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Implements policies and standards, evaluate new treatments, and conduct medical research to ensure the quality of the medical care provided to patients.
Implements utilization and financial initiatives.
Develops and manages efforts to improve and maintain cost and utilization trends.
Requires an MD or DO.
SUMMARY: The Medical Principal performs medical necessity review and case management activities.
The physician provides clinical insight to the organization through peer review, benefit review, peer to peer conversations, consultation, and service to internal and external customers.
RESPONSIBILITIES:
- Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles.
- Works to achieve quality outcomes for customers/members with a focus on service and cost
- Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills.
- Balances customer/member needs with business needs while serving as a customer/member advocate at all times.
- Participates in all levels of the Appeal process as appropriate.
- Participates in coverage guideline development, development, and maintenance of medical management projects, and committees.
- Participates in quality processes such as audits, inter-rater reliability clinical reviews, and quality projects.
- Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes.
- Improves health care professional relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships.
- Addresses customer service issues with mentoring and support from leadership staff.
- Investigates and responds to client and/or regulatory questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff.
- Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions.
- Provides clinical insight and management support to other functional areas and matrix partners as needed or directed.
Qualifications:
Required - Current unrestricted medical license in US state or territory.
- Current board certification in an ABMS or AOA recognized specialty (grandfathered by the board or maintained by the MOC program).
- Certification in a primary care specialty
- Exhibits ethical and professional behavior.
- Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency.
- Computer Competency: Word processing, Spreadsheet, Email, and Personal Information Management programs are used extensively and compete...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:35
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Help us manage our future.
Get ready for a job that encourages you to think strategically yet stay connected with your teams.
Do you have software asset management experience? If so, prepare to innovate, create, and inspire.
The Infrastructure Engineering Senior Advisor ensures the s upports software asset management practice for Global Infrastructure Engineering Services Shared Services team.
Responsibilities:
* Provides reporting support for IBM ILMT/BigFix and Flexera Inventory software discovery system(s).
* Responds to requests from end users, managers, product owners, and team members for specific Software Asset Management information - often consolidating data from multiple platforms
* Assists in the development of reporting and documentation - to provide clarity, visibility and actionable metrics for software product stakeholders
* Supports software governance functions through the collection, analysis and auditing of data on the status of various software asset inventories
* Works with department leadership and vendors to manage contracts and relationships to maximize value creation and limit costs for software licensing, maintenance, and service offerings
* Identifies savings opportunities for software licensing and services
* Assists in the development / deployment of BigFix and Flexera Inventory training programs and materials
* Maintain internal Software Asset Management database
Qualifications:
* Bachelor's degree in Business Administration, Finance, Computer Science, Information Systems preferredor related field, or equivalent education and experience.
* 4 - 6 years of experience working with system generated data/reporting, license management
* Experience with IBM software product catalogs
* Experience with IBM ILMT, Flexera, or any licensing tool a must
* Experience managing reporting for IBM BigFix or Flexera tool a plus
* IAITAM certification a plus
* Solid understanding of software license management for IBM.
* Solid understanding of relational database design concepts and the ability to identify, extract and synthesize meaningful results from disparate data sources
* Demonstrate a keen attention to detail and the ability to formulate complex strategies to fit basic business needs
* Ability to communicate and articulate concepts to technical and non-technical personnel at various levels in both verbal and written form
* Strong documentation skills using Microsoft Excel and PowerPoint
* Encourage others in the collaborative problem-solving process; by seeing the big picture, tracing through the implications and proposing / communicating logical solutions
* Maintain a customer-centric work ethic; the discipline to strive for the right result for the customer and the staying power to get the
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or f...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:34
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Position Overview:
The job profile for this position isScrum Master Advisor,which is a Band 4 Senior Contributor career track role.
The Claims & Enrollment Applications organization is looking for a skilled and motivated leader with technology acumen, an agile software delivery mindset, and demonstrated empathic collaboration.
This role will lead and coach teams for sustainability, predictability, flexibility, and attention to software quality and customer value.
Success will be achieved by building rapport and trust with the team, while demonstrating reliability, attention to detail, and courage in the face of adversity with stakeholders.
Key Responsibilities:
* Lead agile teams in the delivery of software solutions for supported core administration platforms, including QNXT and Q/CARE.
* Represent and advocate for teams with Agile Release Train (ART) leadership and external stakeholders.
Build partnerships and collaborate to resolve blockers, mitigate risks, and manage cross-team dependencies.
* Facilitate team ceremonies to coach and drive synchronization, teamwork, innovation, problem solving, and relentless improvement grounded in agile principles.
* Present plans, team capacity, and risks during Planning Interval (PI) Planning.
Required Experience/ Qualifications:
* Prior experience as a Scrum Master, or in a similar role such as a Tech Lead or Project Manager.
* Working knowledge of agile principles, and experience working in a Scaled Agile paradigm.
* Experience within a fast-paced team supporting business milestones, production systems, compliance and audit needs, service-level agreements, and other relevant metrics and controls.
* Demonstrable problem solving and collaboration skills within a large matrix team setting.
* Excellent written and oral communication and presentation skills across a variety of technical and non-technical audiences.
Desired Experience/ Qualifications:
* Experience with core healthplan administration and/or business analytics systems.
* Experience working in a distributed software environment, with both packaged vendor solutions and in-house code.
* Working knowledge and experience with routine delivery management and reporting functions in Jira or similar tools.
* Working knowledge of software quality methodologies and software design patterns, and experience driving software quality with attention to non-functional requirements.
* Experience maintaining CMS Universes, Sarbanes-Oxley, and other relevant controls, including supporting system audits and action plans.
Statement of Commitment:
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, genet...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:34
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Job Summary:
This role is a member of the Encounters Risk Adjustment Submissions team.
This team is dedicated to submitting risk adjustment data to CMS on behalf of Cigna HealthSpring to support Encounter operational programs.
This position requires experience in both analyzing medical data and information systems.
