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Verity Solutions - Implementation Administrator
Job Objective:
This role will be responsible for implementing new product lines at Verity Solutions.
Along with the standard implementation responsibilities of administering the installation of Verity software, responsibilities will also include determining and creating standard implementation processes based on the needs of the new product line(s).
Role will also respond to inquiries and resolve complex issues using independent judgment and discretion.
Duties and Responsibilities:
* Drive and manage multiple, assigned implementation projects from initial customer engagement through planning, execution, and launch phases - managing all key steps and stakeholders of each project.
* Serve as the subject matter expert for both customers and team members.
* Review, analyze, and repair data from a variety of data sources in support of new Verity Solutions product set ups.
* Develop initial operations relationship with customers to understand their needs, pain points and other pertinent data to develop clear success factors around their implementation.
* Ensure a positive onboarding experience with Verity's software solutions including oversight to ensure accurate customer data extract set ups, wholesaler interactions, and configuration for software solutions.
* Responsible for thorough training on software functions and key customer interactions to facilitate smooth and confident transition to 'live' project state and transition to account management as applicable.
* Facilitate proactive, timely, and comprehensive communication and demonstrations with customers and all Verity stakeholders key to the critical path success of a project implementation.
* Assist with training of new team members
* Assist with maintaining department documentation and education tools
* Serve as a professional and courteous face of Verity Solutions through phone, email, webinar or in-person interactions.
* Diligent in daily use of project management tools including Sales Force, Excel, Asana, etc.
to allow for visible transparency in project status.
* Follow project and procedural workflows, while regularly evaluating current processes and procedures and contribute to improvement of workflows based on learnings and current business demands.
* Supports and promotes the Verity Solutions values through positive interactions with both internal and external stakeholders on a regular basis
* Attend to other implementation or cross-departmental initiatives as assigned.
Experience, Skills and Qualifications:
* BA or BS in Business or related field or equivalent work experience.
* 3+ years in a customer-facing cloud-based software technology implementation or project management role; strong knowledge in healthcare solutions and Electronic Medical Records.
* Experience working with various wholesale vendors, Electronic Data Interfaces (EDI), and pr...
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Type: Permanent Location: Kirkland, US-WA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:13
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Job Summary:
As a member of the Dental & Vision leadership team, the Strategy & Execution Lead will drive efforts to identify and oversee the development, implementation, and sustainment of strategies to grow and differentiate Cigna Dental & Vision solutions.
Reporting to the VP of Dental & Vision, the role is accountable to shape long-term business strategy by partnering closely with teams across the value chain to understand stakeholder needs and the broader external environmental forces impacting the marketplace.
The role will drive focus and transparency into progress against priorities, bring capability needs through the Enterprise Portfolio process, and successfully deliver enhancements in pursuit of business goals.
Duties & Responsibilities:
Key activities include, but are not limited to, the following:
Strategy development and communication
* Drives the annual strategy process, including communication of business strategy to all levels of the organization.
* Partners with Competitive Intelligence and other market-facing teams to understand market trends and developments, and the influence on strategic assumptions and direction.
* Works closely with technology and functional-area partners to drive strategic alignment between business and technology roadmaps.
* Ensures that Dental & Vision activities are aligned with Cross-Enterprise initiatives and strategies.
Project Delivery
* Drive Dental & Vision participation in the Enterprise Portfolio process:
+ Advocate for annual Enterprise Portfolio investments in Dental & Vision, ensuring strong business cases and 1-n prioritization for capability needs.
+ Analysis of new capabilities and enhancements, including feasibility review, business case creation, and related business and technical analysis in support of Agile project mobilization and delivery.
* Oversight of business project delivery in close partnership with Agile delivery teams, including but not limited to business readiness and change management activities.
* Ownership of business intake process, evaluating annual and ad-hoc requests for business value and relative priority.
Chief of Staff & Management Process Lead
* Supports the VP of Dental & Vision to manage and execute the operating model, connecting all functions/teams to the overall Dental & Vision priorities and strategies.
* Drives annual creation of goals and key priorities for Dental & Vision line of business.
* Leads a management process that drives transparency into progress towards goals and initiatives, highlighting leading + lagging indicators of business performance, and driving consistent messaging across all levels of the organization.
Creates scorecards and exhibits to track and report business health and performance.
