit support for clients and external partners
• Drive completion of activities to address client and internal and external stakeholder requestsand deliverables.
• Create efficiencies through automation of processes and increase the value-add of clientreporting.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
•Bachelor's degree preferred with concentration in Data Analytics or Technology highlypreferred
• 3-5 years relevant reporting and analytics experience Strong SQL, VBA, Database, andDashboardknowledge required
• Project management experience preferred.
• Advanced PC skills including Microsoft Office application (Word, Excel, PowerPoint, Outlook)required
• Analytical, highly organized, motivated to successfully meet deadlines, attention to detail andability to multi-task.
• Excellent verbal and written communication skills are essential.
• Demonstrated ability to prioritize and manage work load and meet project deadlines.
This is a hybrid role and will require the ability to work in-person three days per week.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to mill...
....Read more...
Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:23
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This role supports the Accounting Services Director of International in leading US GAAP accounting policy, M&A Accounting, Financial Management Reviews, and Holding Company capital planning and reporting.
Primary Responsibilities
* Support monthly and quarterly US GAAP closes for International Health.
* Support accounting manager and controller in preparation of key GAAP financial disclosures for disclosure committee, SEC, and management team.
* Prepare quarterly US STAT disclosure for the China JV and coordinate annual audit reviews of China JV footnote with PWC.
* Collaborate with treasury, OCS, and legal on entity structure changes, capital transactions, and CCR requests for the Holding Companies.
* Coordinate monthly board meetings and support capital planning for the Holding Companies.
* Prepare annual unaudited financial statements for the Holding Companies.
* Collaborate with Treasury and CIM for India JV contributions and debentures.
* Support CIM with foreign currency hedges.
* Perform regular testing of controls and support peer review process to ensure field office compliance with policies and procedures.
* Participate in overseas site visits (FMRs- Financial Management Review) to ensure financial controls are maintained.
* Provide functional advice or training to less experienced team members and country contacts.
Minimum Requirements & Competencies
* Requires a Bachelor's degree in Accounting, Finance or Related field
* CPA preferred
* 5 years of related experience preferably in consolidation or financial analysis
* General knowledge of insurance industry
* Technical Knowledge/Skills
* Advanced Excel
* Strong analytical and quantitative abilities
* Intellectual curiosity with an ability to think outside of the box
* Ability to communicate clearly and comfortable presenting to Senior Management
* Effective at balancing multiple priorities and meeting deadlines
* Works independently with sound judgment in seeking guidance and direction
* International travel (2-4 times per year)
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military s...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:22
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Provides advanced professional input to complex Case Management assignments/projects.
Handles more complex, high acuity cases and/or account sensitive cases.
Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services.
Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
Evaluates, recommends, and maintains close relationship with inpatient and outpatient counseling/treatment facilities.
Evaluates employee counseling and treatment needs and makes recommendation on changes or additions to appropriate programs.
May assist with designing and conducting training and educational seminars.
Manages own caseload and coordinates all assigned cases.
Performs leadership role on team when implementing new tools or case management programs/initiatives.
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 Case Management.
May require a Master's Degree in a health care related field with current licensure.
At Cigna, we listen to, advocate for, and collaborate with our customers to empower them to identify their health goals and own their solutions.
Sound like you? Great! Here's more on how you'll make a difference:
• Provide onsite face-to-face customer coaching and support
• Identify customer health education needs through targeted health assessment activities.
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
• Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs.
Be a role model for the six cultural beliefs to drive personal accountability and organizational results.
What we expect from you:
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and ...
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Type: Permanent Location: Falls Church, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:22
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WORK LOCATION: Must live in Connecticut
The Manager, Healthcare Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates healthcare provider agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
* May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
* Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a bachelor's degree.
MBA or MHA preferred.
* 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
* Experience in...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:21
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The Client Experience Consultant partners with the Middle Market Client Managers to drive retention and growth by helping clients optimize the value they realize from Cigna's products and services.
They do this through execution and coordination of activities in support of client operational, health & wellness and service needs.
Essential Functions & Scope of Role:
* Support Middle Market Client Manager's strategic selling approach that best demonstrates Cigna Healthcare's value
* Develop/Maintain a 'Trusted Partner' relationship with Client Managers
* Fully understands client needs, develops and executes (in conjunction with internal partners) on actions that addresses the client issues
* Maintain in-depth knowledge of Cigna products/solutions/services across all product lines (Dental, Behavioral, Pharmacy, Medical, Clinical, and Wellness & Incentives)
* Effectively leverage Expert Advisors (e.g.