The individual must be motivated by desire for success and pursuit of excellence.
Principal Duties:
* Focuses on the use of information and analytics to improve health and optimize consumer focused business processes.
* Possess technical knowledge of all phases of applications systems and operational processes.
* Validates data, performs data analysis, loads data into appropriate systems and organizes it to get meaningful reports.
* Required to review, designs, and prepares application/system specifications across multiple platforms for information systems solutions which address business needs and methods.
* Conducts testing and system validation to troubleshoot issues related to master data management and system integrity.
* Recommends ways to strengthen data integrity, quality, and availability across the organization.
* Collaborate with client management to identify and specify the complex business requirements and processes, and in the application design, testing and implementation processes.
* Broker conversations to remediate data issues while building a rapport and a positive working relationship with internal and external business partners, stakeholders, and team members.
* Give outstanding customer service to everyone you meet or work with.
* Strive to obtain the support, engagement and effort needed to successfully complete tasks as assigned.
Minimum Qualifications:
* Bachelor's Degree in Statistics, Mathematics, Computer Science or High School Diploma with a minimum 4 years' experience in related health care analytics or any combination of education and healthcare experience.
* Knowledge of CPT, HCPS, ICD9 and ICD10 codes.
* Knowledge of 5010, x12 EDI, Standardized Medical formats.
* Excellent oral, written presentation and communication skills.
* Strong analytical and creative problem-solving skills.
* Experience utilizing and optimizing SQL statements.
* Familiar with IT Software Development Lifecycle (SDLC)
Preferred Qualifications:
* Knowledge of Medicare Advantage Risk Adjustment Model (HCC model)
* Knowledge of with NUCC and NUBC guidelines
* Knowledge of Medicare Regulations and Medicaid State Processing Guidelines
* Experience in working on an Agile team and understanding of Agile methodologies.
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 ...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:33
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HEDIS Applications Systems Analysis Advisor- (Ideally Nashville or Remote)
Strategy Summary
Our team is an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare Advantage and CareAllies business units.
Our goal is to simplify how business gets technology delivered.
We act as the accountable point of contact with the other shared service organizations across Cigna's technology landscape.
As a Systems Analysis Advisor, you will serve as an engaged team member responsible for ensuring customer needs are met with high-impact technology solutions.
This will accelerate innovation and drive medical affordability and quality care for our members.
The Opportunity
You will join a highly visible team passionate about aligning local strategic objectives with tactical demands.
We are seeking an experienced HEDIS® analyst who thrives on supporting sophisticated business challenges through technology, collaboration, analysis, and creativity.
This role requires a blend of analytical thinking and technical expertise, all while navigating the complex healthcare landscape.
The candidate must possess the technical skills to study and analyze systems needs and provide HEDIS® technical knowledge across multiple disciplines, supporting our technology landscape.
The position reports directly to the Senior Application Development Manager for HEDIS/Stars.
Responsibilities:
* Exercise considerable creativity, foresight, and judgment in analyzing and developing solutions for assigned projects.
* Supports bi-weekly HEDIS proactive process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).
* Supports annual HEDIS Regulatory process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).
* Provides quality assurance to ensure accurate clinical data and presentation of data analysis results.
* Works with business partners to develop complete and accurate business requirements for assigned projects.
* Reviews all assigned processes and data and recommends / documents / implements improvements.
* Logical detail-oriented team player who learns quickly and can handle multiple, competing priorities in a fast-paced environment.
* Seek process improvement opportunities.
Qualifications:
* Bachelor's degree or related work experience is sufficient.
* 1+ year relevant HEDIS/STARS experience, desired.
* 2+ years of intermediate to advanced T-SQL (complex JOINs, subqueries, stored procedures, indexes, temp tables and CTEs, query optimization).
* Experience using or partnering with Inovalon, Cotiviti, or similar platforms is preferred.
* Experience with HEDIS metrics and understanding changes in the metrics.
* Experience with ETL processes to build SSIS package(s) and automate processes.
* Excellent analytical and problem-solving skills.
* Proficiency in data analysis tool...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:31
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The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud acumen, a strategic mindset, and demonstrated empathic collaboration.
The Cloud Engineering Senior Manager will oversee a team dedicated to creating and delivering high-quality cloud solutions for our Medicare plans.
To ensure future success and cultivate a sustainable and agile team, this leader will play a critical role in identifying and developing team practices, skills, and partnerships needed to achieve business and technology objectives.
Responsibilities
Technical Leadership:
* Provides engineering leadership and oversight on design, engineering and development of cloud infrastructure and applications.
* Responsible for multiple packaged applications with custom extensions and integrations.
* Partners with leadership on engineering related issues and strategies.
* Implements software engineering strategy, ensuring that it aligns with the overall business and product objectives.
* Own the frontend application development capability for our web portal solution aligned with the product vision as defined by the solution product owner.
Team Leadership:
* Leads, mentors, and manage the engineering team, fostering a culture of innovation, automation, collaboration, and excellence.
* Responsible for career development and performance management of the team members.
Project Delivery:
* Executes infrastructure projects, ensuring they are delivered on time, within budget, and meet quality standards.
* Develop solutions using TDD methodology.
* Execute project plans and application designs to ensure projects are aligned with standards and IT strategy.
Architecture and Development:
* Guide the design principles, and development processes to ensure scalable, secure, and efficient solutions, collaborating with other senior leads.
Operational Efficiency:
* Implements DevSecOps to streamline processes, tools, and workflows to optimize engineering operations and enhance productivity.
* Optimizes cloud spending and usage to ensure value from cloud investments and drives cost accountability across applications and project teams.
* Build partnerships with Medicare programs and operations, and collaborate to prioritize, design, and implement new and modified capabilities, processes, and insights supporting business objectives.
* Coordinate, delegate, and prioritize team responsibilities with clear alignment to business milestones, system processes, technology currency, compliance and audit needs, service-level agreements, and other relevant metrics, controls, and constraints.