Ensures content is developed and aggregated for effective meeting management.
* Coordinates weekly, monthly, and quarterly team meetings, town halls, executive busin...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:13
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Sr.
Supervisor, Infusion Nursing
Candidates for this position should reside in central Ohio , and will supervise nurses working throughout the state of Ohio .
This is a hybrid role between Work at Home, and in-office in Dublin, OH .
What You'll Do :
* Provide specialized infusion therapies and clinically excellent professional nursing services to patients and caregivers at home or in alternate settings.
* Supervise daily nursing activities and ensure quality patient care, as directed by the Nurse Manager.
* Ensure RNs are knowledgeable of the patient's disease state, trained/educated on the medication and have demonstrated competency in use of ancillary supplies/pump/access devices.
* Conduct skills return demonstration and supervisory visits for all RN staff announced and unannounced to assess delivery of quality patient care in a clinical setting.
* Supervise receipt, evaluation, acceptance and execution for the initial patient intake process to ensure that patient verification, assessment, teaching and the ongoing scheduling of nursing service occurs in a timely appropriate manner.
* Monitor the daily nurse scheduler application to ensure nursing team is compliant with nursing note submission, availability and completion of plans of treatment.
* Supervise the completion of all patient-related documentation to ensure accuracy, timeliness, and regulatory compliance.
* Identify operational opportunities and areas for process development, improvement and administration applicable to clinical product offerings and present recommendations to leadership.
What You'll Need :
* Active unencumbered RN license in Ohio
* 2+ years of supervisory experience in nursing
* 5+ years of relevant RN experience
* 1+ years of in-hospital care (critical care preferred)
* Home infusion / home healthcare experience strongly preferred
* Strong IV insertion skills
* Solid understanding of the health insurance industry
* Ability to navigate and support both public and private insurance/plan requirements
* Managed care exposure
* Understanding or ability to implement utilization management principles
* Excellent verbal and written communication and presentation skills
* Proficient use/navigation of Microsoft and Apple technology
* Ability to work Monday-Friday, but also have evening and weekend flexibility, as needed
* Ability to travel up to 10%
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: Columbus, US-OH
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:12
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The job profile for this position is Application Development Senior Manager which is a Band 4 Career Track Role with Cigna-Evernorth Services.
Inc.
Responsibilities:
* Lead and manage high performing data engineering team.
* Lead architecture design and implementation of data pipelines and ETL processes using big data and AWS cloud ecosystem.
* Research, evaluate, and utilize new technologies, tools, and frameworks centered around high-volume data processing.
* Assemble large, structured and unstructured complex data sets that meet functional and analytics business requirements.
* Work with technical project manager to define project timelines and deliverables for each release cycle.
* Drive solutions end-to-end, while coordinating with internal and external partners to maintain consistency and integration across architecture.
* Partial virtual/work from home benefit available.
Qualifications:
* Requires a master's degree in computer science or a related field and 3 years of IT experience.
* Must have experience with data engineering; data architecture; healthcare data analytics; Spark; Python; SQL; Scala; S3; IAM; Databricks; Airflow; Teradata; Gitlab & Jenkins CI\CD Pipeline; GitLab; GitHub; Databricks Unity Catalog; Tableau; and Looker.
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 136,100 - 226,800 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 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 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...
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Type: Permanent Location: Santa Monica, US-CA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:12
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Client Account Support Senior Analyst Please note: This hybrid role will require the incumbent candidate to come into the local 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 service 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.
The incumbent candidate must be based out of the following office: Colorado (Denver) or Utah (Salt Lake City)
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...
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Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:11
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Are you passionate about working for a company on a mission to make health care more affordable, more personalized and more focused on helping the whole person achieve better health outcomes? Express Scripts is looking for a high-energy, positive individual to join our Regulated Markets team.
The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to health care options that fit their unique needs.
Join us in our mission to change lives.
WHERE YOU'LL WORK
In your role, you will serve as the primary contact for Medicare strategic initiatives and market development as well as provide strategic growth consultation.
You will become a subject matter expert (SME) on Medicare Prescription Drug Coverage, Express Scripts Medicare Programs and Products and CMS Regulations.
This client-facing position will collaborate with our health plan account teams and clients to support client needs associated with Medicare regulation, Star Ratings and to support strategic growth opportunities using market and industry perspectives.
