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The Senior Advisor, Provider Contracting and Strategy is responsible for the renewal and ongoing management contracting activities of assigned retail providers and supporting ESI's strategic initiatives related to network access.
Direct interface with industry executives from the respective account, managing the contracting relationship with assigned providers.
Assume a role in overall performance management, strategic planning and analytical development as it relates to ESI's performance of the provider contract.
Coordinate management of Supply Chain functions, including, but not limited to, reporting and operations.
Manage retail provider client-specific custom initiatives related to network contracting and solicitations, often in a condensed time frame.
Essential Functions
* Strategic development, execution, analysis and assignment of work plan initiatives including but not limited to network development, provider contracting/re-contracting.
* Provide direction and supervision of network goals pertaining to contract language/structure revisions and re-contracting.
* Maintain working strategic knowledge and operational understanding of assigned chains necessary to provide insight to their individual financial influence and the relationship to the global impact for ESI and its clients.
* Serve as project manager and liaison to ESI clients and Sales & Account Management, for purposes of executing strategic network initiatives and custom network requirements.
* Represent Network Contracting in the development and presentation of the Express Scripts message at various venues including retail corporate meetings and national conventions such as NCPDP and NACDS.
Qualifications
* Bachelor's/Master's degree in related field strongly preferred.
* At least 5 years of retail pharmacy contracting experience.
* Knowledge of the healthcare, PBM industry and products.
* Excellent oral and written communication skills and presentation skills.
* Ability to manage and motivate indirect reports.
* Problem solving and analytical skills.
* Project management/organizational skills.
* Ability to work cross-functionally to resolve complex client issues.
* Strong focus on customer service.
* Ability to manage timelines and meet tight client deadlines.
* Microsoft Office and Microsoft Excel.
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 w...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:19
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WORK LOCATION: supports our Virginia market - Preferred candidate to live in either Richmond or McLean, VA area
Hybrid position - will need to work in the office or visit Providers 3 days per week
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/Provider Relations ...
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Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:18
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As aPharmacy Technician, you will be assisting patients in receiving needed medications to help manage rare and/or chronic diseases.
You'll be empowered to engage patients, insurance companies, and multiple departments to process orders and ensure timely shipment of medications.
This role is very detail oriented, and you'll spend the majority of your day working on ourcomputer system.
Here's a little more on how you'll make a difference:
* Accurately enter prescriptions into our system.
Use the knowledge you gain from training, your problem-solving skills and support from your team to accurately enter patient prescriptions.
* You'll ensure that the medication prescription is accurately entered so it can be evaluated under insurance coverage and dispensed correctly.
* Interact directly with healthcare providers.
You'll research issues on with pharmacist and doctors' office and provide guidance to our patients about medication coverage.
* Juggle multiple tasks without sacrificing attention to detail.
You will be busy handling multiple requests at any given time as well as documenting information in ourcomputer system.
* Handle Inbound phones calls from providers taking verbal prescriptions.
What you need to do the job:
* High School Diploma, or GED required.
* Minimum of six months related experience.
* Valid Pharmacy Technician license/certification/registration as required by state laws.
* Pharmacy Technician Certification preferred but required in State of TN
* Microsoft Officeproficiency anddata entryskills
* RxHome experience a plus
* Basic math skills (addition/subtraction/multiplication)
* Strong attention to detail, accuracy and quality
* Excellent verbal and written communication skills
Why Join Us?
Health coverage effective day 1 (including medical, dental, vision)
Holiday and PTO pay
401K with company match
Tuition reimbursement
Fun, friendly and unique culture- bring your whole self to work every day!
Growth and advancement potential
Work Schedule:recruiting for the following Monday through Friday shifts:
* 10 AM to 7 PM CT
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, ve...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:18
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Our mission is to provide immediate, personalized clinical support-whether it's a moment of crisis, clinical consultation, or a step towards lasting change.
Our mission is to be responsive, collaborative, and impactful with each connection.
As a Behavioral Licensed Clinician on our 24/7 Clinical Support Team , you will deliver expert, compassionate care across a wide spectrum of behavioral health needs .
This team is designed to ensure continuity-each B ehavioral Licensed Clinician remains with the customer throughout their journey, becoming a trusted clinical partner.
While every team member supports various clinical populations and needs, we value and will leverage subject matter expertise in the development of training, curriculum , and clinical consultation .
You'll be called on to bring depth into your area s of specialization while remaining flexible and responsive across all cases.
The successful candidate will have demonstrated clinical excellence with mental health, substance use disorders, crisis call work, and case management with a passion to deliver a service experience that exceeds the memb er 's or provider's expectation.
The team works in a fast-paced environment, on a queue, taking telephonic calls in the moment, balanced with scheduled calendar appointments .