Requirements
* Experience: Proven experience (8+ years) in a senior/lead role with infrastructure engineering and cloud infrastructure experience.
Application development, security, and DevOps experience desired.
* Experience with buildingInfrast...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:30
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Position Scope:
* Manages/coordinates an active caseload of case management cases for Cigna Medicare.
Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications.
* Establishes patient centric goals and interventions to meet the member's needs
* Interfaces with the member, family members/caregivers, and the healthcare team, and embedded care coordinator as well as internal matrix partners.
* Build solid working relationships with internal staff, matrix partners, key functional areas, customers, and providers
Summary description of position:
This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist those members experiencing the burdens of illness and injury.
The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's health needs within case load assignments of a defined population based on business perspectives.
The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and a consumerism approach through education and health advocacy to members serviced.
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment.
Major responsibilities and desired results:
Obtains informed verbal consent and takes all steps to obtain written consent as appropriate.
* Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes.
* Promote consumerism through education and health advocacy.
* Assesses member's health status and treatment plan and identifies any gaps or barriers to healthcare.
Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.
* Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis.
* Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures
* Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
* Demonstrates sensitivity to culturally diverse situations, clients, and customers.
Work schedule:
Monday to Friday 8:00 AM-5:00 PM AZ time
Minimum requirements:
Active, unrestricted Registered Nurse (RN) Multi-State License.
Must be willing to get licensed ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:29
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If you're lo okin g to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within the Risk Management & Underwriting Leadership Development Program (RULDP) will allow you to do all this and more.Underwriters evaluate the risk of insuring a potential customer and use that information to set premium rates for insurance coverage.
As part of our Underwriting team, you will directly impact our business on a daily basis by protectingthe company's sound financial position and enabling us to meet our financial commitments to our clients.
RULDP associates begin to shape their careers with program support and discussions with direct managers, mentors, RULDP peers, trainers, andprogram managers.RULDP offers structured technical training (ULTRA - Underwriting Leadership Training & Risk Assessment) and non-technical training (competency-basedworkshops), networking opportunities, formal mentoring, and exposure to a breadth ofunderwritingroles across multiple product lines.This multi-year development program consists of 2 rotations each typically lasting 2.5 years.
In addition torotations,you willgaininsight into other roles within the Risk Management & Underwriting organization through formalized job shadows and project work.Throughout the program, you will develop the skills and competenciesnecessaryto become a successful Risk Manager/Underwriter and future leader within our organization.
RULDP Evolve is an extensive learning opportunity that guides your experience through the early stages of your Risk Management & Underwriting career.
The program includes a mixture of instructor-led classroom training, self-study, and on-the-job experiences.
Most associates will start their first rotation supporting our health care side of the business and will have an opportunity to take on new responsibilities and experiences within their second rotation.
These new experiences could include the following:
* New Market (different geographies)
* New Buyer Group (employer size)
* New Product (ex.
Supplemental Health, Pharmacy, Dental, etc.)
* New Responsibilities within the same team (ex.
project work, mentor opportunities, increased exposure to brokers/clients, book of business management, etc.)
What you'll do:
Upon starting in RULDP's EVOLVE, you will complete training through our Underwriting Leadership Training and Risk Assessment (ULTRA) curriculum.
This multi-faceted program is designed to be one year in length, starting with 11 weeks of technical classroom training.
This curriculum provides associates with the knowledge, skills and competencies necessary to meet the performance objectives of the Risk Management & Underwriting position, including in-depth training on our products & services, insurance basics, risk analysis & rate projection, negotiation skills, systems & tools, and contract language & terminology.
Immediately following the initial training, you, with Mentor su...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:28
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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 assign you projects that have a lasting impact on our business - which touches 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, give you the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work
Evernorth Health Services, a division of The Cigna Group, is seeking 2025 Summer Interns who have a passion for applying advanced analytics and data science to healthcare's biggest challenges.
Evernorth Health Services creates pharmacy, care and benefits solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of disease more accessible to millions of people.
What You'll Do
The Data Scientist Internship is an exciting opportunity to be part of Enterprise Data Science team at Evernorth Health Services.
The internship will involve using data science techniques that include predictive modeling, machine learning, text mining, segmentation and clustering to help in developing solutions to increase revenue and improve Member Experience.
Utilize machine learning for developing next generation of predictive models for targeted business solutions.
Support the team in application of Text Mining to mine Voice of Customer data.
Develop supervised / unsupervised algorithms, Big Data pipelines for making business processes efficient.
At Evernorth Health Services, interns will get a chance to work with a variety of large datasets including pharmacy and medical claims transactions, member information, voice call transcripts, survey data, web log data, etc.
* Previous project examples:
Develop Next Generation Supervised Machine Learning Clinical models to predict Medical Non-Adherence
Training of call classification unsupervised topic models using big data platforms such as Spark and Hadoop
Leverage state of the art NLP Algorithms for detection of personal health information (PHI) entities within free text comments to automatically de-identify natural language
Modularize the entity-based feature engineering code base on Hadoop to leverage big data technologies such as Pyspark and Spark SQL.
Qualifications
* Candidates working towards a Master's degrees or a PhD in quantitative disciplines such as Data Science, Statistics, Applied Mathematics, Computer Science, Bioinformatics, Computational Linguistics or related quantitative disciplines
* Excellent ability to query large datasets using ANSI SQL/HIVE SQL and working with relational databases
* Proficient programmi...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:28
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Work Location - Remote, Work from home, United States
Bilingual Required (English & Spanish)
Are you an outstanding Instructional Designer with exceptional facilitation skills who is passionate about learning and performance improvement?
Do you have experience straddling both worlds (training design and delivery) and creating magic from it?
Do you always seek the connection between learning and improvement in performance?
Are you adept at ensuring that learning is closely connected to business needs?
Are you a change agent who is obsessed with leveraging training to change behavior and equally obsessed with measuring the impact of training programs and demonstrating value?