Client Service Executive, Implementation Manager, Strategic Wellbeing Advisors and others) to deliver on client expectations
* Ensure all communications are clear/concise and delivered in a timely and consistent manner aligning with Cigna's strategy and value proposition - may require broad organizational collaboration, influence, and escalation
Qualifications
* Bachelor's degree preferred.
* Experience in health-related industry required; to include many or all the following: product knowledge, sales practices, account management and knowledge of administrative operations.
* Knowledge of Cigna funding options, benefits structure, and platforms are preferred.
* Ability to manage through systems and influence both external clients/brokers and internal matrix partners.
* Salesforce & KnowledgeXchange experience preferred.
* Strong Word, Excel, PowerPoint, SharePoint, Outlook skills required.
* Strong oral and written communication skills required.
* Strong presentation skills required.
* Demonstrated planning/organizational skills; ability to plan for both the long and short term; ability to work on many issues at once and to prioritize work required.
* If residence is in WVA, FL, TX: Ability to obtain Health & Life Insurance license
* Must reside in local market and have ability to regularly commute to local Cigna office.
Competencies:
* Manages Ambiguity: Operating effectively, even when things are not certain or the way forward is not clear.
* Decision Quality: Making good and timely decisions that keep the organization moving forward.
* Action Oriented: Taking on new opportunities and though challenges with a sense of urgency, high energy, and enthusiasm .
* Plans and Aligns: Planning and prioritizing work to meet commitments aligned with organizational dynamics.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds o...
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Type: Permanent Location: Raleigh, US-NC
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:20
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Clinical and Trend Solutions Intern - Express Scripts
Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place.
The Cigna Group's Summer Internship Program is designed to provide a diverse workload best suited for a well-rounded skill set.
You will be assigned projects that have a lasting impact on our business, touching millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry.
Program activities, including an executive speaker series, volunteer events, and career development workshops, provide the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work:
Our Cigna Group - Express Scripts Supply Chain team is comprised of Pharma & Retail Relations as well as Product & Strategy.
The Pharma & Relations team plays a key role in keeping us at the forefront of healthcare evolution.
Team members are tasked with overseeing partnerships with key supplier groups, including brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.
Our Product & Strategy teams play a key role in creating new and exciting programs to help drive accessible and affordable solutions for both our patients and clients.
Together, both areas work to ensure patients have access to the medicine they need at an affordable price.
What You'll Do:
This internship will support various product platforms specifically focused on continually exposing new opportunities in critical disease states that can be better managed.
The Summer Intern will support Product Advisors with ad hoc projects related to managing their respective clinical programs in a fast-paced environment.
The Go-To-Market (GTM) and Product Enablement team lends consultative and administrative support to the array of programs with items such as enhancement campaigns, internal & external communication strategies, project solution support and governance of business practices.
The Summer Intern may support moving a product from development to launch and be responsible for coordinating with cross-functional partners on platform positioning, internal and external communications and any additional items necessary to support a product market launch.
These tasks may include, but are not limited to, strategic planning, end to end project management, data analysis, presentation development, cross-functional project work, document development and problem solving skills.
Outside of your day-to-day work, you will have the opportunity to partake in personal and professional development activities, including an executive speaker series that opens a dialogue between you and company leaders, community service events, and networking opportunities with employees and other summer interns.
Qualifications:
* Currently enrolled in a bachelor's degree prog...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:20
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Position Summary:
The Digital Sales Enablement & Go To Market team is currently hiring for a Business Development Senior Advisor.
The Digital Sales Enablement & Go To Market team is responsible for working across the enterprise to evangelize our strategic position as a leader in delivering a differentiated experience through digital first, virtual led, and data informed products and solutions.
The Business Development Senior Advisor is a critical component of delivering on our mission through close partnership with a cross-functional team to ensure we are demonstrating the value of digital to our clients and customers.
This position will support the sales organization and broader digital organization with subject matter expertise on digital capabilities, competitive positioning, and the needs of our stakeholders.
We are looking for a strategic thinker passionate about driving change through enabling a simplified experience and increased digital adoption.
RESPONSIBILITIES:
* Drives a Digital-first mindset across the enterprise with a keen focus on integrating digital experiences within the customer journey.