The team operates 24/7/365 in support of the full organization.
Duties and Responsibilities
* Serve as a consistent clinical point of contact for each memb er from first engagement through every stage of their wellness journey
* Assess member s' immediate risk and clinical needs using evidence-based models and clinical acumen
* Provide real-time crisis de-escalation, safety planning, and risk management
* Identify biopsychosocial needs and collaborate with the member to determine solutions and next steps
* Develop SMART goals t hat empower members to lead and maintain a healthy lifestyle
* Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals
* Sheppard members to appropriate clinical care, treatment programs, and community resources
* Incorporate a variety of modalities to educate memb ers about benefit plans, coverage, and care navigation
* Leveraging an evidence -based specialized curriculum in a wide range of clinical areas that support our members' unique needs
* Perform research and provide relevant educational or support resources tailored to the memb er's situation
* Partner with internal colleagues to ensure timely follow-up, case collaboration, and seamless care transitions
* Demonstrate agility in balancing real-time queue work with out-of-queue case management responsibilities
* Exhibit diplomacy, empathy, and professionalism-even in difficult conversations or with resistant participants
* Comply with HIPAA and uphold strict confidentiality and compliance standards while demonstrating sound clinical doc...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:17
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The job profile for this position is Agile Product Management Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna -Evernorth Services Inc.
Responsibilities-
* Works with business owners to ensure that they are engaged and supportive of direction.
* Ensures that stories clearly communicate customer/stakeholder needs to the Scrum team and works with them to clarify stories as necessary.
* Sets and communicates the team's scope for the current iteration.
* Collaborates with Product Managers to ensure their prioritization is reflected in the team's backlog and maintains and refines the inflow of work to the team.
* Makes final decisions on acceptance criteria for product functions.
* Assists team with decomposing features into user stories and acceptance criteria.
Works with team members to ensure products are working in production.
Assesses business value and prioritizes all stories to ensure work focuses on those with maximum value that align with strategy.
* Hybrid work schedule.
* The salary for this position is $150,301.00 per year and this role is eligible for standard company benefits
Qualifications-
Requires a Bachelor's degree in Computers or Engineering or a related field and 5 years of IT experience.
(or Master's degree in Computers or Engineering or a related field and 3 years of IT experience).
Must have experience with: Agile Methodology; REST API framework; Spring Boot; Apache Kafka; Mongo DB; PostgreSQL DB; HL7 FHIR; Jira; Jira Align; Confluence; Postman; Git; Jenkins; New Relic; Conduktor; and, Service Now.
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 113,200 - 188,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be 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, c...
....Read more...
Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:16
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The job profile for this position is Software Engineering Advisor, which is a Band 4 Contributor Career Track Role with Cigna -Evernorth Services Inc.
Responsibilities-
* Write and modify complex software application programs.
* Provide technology expertise and delivery accountability for solutions for multiple concurrent projects or programs within an application family.
* Ensure quality of technology delivery of multiple vendor's technology solutions for multiple concurrent projects or programs for an application family.
* Partner with architects to set direction for maturing use of/retiring/adding technology components.
* Set direction for mature technology associated with the team, a key aspect of which is tech debt removal when possible.
* Identify and implement process enhancement opportunities associated with supporting the application area.
* Continually improve upon current monitoring both in production and non-production environments.
* Drive technical and functional issues towards closure.
* Provide technical guidance to projects/programs for complex components of multiple technology suites.
* Diagnosis, investigation, resolution, coordination with business, application owners, infrastructure support.
* Serve as SME for components of the team/application.
* Complete projects and initiatives as assigned, coordinating resources in different departments.
* Develop standard practices, components, guidelines for use of complex technology components.
* Resolve urgent and high production incidents.
* Determine root cause of problems and drive resolution.
* Consult with business and other IT management to evaluate user requests and clarify objectives for projects and initiatives.
* Provide assistance to IT team members.
* Provide training for new or less experienced team members.
* Mentor team to improve understanding and skill and ensure familiarity with resource materials.
* Track and periodically report progress to management.
* Hybrid work schedule.
Qualifications-
Master's or foreign equivalent degree in computer science, computer engineering, or closely related field plus four years of experience in Java application development or a bachelor's or foreign equivalent degree in computer science, computer engineering, or closely related field plus five years of experience in Java application development.
Must have experience with: Java; SpringBoot; RESTful APIs; React; HTML; CSS; Kafka; GraphQL; Junit; SonarQube; CI/CD pipelines; Jenkins; PCF; OpenShift; AWS; Kibana; Logstash; Elastic Search; Splunk; Maven; Postman; New Relic; Dynatrace.
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 decis...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:16
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The job profile for this position is Architecture Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna -Evernorth Services Inc.