Do you embrace ambiguity and help others make sense of it?
Do you work well in fast-paced and changing environments?
If the foregoing describes you, then we want you!
The Cigna Medicare Sales Performance Improvement team is all about leveraging training and other learning solutions to elevate the performance of our sales teams and helping to meet Cigna Medicare's industry-defining business goals and we need a skillful and passionate pro like you to help us architect the future.
What you'll do:
* Use your otherworldly design skills to create a variety of impactful learning solutions for a variety of audiences (broker, internal sales reps, supervisors, sales ops, and sales leaders etc.)
* Leverage your exceptional facilitation skills to conduct highly interactive training sessions as needed for sales reps, sales managers, supervisors, and other sales staff
* Coach sellers and sales mangers/supervisors to remove obstacles to high performance
* Conduct training impact assessments and demonstrate value
* Leverage training data to craft training interventions to close identified gaps
* Manage training projects end-to-end
* Work well within the team and across the organization to define learning solutions that address business priorities and bridge gaps in knowledge, competency, and skills for sales professionals
* Keep up with Cigna strategy, compliance, industry changes and product enhancements
* Provide strong, evident leadership both within and outside the team by organizing to drive action and results
* Comfortably lead and organize amongst higher bands including leading efficient and effective meetings
* Build and maintain working relationships with functional areas outside of the Department.
* Take quick, decisive, informed action on issues or problems
Qualifications:
* Bilingual - English and Spanish is required
* High school diploma required.
Master's degree in Instructional Design or equivalent work experience in related field is highly preferred
* Otherworldly design skills with proficiency in eLearning tools including Articulate Storyline and other learning technologies
* Outstanding facilitation skills
* Ability to clearly articulate product and sales material including product fea...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:27
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This job profile for this posting is Infrastructure Engineering Senior Advisor which is a band 4 Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities
* Work with development and performance leaderships to assess testing needs and define a performance test strategy.
* Identify gaps in team member skillsets and highlight training opportunities.
Build and present performance testing roadmap.
* Define and knowledge transfer performance test script development best practices.
* Define and interpret application and infrastructure key performance indicators (KPIs) and monitoring tools in collaboration with delivery teams.
* Evaluate performance/resiliency testing tools and guide on leveraging such tools in an enterprise environment.
* Triage the cause of failed performance tests to lower the test failure occurrence rate.
Enable developers to self-service early performance testing (shift-left).
* Develop reports and present to leadership on progress in performance test strategy.
* Lead Proof of Concepts (POCs), including working with application teams, consultant firms, and product vendors.
* Partner with application development and production support leaders.
* Engage in capacity planning discussions, forecasting, and architecture design.
* Incidental domestic travel only.
Partial virtual / work-from-home benefit available.
Qualifications
* Requires a Bachelor's degree in Computer Science, Electronics Engineering, or a related field and 5 years of IT experience (or a Master's degree in Computer Science, Electronics Engineering, or a related field and 3 years of IT experience).
* Must have experience with:
* design and development of automated test scripts; performance test planning; Performance Testing and Performance Engineering;
* working with Test Data Management teams; developing performance test strategy;
* using technologies including load testing tools (such as LoadRunner, Performance Center, jmeter, or NeoLoad), Dynatrace, Java, .Net, and Linux.
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, natio...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:26
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This Financial Analysis Lead Analyst role will be responsible for supporting the financial analysis through data analytics for the Tennessee Medicare market within the Finance.
The analyst will focus on the analysis of medical claims, revenue and related financial information to make recommendations based on relevant findings.
We seek an analyst that will provide operational and analytical support to assist in affordability and improving financial results.
This role will work with various team, including but on limited to, Finance, Medical Economics, Network Operations, and Actuary through data-driven reporting.
Essential Responsibilities:
• Enhance, improve and develop analytical reporting to assist to support market strategy and operations
• Enhance and develop reporting to track key financial performance indicators to identify areas of risk, trends and options for improvements through the use of data analytics.
• Develop methods for improving internal processes in order to create efficiencies.
• Manipulate and combine a variety of data sources to create analytical solutions to business problems.
• Create highly effective, visual graphics that tell complex stories in formats that can be easily conveyed to leadership and executive clients.
• Work collaboratively and partner with departments across the organization to ensure deliverables are accomplished
• Supports team with ad-hoc requests.
Qualifications:
• Bachelor's degree in Finance, Analytics, Health Information Management, Management Information Systems, Economics or related field strongly preferred
• 2+ years increasingly complex database and data management with SQL and/or Teradata is needed.
• Microsoft Excel experience
• Experience with claims analytics, clinical data, and/or financial data preferred
• Proven ability to work collaboratively in complex matrix organizations, driving outstanding results
• Strong verbal/written communication skills to work with various matrix partners
• Willingness to learn and apply new skills to improve processes
Preferred Competencies:
• Strong analytical and problem solving skills
• Team player that is able to work in a matrix environment with tight deadlines
• Innovative and deal with ambiguity
• Ability to communicate results of analytics to various individuals/group
*This is a Hybrid role and you must be near one of the office locations to be considered.
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 growt...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:25
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Software Engineer Apprenticeship Program - Evernorth
Evernorth in partnership with Daughtery Business Solutions is proud to be an Access Point corporate partner with our Software Engineer Apprenticeship Program.
Applicants must meet certain qualifications in order to be considered:
* Must have met all requirements as set by Access Point
* Must be approved and selected as an Apprentice candidate by Access Point
* Must be enrolled/enrolling in the Access Point Training Program at Saint Louis Community College/University of Missouri Saint Louis
* Candidates must be team-oriented and relational
* Effectively communicates to individuals at all levels of the technical and business communities.
* Develops a strong affiliation with the requirements, technology solution, and operational readiness organizations, including the ability to use, share, contribute and influence the appropriate artifacts, approaches, and best practices used to build enterprise-scale solutions.
Competencies
Technical knowledge or experience is a basic requirement for this kind of role.