* Leads with a customer-focused mindset, deeply understanding the needs of clients and customers.
* Serve as a thought leader within the organization, partnering with teams across the company to provide clear decisions and guidance on digital strategy and messaging.
* Partners with all areas within the Digital organization to share client and customer feedback that can drive our design and product journeys into cohesive Digital experiences.
* Maintains a high level of curiosity, innovative mindset, and adaptive way of working to respond to rapidly evolving environment of business demand and customer needs.
* Drives the usage of data and analytics to seek out opportunities to enable the digital experience to deliver strategic business value.
* Practices influential leadership, taking a consultative and collaborative approach to Go To Market strategy and influencing decisions across the Enterprise.
* Facilitate internal and external stakeholder trainings and capability sessions to demonstrate the ability of current and future digital tools.
* Domestic travel up to 20%
REQUIRED BACKGROUND/SKILLS:
* Bachelor's degree
* 5+ years of relevant experience in sales enablement, marketing, or product management
* Demonstrated results in being able to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term strategic plan
* Proven track record of exceeding goals; evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgement
* Collaborative decision-making and ability to forge successful partnerships with a high degree of influence
* Demonstrates ability to lead, influence and problem-solve across a heavily-matrixed environment
* Str...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:19
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As a Sr.
Strategic Account Executive, you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship.
You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work for an organization ...
....Read more...
Type: Permanent Location: Sunrise, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:19
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POSITION SUMMARY
The Pharmacy Delivery Optimization team oversees the safe delivery of millions of prescription packages annually.
Our team creates and implements strategies around the shipping network to continually improve the experience of our patients and physicians while implementing expense reduction projects for the organization.
We work cross functionally with all Evernorth pharmacies to create efficiencies and leverage best practices.
The Delivery Optimization team manages the relationships with the leading carriers across the country and actively participates in the postage and shipping industry as one of the leaders in healthcare.
As the Operating Effectiveness Sr.
Advisor, you will be responsible for the development of improvement initiatives and execution of strategies that drive cost savings and operational efficiencies to the fulfillment and postage network.
In partnership with site leaders, workstream owners and practice partners you will be expected to deliver results that align to the company mission and overarching strategy.
This will include expertly navigating client and vendor relationships in pursuit collaborative opportunities and general problem solving.
This role will also oversee development and delivery of training on the small parcel network, tools and system functionality, and carrier interaction mechanisms.
In this position you will employee critical problem solving skills and must display an ability to act with little or no direction at times.
A core component of this role will require detailed data analytics, development of data repositories, and creation of robust and interactive reporting that meets partner needs.
This position is in-office aligned and will require the flexibility to perform onsite 3 days per week at a designated Cigna facility.
What you will do:
* Be highly organized, able to work with limited direct supervision, motivated to successfully meet deadlines, complete projects, and implement solutions
* Have an ability to work cross functionally and manage complex scenarios in often ambiguous situations
* Reducing returns/damages to our pharmacy through innovative solutions
* Developing pilots for alternate delivery methods that will reduce inflation pressure from our carriers
* Creating and owning member experiences involving shipping of their medications.
* Display excellent verbal and written communication skills
* Develop omni-channel solutions to inform members and provide guidance on the order status.
* Become a trusted and collaborative partner demonstrating reliability, making large scale impactful decisions that impact our members and metrics, navigate escalations
* Develop and maintain relationships with leadership within our pharmacies, our carrier network, and vendor partners.
* Collaborate with cross functional partners and stakeholders.