You will contribute to product development and offerings by providing industry and client perspective allowing for and assisting with definition and development of future opportunities for the Medicare team.
The ideal candidate will be able to master complex and detailed Medicare rules and regulations in a manner that allows for consultation, idea generation, compliance consulting, and strategic support.
This person needs to have excellent relationship building skills as well as proven presentation and communication skills.
The individual must be capable of thought leadership and strategic consulting with clients.
This is an excellent career opportunity to join a dynamic team and to develop business skills to complement existing skills.
ESSENTIAL FUNCTIONS
* Upsell and renewal-related opportunities for applicable Medicare products
* Strong qualitative and/or quantitative analysis abilities to support to recommendations.
* Deep understanding of market landscape and competitive intelligence
* Develop selling strategies that help differentiate Express Scripts and Evernorth in the marketplace
* Deliver market message to account teams and clients
* Demonstrate thought leadership
* Championing and Advocating Strategic Initiatives
* Relationship Management
* Client Support
* Executive Presence
* Ability to work in a dynamic business environment
QUALIFICATIONS
* Bachelor's degree in related field (or equivalent work experience)
* 5 or more years of relevant experience (or 4+ years of relevant experience with a Master's degree)
* Strong knowledge of the PBM industryand Government Regulated Programs such as Medicare, Medicaid, HCR
* Knowledge of annual CMS bid process
* Strong communication skills, including presentations and documentation
* Advanced problem-solvin...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:11
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Role Summary
The Sales Client Account Lead Analyst role is a key member of the Client and Growth Services organization, providing advanced professional input to complex Client Services geographically assigned local market book of business and projects for a designated region, while working collaboratively across the segment and matrix lines.
This role manages a complex book of business and is accountable to proactively manage, respond and address complex inquiries through strategic service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth.
The Account Lead Analyst is also responsible to support and provide direction to more junior professionals utilizing in-depth professional knowledge and acumen to develop processes and procedures and monitor trends within Client Account Services.
The ideal candidate will have demonstrated experience and ability to manage a complex book engaging proactively with the client/broker, solving unique service issues and inquiries, ensure potential problems are averted, work autonomously and collaboratively, only requiring "expert" level technical support from others and both inform as well as effectively communicate internally and externally.
Please note: This hybrid role will require the incumbent candidate to come into a local Cigna office 2-3 days per week.
The incumbent candidate can be based out of the following offices:
IRVINE, CA or GLENDALE, CA
Responsibilities:
* Manage a complex book of business, provide direction and support to junior professionals and monitor trends while developing and executing service delivery plans.
* Engage externally with clients and brokers to educate and inform on service capabilities, products and market level strategies.
Provide the day-to-day service and build long-term relationships with clients and brokers.
* Attend geographically assigned local market client/broker meetings.
* Accountable to keep account team and service leadership team well informed of account status and potential opportunities for expanded business.
* Develop and execute service improvement and recovery plans including proactive actions, collaborate with matrix partners, account teams to ensure we meet/exceed client expectations for assigned book.
Perform root cause analysis and use data and insights to mitigate reoccurrence of issues.
* Accountable to exercise judgment in the evaluation, selection and adaptation of both standard and complex service techniques and procedures.
* Coordinate the development and delivery of monthly, quarterly and annual reporting of book of business to ensure attainment of segment level results and service improvement plans.
* Serve as primary subject matter expert and in support of team training: enhance, maintain and facilitate the standard operating procedures related to service delivery.
* Utilize problem- solving skills to identify root...
....Read more...
Type: Permanent Location: Irvine, US-CA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:10
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Please note: This hybrid role will require the incumbent candidate to come into the local 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.
The incumbent candidate must be based out of the following office:
Dallas, TX
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 ...
....Read more...
Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:09
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Role Summary
The Sales Client Account Lead Analyst role is a key member of the Client and Growth Services organization, providing advanced professional input to complex Client Services geographically assigned local market book of business and projects for a designated region, while working collaboratively across the segment and matrix lines.
This role manages a complex book of business and is accountable to proactively manage, respond and address complex inquiries through strategic service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth.
The Account Lead Analyst is also responsible to support and provide direction to more junior professionals utilizing in-depth professional knowledge and acumen to develop processes and procedures and monitor trends within Client Account Services.