The Software Engineer Apprentice also needs to be tactful and diplomatic to maintain a good working relationship with the software developers, QE peers, and across multiple teams.
Additional competencies and technologies the Software Engineer Apprentice will develop include:
* Analytical skills.
* Decision-making ability (Problem Solving, Priority Setting, Perseverance)
* Informing, Dealing with Ambiguity
* Attention to detail.
* Quick learner of new technologies and adapt to changes.
* Influential, focused, and versatile team player that is comfortable under pressure and changing environments.
Technologies
* Gain a strong background in object-oriented software development.
Knowledge of modern, cloud-hosted, single-page applications.
* Unit testing and automated builds and deploys Ability to write web services in Java using the Spring Boot framework.
* Database knowledge and advanced query skills for SQL and NoSQL databases.
* Experience using Kafka to build event-driven architecture between applications.
* Understanding of web markup, including HTML5, CSS3.
* Understanding of server-side CSS pre-processing platforms, such as LESS and SASS/SCSS.
* Understanding of client-side scripting and JavaScript frameworks, including React.
* Understanding of asynchronous request handling, partial page updates, and AJAX.
* Familiarity with building applications in a large-scale enterprise environment.
* Understanding of code versioning tools, such as Git.
* Experience with automated test tools, script development, and execution.
* Java Selenium, TestNG, JDBC, Cucumber (BDD framework)
* Implementation of Automation frameworks
* Rest Assured API automation
* Databases and SQL test automation
* CI/CD experience or knowledge
Responsibilities
Under the guidance of a S...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:25
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The Scrum Master will be responsible for supporting the agile transformation and successful delivery for one or more agile
teams.
They will provide leadership and coaching to the team(s) they support to encourage adoption of agile principles
and practices while empowering the team to grow towards becoming self-directed and self-managing.
They will work to
establish a safe team environment to allow for problems to be addressed with a focus on problem solving.
Desired Traits:
• Passionate about continually learning new tools and techniques to support the team and encourages others to
do so as well.
• Proactive, with the ability to adjust or flex approach based upon the situation at hand.
• Ability to earn the team's respect and lead by example.
• Ability to promote and educate agile / Scrum concepts and principles at the team level.
• Ability to partner and build relationships across the organization to collaboratively achieve goals.
• Ability to facilitate and support discussion and conflict resolution at the team level.
• Ability to promote a safe environment for constructive dialogue to encourage continual growth and improvement.
• Ability to communicate effectively and concisely with team members, program team members, and stakeholders.
• Ability to guide a team with diverse personalities and approaches toward becoming self-organizing and self-
managing.
Key Responsibilities:
• Act as a Scrum Master for one or more distributed agile teams.
• Support the team through servant leadership, leading by example.
• Establish, support and facilitate team level cadence and ceremonies such as sprint planning, daily stand up,
retrospectives, backlog refinement, etc.
• Provide coaching and guidance to the team to support adoption of agile values, principles and practices.
• Provide coaching and support to Product Owner in maintaining and refining product backlog.
• Support Product Owner in prioritization and forecasting of roadmap based on team velocity and stakeholder
requests.
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 - 158,800 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 h...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:24
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Job Description: Infrastructure Engineering Senior Advisor
Highly skilled Z/OS Systems programmer, highly skilled at Z/os internals, able to debug system and application dumps using IPCS and Abend-aid tools.
Must be expert at SMP/E product installs.
Must have strong Broadcom ESP Installation and Maintenance experience.
This position requires configuration changes using Service Now to take place during our Change Windows.
Occasional night shift work for these changes is required.
Responsibilities:
* Install, customize, support and maintain Z/oS and related products.
* Install, administer and maintain IBM and third party products.
* Train and guide junior staff members.
* Maintain current documentation related to each OEM software product.
* Work with vendors for system support and problem resolution.
* Lead the diagnosis of issues and solve problems that arise with software and hardware.
* Maintain and support established Disaster Recovery plans and exercises.
* Work with infrastructure teams to create and maintain standards.
* Provide 24x7 rotational on-call technical support.
* Maintained baseline operations for the Z/oS test and production environments.
* Provided technical support and problem determination for both systems and applications teams.
* Take ownership role for and resolve highly complex or critical incidents within the mainframe Z/os environment
* Provide project consultation to business application teams; Be able to work off hours as needed to support product maintenance and installs.
* Install/customize and maintain GDPS elements within the environment.
Qualifications/Skills Preferred:
• Self-Starter and self-motivated
• Strong interpersonal, collaboration and team skills
• Effective oral and written communication
• Strong understanding and experience with z/OS mainframe operating systems and program products.
• Strong Broadcom and CompuWare product knowledge and experience.
• Experience with JCL, JES, SDSF, VSAM, Catalog management, mainframe communications, RACF and SMP/E.
• Exceptional organizational skills and attention to detail.
• Ability to collaborate with different roles/teams to achieve common goals.
• Knowledge of Netview, GDPS, Supersession, VTAM and TCPIP configurations a plus.
Operating Systems / Subsystems / Environments
z/OS, TSO/ISPF, DB2, UNIX Systems Services,
Software Tools
Broadcom ESP, SMP/E, IPCS, Tivoli-Monitoring, Microsoft Office products, Omegamon
Languages
COBOL, Assembler, JAVA,MVS/REXX, ISPF Dialog
Network
TCP/IP, VTAM, LU 6.2, APPC, FTP, TN3270
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 120,100 - 200,100 USD / yearly, depending on relevant factors, includin...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:23
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Job Posting Title: Product Owner, Senior Advisor
Role Summary
As a member of the Provider Digital Product Team, you will join a team transforming health care and health services for over 170M people worldwide.
Our product team is constantly innovating and expanding into new verticals and capabilities, while building and maintaining some of the best-in-class healthcare brands and products on the market.