* Responsible for resolving issues with package delivery
* Be proficient with data ...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:18
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LPN - Occupational Health - Evernorth - Dalton GA
Major Duties:Oversees and manage the administrative, clinical and operational nursing duties:
CARE COORDINATION:
* Support & Coordination of care for Onsite/Near-Site Model
* Coordinator for Community Resources:Collaborates for program development, including but not limited to onsite preventative services, primary care/specialist referrals for Employees
WORKER'S COMPENSATION:
* Case Management to facilitate Worker's Comp process, facilitate referrals, assuring appropriate care, prescriptions, facilitate scheduling studies and return to work assessments
* Attend Plant Safety Meetings, review injuries
* Resource for Work Comp guidelines to injured employees
* Assists in documentation of Work Comp Injury for personnel
* Coordinates Work Comp Modified Duty with Client's Supervisors & Safety
OCCUPATIONAL MEDICINE:
* Evaluation of all work injury Return to Works
* Responsibility for all Influenza Flu Events for respective facility
* Serve as Subject Matter Expert for development of programs and services as determined need by Collaborate with Environmental Health and Safety, Operations and Human Resources
* Educate employees Safe Work Environment and Prevention
* Coordinates Hearing Preservation Program with referrals to ENT as appropriate
* Coordinates Onsite Health Events, Mammography, Blood Drives and Monthly Health topics
MEDICAL MANAGEMENT:
* Evaluation and treat all injuries, illnesses, and medical conditions in an efficient and professional manner within nursing scope of practice and guidelines
* Assisting in medical emergencies
* Taking vital signs, such as blood pressure, pulse, temperature, and weight
* Basic wound care including cleaning and bandaging injured areas
* Giving Immunizations under Physician Orders
* Support and Encourage Medical Management Plans of Patients-blood pressure checks; blood glucose checks
* Assist in coordinating Onsite EAP Counseling after an event and ongoing education
PREVENTION:
* Wellness Campaigns (every month) that covers every shift and breakroom
* Identification of Prevention and Health Opportunities
* Promotion of Immunizations
* CPR Training
* Attends monthly safety meetings
* Assists with Coaching programs, as needed
HEALTH COACHING
* Education of Prevention, Chronic Disease and Health Opportunities
* Initial Goal Setting to achieve improvement in health outcomes
* Steerage into Health & Wellness programs, including but not limited to pilots
ADMINISTRATIVE:
* Responsible for all medical supplies for occupational office
* Assures compliance with regulatory requirements, CLIA & OSHA
* Charting within Electronic Health Record
Qualifications:
* LPN license with active Georgia License, in good standing, preferably Multi-state licensure
* At least 2 or more years of Nursing experience...
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Type: Permanent Location: Dalton, US-GA
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:18
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Role Summary
Responsible for growing membership within existing accounts and for directly managing business relationships with client accounts.
Ensures that systems and processes are in place to meet the needs of internal and external clients.
Develops and implements strategies and policies relating to account management.
May provide guidance or expertise to less experienced account managers.
Responsibilities
* Overall account management responsibility for CIGNA HealthCare assigned customers including responsibility for persistency results, membership and revenue growth, and the cultivation of customer and producer/broker relationships
* Provides input that positively impacts financial results
* Ensures exceptional service and growth through the development of a high performing Client Management team
Qualifications
* College Degree or equivalent years of relevant experience
* 5+ years of experience in health benefits (client management experience highly preferred)
* Excellent communication/customer service skills/sales negotiation skills
* Sales/marketing/underwriting or operations experience preferred
* Financial Savvy; ability to grow book of business
Acti
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
This role is also anticipated to be eligible to participate in an incentive compensation plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you requir...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:17
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The Registered Nurse responsibilities include but not limited to:
* Perform clinical and operational processes related to utilization review of pre-service and retrospective requests for Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities.
* Responsible for reviewing the clinical record using evidenced-based guidelines, accurate and timely documentation and communication with health-care providers and Medical Directors for all assigned patients throughout the utilization review process.
* Assist with the coordination between providers and members.
Minimum Education, Licensure and Professional Certification Requirements:
* Current unrestricted Registered Nurse licensure.
* Associate degree or Bachelor Degree in Nursing preferred
* Multistate license preferred
Minimum Experience Required:
* 2+ years of clinical experience
* 2 + years' experience in utilization management preferred.
* Home health, SNF, and/or rehab experience desired
* Medicare/Medicaid managed care programs preferred
* Position is telephonic/Work at Home.
* Hours: Monday - Friday; 9a-6p Central Time Zone; Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST.
* Availability for weekend rotation, on-call rotation, and holiday rotation.
* Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing.
* Ability to perform dependable and reliable work schedule is essential.
Required Skills:
* Time-management : Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills
* Communication : Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
* Critical-Thinking/Decision-making : Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities
* Autonomy : Ability to work independently with little to no supervision
* Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred
* Experience using videoconferencing systems such as WebEx
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 27 - 41 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and f...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:16
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Onsite Bilingual Health Educator / RN Health Coach - Evernorth
Our Custom Coaching program connects employees with a highly skilled wellness coach for face-to-face sessions.
Coaches take a holistic approach to help employees set and accomplish goals, manage chronic conditions and encourage healthy behaviors.