The ideal candidate will have demonstrated experience and ability to manage a complex book engaging proactively with the client/broker, solving unique service issues and inquiries, ensure potential problems are averted, work autonomously and collaboratively, only requiring "expert" level technical support from others and both inform as well as effectively communicate internally and externally.
Please note: This hybrid role will require the incumbent candidate to come into a local Cigna office 2-3 days per week.
The incumbent candidate can be based out of the following offices:
WALNUT CREEK, CA
Responsibilities:
* Manage a complex book of business, provide direction and support to junior professionals and monitor trends while developing and executing service delivery plans.
* Engage externally with clients and brokers to educate and inform on service capabilities, products and market level strategies.
Provide the day-to-day service and build long-term relationships with clients and brokers.
* Attend geographically assigned local market client/broker meetings.
* Accountable to keep account team and service leadership team well informed of account status and potential opportunities for expanded business.
* Develop and execute service improvement and recovery plans including proactive actions, collaborate with matrix partners, account teams to ensure we meet/exceed client expectations for assigned book.
Perform root cause analysis and use data and insights to mitigate reoccurrence of issues.
* Accountable to exercise judgment in the evaluation, selection and adaptation of both standard and complex service techniques and procedures.
* Coordinate the development and delivery of monthly, quarterly and annual reporting of book of business to ensure attainment of segment level results and service improvement plans.
* Serve as primary subject matter expert and in support of team training: enhance, maintain and facilitate the standard operating procedures related to service delivery.
* Utilize problem- solving skills to identify root cause and...
....Read more...
Type: Permanent Location: Walnut Creek, US-CA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:09
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This role is worksite dependent and can only be performed onsite at our North Huntingdon, PA location.
POSITION SUMMARY
This position is the Director of Pharmacy Practice of the Express Scripts Pharmacy located in North Huntingdon, Pennsylvania.
This role will support and play a leadership role in the quality, compliance, and operational initiatives and results within the Express Scripts Pharmacy front end operations.
A focus of this role will include maintaining appropriate licensure, ensuring compliance with state/federal laws as well as company policy, evaluation of quality trends with intervention when needed.
The role requires current pharmacist licensure in Pennsylvania and will require additional individual pharmacist licensure in states requiring the Director of Pharmacy Practice to be licensed in order to achieve non-Resident Pharmacy permits.
ESSENTIAL FUNCTIONS
* Shared planning, coordination and direction of front-end order processing of prescriptions within corporate and regulatory guidelines.
Jointly responsible for any and all procedures within the pharmacy.
* Assists with setting and managing budget to meet corporate and pharmacy quality and service goals along with client-specific contractual requirements.
* Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures.
* Shared responsibility for the management and direction of pharmacy operations.
Oversee recruitment, performance reviews, and development of pharmacy staff.
* Shared responsibility for escalated employee, client, and/or patient issues.
* Keep updated on industry trends and regulations and ensure compliance.
Shall hold license for the pharmacy.
May represent the pharmacy to the regulatory agencies such as State Board of Pharmacy for procedural, regulatory changes or disciplinary actions as needed.
Maintain pharmacy and pharmacy record security.
* Display strategic thinking and enterprise mindset when representing pharmacy practice in cross-functional meetings and projects.
Prepare to implement and communicate new corporate initiatives and processes within the pharmacy.
* Conduct regular pharmacy self-audits to ensure the pharmacy is meeting compliance standards.
Create action plans when needed.
* Other duties as needed.
QUALIFICATIONS
* Bachelor of Science in Pharmacy, RPh, or PharmD, Current pharmacy licensure in good standing and ability to obtain additional state licensure as needed.
* Years of Experience: 5-7 years of experience in pharmacy setting (front end pharmacy experience preferred), Previous supervisory experience, preferably in pharmacy operations setting.
* Licensures/Certifications: Cross-licensed per state regulations
* Computer or Other Skills: PC skills including Microsoft office, email and internet
* Extensive knowledge of current ...
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Type: Permanent Location: North Huntingdon, US-PA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:08
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Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Medical Oncology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 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
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified in Medical Oncology , recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router.
Wireless connection is...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:08
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The job profile for this position is Software Engineering Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc.