Responsibilities-
* Analyze and evaluate application requirements to determine appropriate systems software solutions.
* Facilitate execution of solutions that fit within project schedules and costs.
* Ensure business and technical architecture of the delivered solution matches technical and functional requirements.
* Design, evaluate, code, configure, test, and document applications utilizing software technologies.
* Perform requirement gathering, system analysis, and object-oriented analysis.
Identify tasks and responsibilities and manage integration settings for system implementation.
* Write design and functional specifications and develop enterprise web applications.
* Generate application rules and rulesets.
* Promote rule reuse between case types and applications.
* Configure roles, access groups, privileges, and data access within applications.
Create wizards to administer sequences of assignments.
* Architect and design business applications.
* Facilitate/support sizing efforts within applications.
* Align framework concepts to common technological and architectural visions.
Perform system and solution demonstrations.
* Provide architectural and design guidance to project teams.
* Work with business teams to meet compliance requirements.
* Collaborate with delivery teams to influence enhancements, design, and mutual understanding of business needs.
* Hybrid work schedule.
Qualifications-
Position requires a master's degree or foreign equivalent in Computer Science, Computer Applications, Computer Information Systems, Engineering or related plus two years of experience in software development, or a bachelor's degree or foreign equivalent in Computer Science, Computer Applications, Computer Information Systems, Engineering or related plus five years of experience in software development.
Must have experience with Pega Rule Process Commander (PRPC), Oracle, MySQL, PostgreSQL, Oracle SQL Developer, Soap UI, JIRA, Kibana, Splunk, Java, JavaScript, HTML, XML, SQL, PL/SQL, AWS, Azure, and Python.
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...
....Read more...
Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:15
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Location: 100% onsite in Whitestown, IN
Sign on Bonus!
Are you ready for a new job that allows you to make an impact and improve the lives of others? Express Scripts Pharmacy , a division of The Cigna Group, is hiring Machine Operators who are responsible for the operation of automated equipment in a fast-paced atmosphere.
Safety and quality are of the highest importance in our pharmacy environment.
Work schedule may need to be adjusted to accomplish certain critical demands.
How you'll make a difference:
• Ensure flow of patient orders by eliminating bottlenecks upstream & downstream.
• Respond to machine faults within established time periods.
• Ensure the mechanical equipment has the necessary consumable supplies to operate effectively, replenish as necessary.
• Perform scheduled quality checks as assigned, escalating if defects are detected
• Monitor the area's Work To List to ensure proper workflow.
• Escalate machine downtime issues to appropriate teams and leadership as needed.
• Keep work areas cleaned, organized, and maintained in accordance with 6S Standards.
• Perform Preventative Maintenance on equipment as assigned.
What you should have:
• 2 years of experience in an automated work environment preferred
• General PC knowledge
• Ability to adapt in a dynamic work environment, solve problems, and make decisions
• Ability to train and coach less experienced staff
• Detail oriented with organizational skills
• Willingness to work a flexible schedule to accommodate business needs and maintain prompt attendance
• Knowledge of Express Scripts products and services (Preferred)
• Knowledge of pharmacy standard concepts, practices, and procedures
• Ability to stand for long periods of time.
Ability to speak English is required for this position due to the need to communicate safety rules on the shop floor.
• Lifting up to 50 lbs during your shift.
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
* Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
Apply now to embark on a rewarding career journey with us!
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 o...
....Read more...
Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:14
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Sales Director, Strategic Sales Team
Are you a bold, driven sales leader ready to make a national impact? Verity Solutions is seeking ahigh-energy Sales Directorto spearhead growth in the 340B market.
This role is ideal for a proactive strategist who thrives on building relationships, exceeding goals, and leading with purpose.
You'll be at the forefront of expanding our footprint with large DSH facilities and national IDNs, driving innovation and delivering measurable results.
This is an individual contributor role with no people management responsibilities.
Duties and Responsibilities:
Key Responsibilities
* Accelerate growthby expanding Verity's strategic customer base and driving adoption of our solutions.
* Lead with influence-cultivate high-value relationships with VP and C-level stakeholders.
* Own the sales cycle-from prospecting to closing, with full accountability for performance.
* Ignite engagementthrough targeted campaigns, webinars, and industry events.
* Champion collaboration-partner with inside sales, marketing, and leadership to execute winning strategies.
* Be a brand ambassador-represent Verity with passion and professionalism across all channels.
* Drive innovation-leverage Salesforce and data analytics to optimize performance and decision-making.
* Collaborate - Work with inside sales to prospect and engage with new leads through targeted email campaigns.
* Lead the Verity's response team for RFP's that result from your target named accounts.
* Represent Verity Solutions at industry events and conferences.
Experience, Skills and Qualifications:
* 340B knowledge and experience required
* BA or BS or equivalent experience.