As a product owner, you will lead, directly or indirectly, a cross-functional team of technologists including strategist, designers, researchers, content strategists, analysts, and other digital experts to deliver impactful digital solutions that transform care of health for those we serve.
This position will report to the Digital Provider Product Director.
The product owner understands business and technology objectives, communicates the product vision and roadmap, and prioritizes and translates needs into requirements to ensure that expected outcomes are achieved.
This role will focus on the Cigna for Health Care Providers portal.
CHCP offers providers the ability to perform critical administrative activities and exchange relevant health plan information throughout the patient journey.
You'll partner with and influence all facets of the business including sales, marketing, operations, legal, risk, compliance, and cyber to drive bold strategies that define the trajectory of our user experience while shaping our product culture.
And you'll remove roadblocks and act as a leader who puts team(s) above self to enable the delivery of truly differentiated digital products and experiences to the market, unlocking value for end users, clients, and our business alike.
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions.
If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success.
About You:
* You have at least 5 year of professional experience managing software products through launch and iteration.
* Human Centered: You extract non-obvious customer needs, synthesize research to gain a deep understanding and narrow definition of a problem.
* Business Acumen: You help the business understand what levers within technology they can or should pull in pursuit of outcomes against business strategy.
You can seamlessly change your communication style depending on your audience.
* Technology Driven: you have experience working with Agile development teams building high-quality consumer products.
* Leadership: You build strong relationships, manage expectations, and effectively communicate product updates and progress.
* People Focused: Developing others is one of your highest callings.
You mentor others, create great team connectivity and conditions for team success, you share best practices.
Ability to facilitate difficult discussions, prioriti...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:22
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Job Summary:
The position supports Cigna's Risk Adjustment program and is responsible for medical record chart retrieval and administration.
This role is responsible for auditing, and problem-solving issues pertaining to retrieving and processing medical records.
Core Responsibilities:
* Monitors all chart retrieval activities for C+O projects, and performs actions as defined by department workflows, including tracking outstanding records, analyzing barriers to retrieval, evaluating chart availability, reviewing for completeness & image quality, routing charts to the appropriate location, problem solving with retrieval vendors, and recording activities in the designated application.
* Performs outreach via telephone or secure fax to provider offices for requests including but not limited to additional information required, record delivery, retrieved record deficiencies, and signature deficiency attestation completion, as needed.
* Day to day quality audits on vendor chart records, responses, provider engagement, and related requirements.
* Ensures confidentiality and security of Cigna customer PPI/PHI by following all HIPAA, regulatory, and Cigna processes and release-of-information protocols.
* Follows Cigna medical records policies for storage and retention.
* Maintains a daily production tracker, or other reporting, in a predetermined format and cadence.
* Performs chart processing, vendor pend resolution, provider research, and other tasks as required to execute on C+O Risk Adjustment programs.
Minimum Qualifications:
* High School Diploma or equivalent
* Prior experience with working with EMR/EHR systems is strongly preferred, but not required.
* Knowledge of medical records, including basic medical terminology
* Strongly skilled in Microsoft Excel, Outlook management, Adobe and Word
* Ability to determine when escalations are required to resolve issues.
* Ability to work as a team and individually on time-sensitive projects
* Ability to perform work in an accurate and timely manner.
* Must be detail oriented, able to multi-task, accurate in data entry, able to follow directions, and apply criteria for multiple measures
* General understanding of healthcare privacy regulations is
* Demo nstrates clear, concise, and professional communications with peers and supervisors, in verbal, telephonic, and written communication.
* Demonstrates the ability to follow workflows independently as required.
* Prior experience with working with medical records preferred
* Experience with HCC coding preferred but 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.
For this position, we anticipate offering an hourly rate of 21 - 32 USD / hourly, depending on relevant fact...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:21
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Your Role
* Facilitate Agile ceremonies, including daily stand-ups, backlog refinement, sprint planning, retrospectives, and sprint review to ensure the team remains aligned and productive
* Collaborate with Product Owners to ensure the backlog is well-defined, prioritized, and understood by the team
* Remove impediments and blockers that hinder the team's progress, ensuring a smooth and efficient workflow
* Work closely with other Scrum Masters, Release Train Engineers, and stakeholders to align on Agile processes and ensure consistency across the organization
* Use data-driven insights to track and enhance team performance, implementing changes as necessary to improve velocity and quality
* Foster a collaborative and open environment where all team members feel valued and empowered to contribute
Your Skills
* Strong understanding of Agile methodologies, particularly Scrum and Kanban
* Proven facilitation skills and the ability to ask thought-provoking questions that help a team pinpoint their challenges and solutions
* Exceptional communication skills, capable of engaging with both technical and non-technical stakeholders and bridging the gap between each
* Well-versed in project management software (e.g., Jira)
Your Profile
* 3-5 years of experience as a Scrum Master
* Proven experience in leading and coaching teams in an Agile environment
* Robust organizational skills with the ability to manage multiple priorities simultaneously
* Advocate for Agile principles with the ability to inspire and drive change within teams and the broader organization
* Passionate about continuous improvement and driven to help teams reach their full potential
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@c...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:21
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Work Location: Remote position
The National Ancillary Service Manager is a critical member of Cigna's National Ancillary EviCore Account Team.
This role focuses on vendor account management, performance oversight, and driving process improvements across multiple segments, products, and lines of business.
The ideal candidate thrives in ambiguity, excels in communication and documentation, and can maneuver through complex challenges with minimal supervision.
The candidate must have broad and deep understanding of national ancillary programs and an end-to-end view of how those programs impact the enterprise and intercede when firewall/legal requirements prohibit EviCore direct access to Cigna's Systems and to our key stakeholders - provider, client and customers.
He/she will engage across our national ancillary segments, enterprise companies, lines of business and products and will act as a subject matter expertise and key driver of business process improvement initiatives.
He/she will provide on-going solutions and support on reoccurring service issues and trends and actively supports cross segment and line of business resolution of high priority/impact service escalations.