Requirements-
* Develop and modify complex software application programs supporting Machine Learning and Artificial Intelligence initiatives;
* Advocate, educate and partner with product development teams across the enterprise to develop and apply best practices regarding Machine Learning/AI-specific infrastructure technology stacks, application development, and proofs of concept (POC);
* Create detailed specifications and conduct quality assurance reviews of peer's application programming;
* Ensure quality of technology delivery of multiple vendors' technology solutions for multiple concurrent projects or programs for an application family;
* Identify and implement process enhancement opportunities associated with supporting the application area;
* Serve as subject matter expert (SME) for components of the team;
* Provide technical guidance to projects/programs for complex components of multiple technology suites;
* Develop standard practices, components, guidelines for use of complex technology components; and
* Determine root cause of problems and drive resolution.
* Work from home benefit available.
* Up to 25% domestic travel required.
Qualifications-
* Master's degree or foreign equivalent in Computer Science, Computer Engineering, Data Science, or related field;
* 2 years of experience in a related occupation;
* Experience writing custom SQL queries to support business requirements;
* Experience developing and implementing machine learning models; Experience developing algorithms in R and Python in the healthcare or pharma domain;
* Experience researching, proposing, and testing re-engineering and feature reduction and selection approaches for unsupervised machine learning;
* Experience with requirements gathering and writing;
* Experience with data visualization, storytelling, and manipulation; and
* Experience using: Tableau, Java, SQL, and Shell Scripting.
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, g...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:07
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Customer Service Rep Associate - Evernorth - Work at home Dalton GA
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.
Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.
Our Evernorth Workplace Care solution isn't a one-size-fits-all model.
Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience.
Evernorth Workplace Care - Personalized Care Where You Are
Qualifications for this role are:
* At least a High School Diploma or equivalent required.
* Strong oral & written communication skills.
* Being able to sit or work in a dedicated work space for your entire work shift.
* Strong data entry, typing skills and proficiency in the use of a PC, including use ofmultiple applications simultaneously.
* Evernorth systems and Epic EMR knowledge a plus.
* At least 1 or more years Medical Office experience.
* Demonstrated strong communication skills by expressing thoughts and information clearly and succinctly using proper business English and correct grammar.
* Ability to succeed within a team environment.
* Telephonic appointment scheduling and outreach calls in support of the Healthy Life Centers.
* Professional interaction with customers both internal and
external.
* Independently responds to inquiries from customers for information and assistance of moderate and substantial complexity.
* Compliance with HIPAA regulations and Evernorth Workplace Care guidelines.
Bonus Points for:
* Passionate about going above and beyond
* Independent worker and self-starter
* Customer-centric Focus
* Dynamic personality
* Bilingual English/Spanish
This position is work from home position but must live in Northwest Georgia.
The hours for this role are Monday - Friday 9:00 am - 6 pm est.
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)...
....Read more...
Type: Permanent Location: Dalton, US-GA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:07
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The Sustainability team in Finance is seeking a control minded individual to document, assess, and assist in the implementation of an enterprise Sustainability control program that focusses on developing and deploying procedures to ensure Cigna's compliance with related Sustainability standards, disclosure requirements and auditability considerations.
This highly visible role will partner closely with the Legal Sustainability teams and Cigna senior leadership to drive the direction of our evolving Sustainability controls function.
The work includes interacting with subject matter experts on various Sustainability related topics across the enterprise (Human Resources, Operations, Real Estate, Finance, etc.) in a cross-functional and collaborative manner to support the strategy, prioritization, execution and reporting of auditable Sustainability information.