Our experienced Health Coach will:
• Provide onsite face-to-face customer coaching and support
• Identify customer health education needs through targeted health assessment activities.
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
The Successful Coach Will Possess:
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
*
*Bilingual in Spanish is a strong preference
• Bachelor's degree in a health-related field.
Master's degree preferred.
• Registered Dietitian (preferred) licensed in respective state
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
• Proven administrative abilities, with strong computer and software application skills.
Bonus points for :
• CHES (Certified Health Education Specialist)
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 76,600 - 127,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be...
....Read more...
Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:16
-
As a Sr.
S trategic Account Executive , you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing clien t issues, selling annual renewal rate increase s in addition to new products and services to expand the relationship .
Y ou will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth , earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work...
....Read more...
Type: Permanent Location: Overland Park, US-KS
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:15
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Overview:
The Pharmacy Product Strategy & Development team provides leadership and strategic direction to support the development of new solutions tied to the Express Scripts Home Delivery Pharmacies.
This includes identifying client needs across multiple lines of business (commercial, health plan, Cigna, Medicare), developing concepts, creating & evaluating business cases, and designing new solutions.
This team operates in a fast-paced environment with significant opportunities to collaborate with multiple functions and businesses within Express Scripts and Evernorth businesses.
Job Description:
The Product Strategy Senior Advisor will have the opportunity to independently drive product initiatives that grow profitable volume and enhance the customer and client experience with Express Scripts Pharmacies.
The Senior Advisor will be responsible for helping to identify new solutions, evaluate their feasibility, and develop business cases.
The role will support all aspects of product development, including market assessment, pricing strategy, business and technology requirements, benefit/plan design, care management/service model, and product positioning.
Essential Functions:
* Understanding the market by researching market trends, identifying customer demands, defining unmet needs & jobs-to-be-done, and generating & analyzing customer feedback
* Partnering with other product teams across Evernorth to build coordinated solutions, working in cross functional teams to explore and enable new product concepts
* Scoping, sizing, and creating business cases by articulating strategy, identifying levers to monetize solutions, sizing opportunities, and analyzing feasibility
* Leveraging reporting tools to extract and analyze formularies, drug lists, clinical data, and financial models, including the Analyst tool
* Performing analysis of claims utilization and volume, including margin, trend, indications, drug level market share, channel management, patient behavior, benchmarking, key performance indicators, etc.
* Translating data into insights by identifying solutions, identifying needs gaps, designing product features, and creating concepts & prototypes
* Creating visualization of insights, using graphs, charts, reporting and other visualization tools
* Project managing initiatives to ensure milestones are hit and solutions are deliverabled on schedule
Qualifications:
* 5+ years of experience within healthcare / PBM industry
* Bachelor's degree or equivalent experience required.
Advanced degree or MBA desirable
* Experience in supply chain, regulated markets (Medicare / Medicaid) preferred
* Understanding of PBM technology systems is a plus
* Excellent communication skills, both verbal and written
* Ability to collaborate cross-functionally and influence without authority
* Ability to break down complex problems into their component parts
* Proficiency in evaluating dat...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:15
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If you are an RN and looking for a Telephonic role, this opportunity is for you! Read on to learn more.
How you'll make a difference:
Take ownership of patient experience via telephone: Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers.
Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention.
Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients.
Work with the patient's treating physician to inform them of any new symptoms and health-related matters with an entire network of nurses that you can lean on.
At Accredo, you are a part of an eco-system that will support you and advocate for you.
Grow alongside your peers in a patient-centered environment.
Aid our clinical departments with new hire training and mentoring as well as conduct peer-to-peer quality documentation checks to provide feedback to management.
Full time work from home - you MUST reside in a compact state.
Start Date: Monday, April 28, 2025
Shift for this role: 11:30 am to 8:00 pm CST Monday - Friday
Please note, the first 6-7 weeks of training will be varied and may start between 8am-11:30am EST depending on the week.
The primary responsibility of this role is to provide telephonic education to patients and caregivers following Clinical Protocols and working within the nursing scope of practice and guidelines.
This opportunity allows you to improve the health and well-being of others, while giving them a sense of security
Minimum Qualifications:
Registered Nurse (RN) compact license required
MUST reside in a compact state
2-5 years of relevant experience with a BSN degree OR:
5-8 years of relevant experience with an ASN degree OR:
8-11 years of relevant work experience with an RN license
Requirements:
* The RN must have an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam.