Key Responsibilities:
* Manage day-to-day operations with national ancillary vendors, ensuring strong performance and alignment with Cigna's goals.
* Act as the primary liaison between Cigna and external vendors, building and maintaining strong relationships.
* Lead business process improvements, handle escalations, and support the execution of the account team strategy.
* Collaborate with internal and external stakeholders to support service delivery and achieve total medical cost savings.
* Provide coaching to staff and act as a subject matter expert on vendor programs and services.
* Monitor vendor performance through reports and dashboards, addressing any operational issues or service gaps.
* Support strategic projects, including vendor program enhancements, system implementations, and national expansions or terminations.
Requirements:
* College degree or equivalent work experience.
* 8+ years of experience in benefits administration, claims management, or project management
* Working knowledge of Utilization management platforms (Truecare, HC-ICMS, Evicore)
* Experience with Vendor Management
* Relationship Management experience
* Project management experience, preferred
* Expertise in national ancillary programs and Cigna's products, systems, and business lines
* Strong organizational agility, problem-solving abilities, and project management skills
* Proven ability to navigate ambiguity and resolve complex service issues and conflict management
* Exceptional communication, presentation, and negotiation skills
* Ability to manage tasks independently and deliver impactful results in a matrixed environment
* Some travel required
If you will be working at home occasionally o...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:20
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Sign On Bonus
Have you heard? Express Scripts and Accredo is now part of Cigna.
Together, we've got big plans.
How big, you ask? We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes.
That's only the beginning.
Read on to learn more about working with us.
As a Stocker and Packer, you will love the rewarding nature of working with a team that goes above and beyond for our patients.
Here's an opportunity to work differently.
Accredo is a specialty pharmacy that serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders and multiple sclerosis.
We understand the complexity of these conditions and treatments.
Our specialty-trained staff are available to provide personalized care to patients.
What you'll do:
* Accurately dispense and pack prescriptions for shipment
* Responsible for copying, faxing and processing prescriptions
What you need to do the job:
* Excellent Quality with the patient in mind, ensure accuracy
* Use of technology data entry skills and reference database as needed
* Be Efficient- attention to detail, organization skills, time management, and problem solving skills will be important
* Be Flexible- ability to adapt in a dynamic work environment; willingness to work a flexible schedule when needed
* Be an effective communicator with solid interpersonal, written and verbal skills
* Some computer knowledge General PC knowledge including Microsoft Office, use of internet and email is required
* Ability to lift 35lbs +
Qualifications:
* High School diploma or equivalent experience.
* 0-1 years relevant experience.
* Clerical experience preferred.
* Basic math skills and general PC knowledge including Microsoft Office, Internet, and email required.
* Strong verbal and written communication skills desired.
ABOUT ACCREDO
Through the range of healthcare products and services Accredo offers, team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiencies.
In addition to the wide range of healthcare products offered to these patients, we provide comprehensive management services, including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
In these very high-touch roles, employees leave every day knowing they made a positive impact on patient lives.
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 relentless...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:19
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Make Your Career in Aerospace Manufacturing!
Sign-on Bonus Up to $2,000.
Are you ready to join a fast-paced, collaborative environment and build a rewarding career in manufacturing? Consolidated Precision Products (CPP) is a sand-casting foundry that specializes in complex aerospace and defense products.
We are looking for talented individuals to join our team.
1st shift: 6-2:30 pm
2nd shift: 3PM-11:30PM
Monday- Friday
Starting Wages:
$22.00/hour
We will train you !
We'll provide the training to give you the skills you need to succeed.
What matters most is your energy, strong work ethic, attendance, and dedication to quality.
This is a great opportunity to join a stable & growth-oriented company that has been in business for over 100 years!
What do we have to offer you?
* Paid training and overtime potential
* Full benefits package which includes Medical/dental/vision/life/disability insurance
* Quarterly bonus program and 401(k) with match
* Robust paid PTO & holiday pay
* Upward mobility and leadership that strives to help you succeed.
* Sign-on bonus up to $2,000 to welcome you aboard!
What will you do?
* Follow instructions and safety procedures.
* Demonstrate focus and attention to detail.
* Maintain a reliable attendance record.
* The physical effort applied in this job includes lifting, pulling, reaching, manipulating, carrying, and pushing, be able to lift up to 30lbs with or without reasonable accommodations and stand for entire shift.
* Working near moving mechanical parts and keep your workspace clean and organized.
Types of Manufacturing Jobs at CPP:
* Coremaker
* Core Assembler
* Metal Melter/ Pourer
* Corebox Rigger
* Lab Tech- Metal Lab
CANDIDATES OFFERED EMPLOYMENT ARE REQUIRED TO PASS A PRE-EMPLOYMENT DRUG TEST & BACKGROUND STUDY PRIOR TO EMPLOYMENT.
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a total solution source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the US on a permanent and consistent basis without company sponsorship now and in the future.
This position requires access or use of hardware and technology which is subject to the International Traffic in Arms Regulations (ITAR) and Export Administration (EAR).
All applicants must be U.S.
persons within the meaning of ITAR.
ITAR defines a U.S.
person as a U.S.
Citizen, U.S.
Permanent Resident (i.e.
"green card holder"), Political Asylee (permanent), or Refugee.
CPP Corporation is an Equal Opportunity Employer t...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:19
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Position Description
The position is full-time and 40 hours a week.
The shift will be 10-hour shifts between the hours of 12PM and 12AM EST.
Shifts may be 12PM-10PM EST or 2PM-12AM EST.
Scheduled weekdays vary and must be able to do rotating weekends (Sat.-Sun.) Schedules are subject to change based on coverage needs.
The RN Clinical Staff Member is part of the telehealth clinical team, which is devoted to the delivery care services in an online and fast-paced setting.
The RN supports MDLIVE providers and clinical operations.
This role will primarily support the nursing team with behavioral health task while also assisting with Urgent Care responsibilities.
Strong telephone triage, assessment, communication skills, and computer skills required.