Responsibilities:
* Assist with project management of Cigna's evolving Sustainability controls program
* Actively partner with Sustainability team, Sox PMO and Internal Audit in determining and delivering on processes and procedures necessary to advance the controls function
* Develop and deploy continuing improvements for data compilation and reporting of Sustainability information, primarily through enhanced use of software, education and training
* Drive awareness and communication to subject matter experts regarding effective control management, execution and proper evidence
* Provide insight-driven recommendations and deliver analysis around current state processes, trends and improvement opportunities to enable decision making for leadership and the business
* Develop and provide regular reporting and status updates on project plan, milestone tracking, risk and issue identification and management and overall progress monitoring
* Support the development and execution of validation and control procedures over specific Sustainability data and disclosures to ensure accuracy and integrity of the information
* Assist with evaluation of evolving regulatory developments and emerging Sustainability standards and guidance to ensure consistent and appropriate application at Cigna
Position Requirements:
* CPA or Master's degree in Business, Finance, Accounting, Project Management, or a related field
* 6-8 years of business and financial management experience; Accounting and Audit experience ideal
* Demonstrative ability to build relationships with multiple business partners and influence others
* Strong organizational and planning skills
* Highly motivated individual and strong independent thinker
* Must be able to shift comfortably between micro and macro, desk level discussions, and senior leader report-outs
* Excellent oral and written communication skills
* Ability to deal with ambiguity, and rapidly evolving regulatory environment
If you will be working at home occasionally or permanently, the internet connect...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:06
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WORK LOCATION: HYBRID position aligned to the Glendale/Los Angeles, CA market.
The Manager, Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
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.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* 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 "HCP" 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 bache...
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Type: Permanent Location: Glendale, US-CA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:06
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Role Summary
This role manages an assigned book of business, focused on attaining profitable growth, persistency, and earnings.
Performs case-specific risk assessments, rate development, and customer presentations on a complex book of business.
Couples with management to develop and drive market and sales strategies, product development, pricing, and underwriting policy and procedure guidelines.
This role manages and develops underwriters on risk analysis, rate development, and consultative underwriting responsibilities.
Manages team functions such as presale and renewal book assignments.
Ability to make effective decisions based on strong knowledge of all financial implications, both internal and external.
Has thorough knowledge of factors that influence market and competitive conditions.
Has strong knowledge of enterprise-wide objectives and ability to influence change across matrix partners.
Responsibilities
* This position is a leadership role managing a portion of the book of business within the 50-3000 eligible employees space in the South Texas market, varying responsibilities across existing book of business and new business/prospecting depending on the market, month, business need, etc.
* Responsible for achieving earnings, persistency, growth, service and expense objectives within designated marketplace.
* Direct management responsibilities for 6-8 professional Underwriters, primarily geared towards less experienced Underwriters.
* Support achievement of growth and earnings goals by ensuring case decisions align with emerging results.
* Active part of the market leadership team working to understand the market landscape and developing/executing strategy for top- and bottom-line growth.
* Support growth calls with assigned markets.
* Assists in broker/ client development and handles high risk major impact negotiations directly.
* Support talent management and pipeline.
* Proven skills in understanding the 50-3000 eligible employees space, market and industry wide dynamics (consumers/ broker/consultant community/competitors) to set strategies and tactics to achieve both earnings and revenue growth objectives.
Qualifications
* 5+ of HealthCare Underwriting experience or other industry experience
* Management experience in underwriting preferred
* Experience in the financial, insurance or managed care industry or significant marketing and/or business development experience in another field.
* Thorough knowledge of factors that influence market and competitive conditions.
* Strong knowledge of enterprise-wide objectives and ability to influence change across matrix partners
* Maintain and support direct client relationships
* Ability to communicate analytical findings to all levels of the organization.
* Ability to work well and influence within a cross-functional team
If you will be working at home occasionally or permanently, the internet connection...
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Type: Permanent Location: Scottsdale, US-AZ
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:05
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Please note: This hybrid role will require the incumbent candidate to come into the local 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.
The incumbent candidate must be based out of the following office:
Scottsdale, AZ
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 so...
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Type: Permanent Location: Scottsdale, US-AZ
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:05
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Behavioral Health Coach - Hanover New Hampshire
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.
Here's more on how you'll make a difference:
* Provide onsite face-to-face customer coaching and support, with a focus on stress, anxiety, depression and other challenges.
* Perform Stress, anxiety and depression screening
* 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.
Our Successful BH Health Coach will meet or exceed the following:
* Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
* Masters degree in social work or psychology is required
* Independent license is preferred but not required
* 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:
* Behavioral Health experience including stress reduction
* CHES (Certified Health Education Specialist)
* Motivational interviewing training/experience.
This is a full time position and will be based in the office in Hanover NH.
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 ...
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Type: Permanent Location: Hooksett, US-NH
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:04
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Please note: This hybrid role will require the incumbent candidate to come into the local Cigna office 2-3 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.
The incumbent candidate must be based out of the following office:
Baltimore, MD
McLean, VA
Richmond, VA
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 unders...