* The RN will be required to apply for or have a compact license as well as the ability, with no restrictions, to apply for additional single state licenses
* Maintaining all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment.
* Must have taken Microbiology in order to obtain California licensure
* Knowledge and experience in the areas of Neurology / Multiple sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics.
* Proficient in using micro soft applications
* Minimum Internet speed: 5MBPS upload/2 MBPS download - Cable broadband or Fiber Optic.
* Excellent phone etiquette
* Valid driver's license.
Your Benefits as an Accredo Telephonic Registered Nurse (RN):
Internal Career Training Res...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:14
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Please note: This hybrid role will require the incumbent candidate to come into the Tampa Cigna office 3 days per week.
The Sales Client Account Support Senior Analyst role provides professional input to Client Services assignments and projects for a designated book of business.
This role delivers specific delegated tasks in managing a moderately complex book of business as assigned by the manager.
Accountable to proactively manage, respond and address client and broker inquiries through service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth.
The ideal candidate will have demonstrated experience and ability to manage all services aspects of Client Account service delivery, product offerings, funding types and platforms for assigned accounts within a market/region.
This includes managing business relationships, delivery of moderately complex client and broker requests, using independent judgment and discretion, proactive service support and management of sensitive cases.
Key responsibilities will also include facilitating root cause analysts and issuing resolution across matrix lines.
Responsibilities:
* Serve as primary point of contact for a designated book of business and responsible to service excellence for clients and broker partners that include handling day-to- day service related needs, proactive issue identification, resolution and root cause analysis.
* Coordinates with manager and/or account manager to meet clients' needs and ensure potential problems are averted.
Keeps account manager informed of account status and opportunities for expanded business.
* Attend geographically assigned local market client/broker meetings
* Completes day-to-day Client Account Support tasks without immediate supervision, but has ready access to advice from more experienced team members.
Tasks involve a degree of forward planning and anticipation of needs/issues.
Resolves non-routine issues escalated from more junior team members.
* Builds strong relationships with the client/broker, proactively identifying the needs of the customer and satisfying the customer in a timely manner.
Makes on-site presentations to existing and prospective clients to educate and inform on products as required and in support of client retention.
* Exhibits expert knowledge and understanding of moderately complex processes, compliance and regulatory requirements and can effectively apply in a fast- paced environment.
Understands multi-product and benefit options for dual systems, platforms, funding types.
* Provide support for designated Client Service Operations Lead team on all issues and initiatives related to resolving issues or delegating to matrix business partners as needed.
* Accountable to collaborate with the Sales team to understand the products, benefits and services for sold cases.
Make independent decisions and present proactive soluti...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:14
-
As a S trategic Account Executive , you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing clien t issues, selling annual renewal rate increase s in addition to new products and services to expand the relationship .
Y ou will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth , earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work for...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:13
-
The job profile for this position is Software Engineering Senior Advisors which is a Band 4 Career Track Role with eviCore healthcare MSI, Inc.
Confluent Kafka Administrator responsible for the design, architecture, implementation, and on-going support of Kafka clusters.
Handle Kafka environment builds, including capacity planning, cluster setup, performance tuning, and ongoing monitoring.
Perform day-to-day operational maintenance, support, and upgrades for the Kafka Cluster.
Stand-up and administer on premise and Azure Kafka platforms, Kafka brokers, zookeepers, Kafka connect, schema registry, KSQL, Rest proxy and Kafka Control center.
Ensure optimum performance, high availability, and stability of solutions.
Create topics, setup redundancy cluster, deploy monitoring tools and alerts, and provide administration and operations of the Kafka platform such as provisioning, access lists, Kerberos, and SSL configurations.
Resolve reported Issues on Hadoop cluster by analyzing the application HAWQ, HDFS.
Prepare Root Cause Analysis document and suggest solutions to mitigate future re-occurrence for the issues in Hadoop cluster.
Resolve issues for SQL Server, SSIS and SSRS.
Support ETL process.
Hybrid work schedule.
Master's or foreign equivalent degree in computers or engineering plus three years of experience designing big data solutions or a bachelor's or foreign equivalent degree in computers or engineering plus five years of experience designing big data solutions.
Must have experience with: Kafka; Hadoop Administration; Greenplum; HAWQ; SQL Server; Shell scripting; PGAdmin; SSIS; SSRS; Pentaho; SQL/PSQL.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Th...
....Read more...
Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-08 08:22:12