Essential Job Functions
* Utilize current evidence-based nursing practices and guidelines.
* Apply the ANA Code of Ethics for Nurses to professional practice.
* Support the clinical and administrative operations of telehealth across practice settings.
* Utilize MDLIVE technology and platforms in the delivery of patient care.
* Triage and assess patient for telehealth appropriateness.
* Serve as a liaison between patient and provider.
Address any questions or concerns post-consultation.
* Resolve any pharmacy and/or medication issues in conjunction with provider order.
* Document, update, and maintain the patient medical record.
* Identify and report patient safety and quality issues.
* Act as an advocate for the patient.
* Support the promotion of optimal health outcomes.
* Patient education and support.
* Crisis intervention and de-escalation.
* Deescalate calls to a reasonable outcome for all parties.
* Other duties as assigned.
Required Knowledge/Skills/Abilities
* Critical thinking and data synthesis.
* Knowledge of therapeutic communication and de-escalation strategies.
* Ability to manage behavioral health crisis calmly and effectively.
* Empathetic and adaptability.
* Triage and assessment skills.
* Understanding of common mental health disorders, symptoms, treatments, and interventions.
* Knowledge of behavioral health standards, evidence-based practices, and crisis intervention protocols.
* Familiarity with psychotropic medications, side effects, and proper administration.
* Knowledge of Behavioral health, Urgent Care, and ER settings.
* Effective communication skills over various mediums.
* Multi-tasking in a fast-paced environment.
* Strong interpersonal skills with that encompass cultural, ethical, economic and access to health care resource understanding when interacting with the patient.
* Knowledge of electronic medical records and e-prescribe.
* Maintain competencies for telehealth nursing.
* Ability to work effectively within a multidisciplinary team.
* Demonstrates proficiency with the following software: Microsoft Word, Excel, Po...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:56:17
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Description
Futures start here.
Where first steps, new friendships, and confident learners are born.
At KinderCare Learning Companies, the first and only early childhood education provider recognized with the Gallup Exceptional Workplace Award, we offer a variety of early education and child care options for families.
We pave the way for their lifelong learning journey ahead.
And we want you to join us in shaping a future we can all be proud to share-in neighborhoods, at work, and in schools nationwide.
Our teachers, center staff, and field leaders are the heart and soul of our business.
When you join us, you'll be directly supporting children and their education every day and experiencing the trials and triumphs that come with that responsibility.
But you'll never be alone.
You'll do it all with a village of dedicated and passionate humans who care as much about helping kids reach their highest potential as you do.
The best part? Seeing the positive impact you're making on the lives of young learners and their families-and knowing that your work matters.
If you're passionate about delivering high-quality educational programs to teachers, the Program Specialist role might be for you! Program Specialists play a special role in bringing our unique curriculum to life in our centers.
As a Program Specialist, you'll develop and lead programs from implementation in our classrooms to ongoing enhancements meant to go above and beyond.
When you join our team as a Program Specialist you will:
* Ensure our world-class curriculum is presented as intended and that teachers can speak to the curriculum and what children are learning
* Spend 75% of your time in the classroom, educating children and mentoring and modeling for teachers
* Partner with parents with a shared desire to provide the best care and education for their children
* Train, motivate and lead staff and assist center management with interviewing and hiring of teachers
* Support your center's success by partnering with center staff and leadership to achieve goals around enrollment, accreditation, and operational objectives
Qualifications
* Ability to build relationships with families and coworkers and create a dynamic environment where play and discovery go hand-in-hand
* Outstanding customer service skills
* Approved State Trainer (preferred)
* NAEYC/NAC, and state licensing knowledge (preferred)
* Meet state specific guidelines for the role
* Physically able to use a computer with basic proficiency, lift a minimum of 40 pounds, and work indoors or outdoors.
* Able to assume postures in low levels to allow physical and visual contact with children, see and hear well enough to keep children safe, and engage in physical activity with children.
* Read, write, understand, and speak English to communicate with children and their parents in English
Our benefits meet you where you are.
We're here to help our employees navigate t...
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Type: Permanent Location: Broken Arrow, US-OK
Salary / Rate: Not Specified
Posted: 2024-11-13 07:55:17
-
Under the supervision of a physician, the Advance Practice Provider (APP) will play an integral role in the care of patients undergoing surgical procedures, including all aspects of perioperative care, performance of surgical procedures within the professional scope of clinical duties, and provision of patient care expertise as needed in the pre- and post-operative acute care environment.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.
We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer.
Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.
This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.
Cottage Health is committed to upholding discrimination-free hiring practices.
We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.
Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.
If you're already a Cottage Health employee, please apply on this link only.
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Type: Permanent Location: Santa Barbara, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:55:16
-
JOB PURPOSE
The Patient Access Registrar works directly with patients, clinical staff, and other CH employees to provide information and resolve issues relating to patient accounts.
The Patient Access Registrar is the first impression of patients arriving for services and is responsible for creating a positive patient experience.
QUALIFICATIONS
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
LEVEL OF EDUCATION
Minimum:
Preferred: College Associate's degree or higher
CERTIFICATIONS, LICENSES, REGISTRATIONS
Minimum:
Preferred:
TECHNICAL REQUIREMENTS
Minimum: Basic MS Word, Outlook and Excel skills; 35 wpm keyboard/typing speed
Preferred: Expert knowledge of MS Office software, including Powerpoint and Access
YEARS OF RELATED WORK EXPERIENCE
Minimum: One (1) year of experience in an office, hospitality, or customer service environment
Preferred: Two (2) years of related work experience in a healthcare environment, with a working knowledge of medical terminology.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.
We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer.
Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.
This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.
Cottage Health is committed to upholding discrimination-free hiring practices.
We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.
Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.
If you're already a Cottage Health employee, please apply on this link only.
CH Patient Access, Part time Regular, 10 Hours, Variable shifts, Cottage Health
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Type: Permanent Location: Santa Barbara, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:55:16