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Type: Permanent Location: McLean, US-VA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:04
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Onsite Health Educator - Evernorth Direct Health
• 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.
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
• Bachelor's degree in a health-related field.
Master's degree preferred.
• 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.
•Bilingual English Spanish
Bonus points for :
• Registered Dietitian
• CHES (Certified Health Education Specialist)
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
This role is based in the office in Scottsdale AZ.
Remote work is not an option.
Cigna is committed to a healthy work force.
New hires must complete a background check, drug and nicotine screen to be employed in this role.
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 gro...
....Read more...
Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:03
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Are you ready for a new job where you can make an impact and improve the lives of others? Express Scripts by Evernorth Health Services, a division of The Cigna Group, is hiring pharmacy technicians.
Using a high level of attention to detail, as well as your organization, time management, and problem-solving skills, you'll help ensure the accuracy of each prescription order for each patient we serve.
Express Scripts by Evernorth is committed to making pharmacy simpler and better.
From our industry-leading supply chain team to our specialized clinical experts, we're focused on making sure patients get and can stay on the medications they need at prices they can afford.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on patients' lives.
This Pharmacy Technician Representative job offers either of the two shift options.
Monday thru Friday 6am - 2:30pm EST or Sunday thru Thursday 2:30pm - 11pm EST.
Why Choose Us?
* Comprehensive health coverage from day one (including medical, dental, vision)
* Competitive holiday, paid time off, and overtime compensation
* Tuition Reimbursement
* Robust 401K plan with company match
Responsibilities:
* Accurately and responsibly prepare prescription orders with additional duties to include but not limited to
* Changing prescription labels,
* Cleaning printers,
* Repacking and restocking medications/materials,
* Preparation of drugs for dispensing
* Collaborate with pharmacists and production clerks to ensure that medications are adequately filled and packed.
* Clean and help maintain equipment and work area.
* Assigned additional tasks as required.
Qualifications/Requirements:
* HS diploma or equivalent working experience.
* Pharmacy Technician license required in the state of Ohio.
* Knowledge of standard concepts, practices, and procedures within dispensing pharmacy, strong attention to detail with good organizational skills, good verbal and written communication skills, ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions.
Ability and desire to assist team members.
* PC knowledge, including Microsoft Office suite.
* Effective written and oral communication skills.
Physical Requirements:
* Sit and/or stand for lengthy periods.
* Lift up to 50 lbs.
occasionally and 20 lbs.
frequently
* Perform repetitive motion with fingers, hands, and arms.
* Ability to adapt in a changing environment
* Work may be performed in an environment with varying levels of noise.
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 t...
....Read more...
Type: Permanent Location: Fairfield, US-OH
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:02
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Home Infusion Registered Nurse - Accredo
Candidates for this position must live in/near Statesville, NC.
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 Field 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 within a designated area
* Ability to work Monday-Friday, during the day, with occasional evening or weekend visits if needed
* 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 ...
....Read more...
Type: Permanent Location: Statesville, US-NC
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:02
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Under the general direction of the Payroll Director, manages outsourced payroll operations to ensure optimal performance in the delivery and administration of global payroll operations and services.
Supports the activities of outsourced payroll, payroll accounting, disbursements, garnishments and payroll tax for 65,000 + U.S.
employees paid across 50 payroll entities.
Supports the development of Workday Payroll configuration to adhere to Cigna's pay schedules, policies and procedures.
Maintains controls and operational excellence including, but not limited to, internal/ external control audits, SOX compliance and testing, and overall tax and regulatory compliance.
Responsibilities
* Manages outsourced payroll operations and services required to execute timely and accurate delivery of payroll services to all employees.
* Project manages major, complex enterprise projects including payroll year-end, mergers and acquisitions, compensation planning, etc.
* Defines requirements and configuration options for Workday payroll, time reporting, absence management and interfaces to multiple financial systems (general ledger, expense, Hyperion, 401k, etc.).
Provides guidance on other HCM configuration as it relates to payroll business processes.
* Provides oversight of Strada HRO activities relating to payroll operations covering 65,000 + U.S.
employees, including garnishments, tax and disbursements as well as application management for payroll, time, absence and financial related interfaces.
* Evaluates and recommends improvement of payroll processes including automation opportunities for payroll inputs from other systems as well as for HRO provider.
* Provides oversight to payroll activities and processing integrity to ensure compliance with all applicable government and regulatory laws, regulations and requirements, and legal or contractual obligations.
* Supports all financial payroll activities, including G/L bank reconciliations, employee and employer deduction disbursements to suppliers, etc.
* Supports all SOX controls/compliance/documentation, with a focus on continuous improvement.
* Manages coordination with Accounting, Finance, Information Technology, Legal, and applicable COEs to assess impact of payroll process or system changes, and determine communication needs as appropriate.
* Supports tax disbursements for Federal, State and Local taxes.
* Supports outsourced unemployment cost management services and state payroll notification services.
* Researches and resolves complex payroll case escalations.
* Participates in all major HR Operations RFPs, including evaluation and statement of work/ contract development.
* Supports payroll-related data conversions and related testing for acquisitions.
* Participates in testing of new Workday configurations, interfaces and special payroll projects.
Qualifications
* Bachelor's Degree in Accounting, Finance, IT or related...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:01
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LOCATION: Hybrid position aligned to the New England Market.
Will consider candidates that live in MA, RI and ME.
Preferred office location: Newton, MA
The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead.
This role assists and supports the day to day contracting and network activities.
DUTIES AND RESPONSIBILITIES
* Manages submission process of contracting and negotiations for fee for service with physicians, ancillaries and hospitals.
* Supports the development and management of value-based relationships.
* Builds and maintains relationships that nurture provider partnerships 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.
* Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation.
* Contributes to the development of alternative network initiatives.
Supports 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.
* Supports initiatives that improve total medical cost and quality.
* Drives change with external provider partners by offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve escalated issues.
* Manages 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.
* Other duties, as assigned
POSITION REQUIREMENTS
* Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a Bachelor degree.
* 1+ years of Provider Contracting and Negotiating for Healthcare Hospital/Provider/Ancillary group experience required
* 1+ years prior Provider Servicing experience strongly preferred
* Experience in developing an...
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Type: Permanent Location: Newton, US-MA
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:01
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Responsibilities:
* Telephonic outreach and customer engagement, support and assistance
* Support and coordination of complex situations - leveraging community resources
* Educate and refer customers to available social and health resources
* Assist in the creation, execution, and management of the pulmonary arterial hypertension (PAH) licensed social worker program, implementing and adjusting the program as needed to best meet the needs of the patient population
* Consultation with Cigna Medical Management teams and Cigna Behavioral Health teams and programs as appropriate
* Identifies and educates appropriate client specific programs
* Empowers customers with skills to provide enhanced interaction with their providers
* Documents customer interactions and interventions as directed
* Consult with and assist team members in cases where a customer's medical and behavioral issues are impacting their ability to set and/or achieve goals
* Collaboration with team members such as nutritionist, pharmacist, case management nurses, specialty team member, Medical Director and other internal partners across Cigna's programs as appropriate
* Provide ongoing consultation and training to the team on relevant social topics, resources available
* Provide connection and assistance to agencies where alternative funding may be needed (i.e.
SSI, SSDI benefits, state victim assistance, VA state funded rehab or community resources
* Life planning needs such as end of life, home/financial management and accessible housing
* Resources for community resources for conditions and bereavement
* Assumes lead role with customer when appropriate but integrates with warm connection with Cigna team members to support ongoing care and needs
* Shift: Monday-Friday; 9AM-5:30PM EST / 10AM-6:30PM MST / 11AM-7:30PM PST
Qualifications:
* Master's Degree
* Licensed Clinical Social Worker (LCSW)
* Minimum of five (5) years clinical experience in behavioral health/social work field
* Experience with crisis intervention and psychosocial assessments
* Experience in health education and wellness coaching preferred
* Experience with direct customer communication (written and verbal), experience in telephonic counseling/coaching required
* Working knowledge of motivational strategies, training and consultation required
* Thorough knowledge and understanding of health behavior change theories and their application
* Proven administrative abilities, with strong computer and software application skills
* Excellent interpersonal skills and the ability to work in a team environment
* Demonstrated ability to set priorities
* A high energy level and excellent written and oral communication skills are essential
* Passion for health improvement of customers
* Preferred Competencies
* Excellent time management, organizational, research, analytical...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-03-30 08:17:00