* Proven success inhigh-impact sales roles(5+ years), ideally in healthcare or 340B.
* Astrategic mindsetwith a track record of exceeding quotas and driving business growth.
* Strong presentation skills with articulate, clear messaging.
* Experience and comfort level in communicating with VP Level and C-Level contacts.
* Excellent verbal and written communication skills with demonstrated ability to communicate clearly and effectively.
* Strong MS Office Experience.
* Strong experience with Salesforce or a similar CRM.
* Ability to compile, analyze and report on commons sales metrics.
* Detail oriented and organized.
* Demonstrable strategic business decision-making experience.
* Experience working in a goal oriented, delivery focused, and dynamic environment.
* Aself-starter attitude-organized, analytical, and always looking for the next opportunity.
Why Verity Solutions?
Join a team that values initiative, integrity, and innovation.
At Verity Solutions, you'll have the autonomy to lead, the support to succeed, and the opportunity to make a real difference in healthcare.
Working Conditions:
The job conditions for this position are in a standard home office setting.
Employees in th...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:13
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Summary
The Director data analytics is a key role to the enterprise.
This role will be supporting a highly complex and growing area within the health care space.
The primary responsibility will be to lead a team of analysts that will be creating data products for the enterprise.
Responsibilities include model development, report development, product development, product support and general analytic support for all stakeholders.
This role will also need to support the Sales and provider contracting teams.
This person will need to be able to understand the needs within the customer marketplace and translate those into actionable insights.
Responsibilities
* Grow, lead, and develop team analytic professionals to develop best in class/innovative products and services for Forsyth Health
* Consult and communicate effectively with internal/external stakeholders to help understand complex issues and inquiries, while prescribing action or solutions
* Assist in developing the data strategy for the enterprise
* Act as liaison for Business with BPO and Technology
* Research and deploy new tools, applications and data frameworks that will be an enabler the team
* Develop standardized reporting to identify trends and provide industry insights
* Create a performance-based culture that enables the team to collaborate and think outside the box
* Able to manage multiple projects while supervising timelines, priorities, and escalations
* Collaborate cross-functionally to recommend innovation and efficiencies into new/existing models and/or reports
* Consult company wide and externally on data use
Qualifications
* 10+ years' relevant healthcare data experience and 2+ years' in pharmacy, managed care or PBM experience
* Analytic skills are a must including quantitative analytic skills, knowledge of reporting solutions and familiarity with cutting edge analytic tools and principles
* Proficiency in MS Applications and SQL
* General familiarity with analytic tools and solutions including Teradata, SAS, tableau, Hadoop, Python, relational databases
* Experience with SAAS environments is highly desirable (AWS, Databricks, Tableau Cloud, etc)
* Excellent presentation and communication skills
* Proven leadership skills, a pro-active management style, team orientation and a strong commitment to client service
* Must be able to multitask, prioritize workload and projects, resolve complex issues and project manage
* Demonstrated ability to think creatively and innovatively
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 155,400 - 259,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is al...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:13
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Performs assigned tasks within the Accounting/Financial Reporting function under general supervision.
Responsible for moderately complex activities related to maintaining ledger accounts and preparing financial statements and reports.
Applies independent judgment to analyze and interpret financial data, identify trends and variances, and recommend appropriate actions.
Executes financial analysis and reporting projects of moderate complexity.
Operates with minimal supervision while having access to guidance from senior team members.
Responsibilities require proactive planning and anticipation of potential issues
Key Responsibilities
* Perform a wide range of accounting and accounts payable functions.
* Ensure the accuracy, completeness, and integrity of the Supplier Master data.
* Support audit requests and serve as a subject matter expert for accounts payable transactions not handled by the outsourced business partner.
* Manage non-standard accounts payable batch processes to ensure compliance with internal controls and procedures.
* Assist with 1099 reporting processes.
* Review and validate the consistency, completeness, and accuracy of account documentation and payment batches; make necessary corrections or adjustments.
Additional Responsibilities as Accounts Payable Specialist
* Support process improvement initiatives and support integration-related projects.
* Drive continuous improvement in efficiency, accuracy, and effectiveness of accounts payable processes.
* Manage supplier maintenance and change requests, including related reporting and analytics.
* Review and approve non-standard invoice accounting entries, ensuring accuracy and compliance.
* Ensure adherence to SOX and audit control requirements.
* Produce standardized metric reports and monitor team performance against key indicators.
* Take ownership of issue resolution and problem-solving within the accounts payable function.
Qualifications
* High school diploma required; Bachelor's degree in Accounting, Finance, or related field preferred.
* 1+ years of experience in accounting, finance, payments, or disbursements.
* Strong analytical skills with the ability to interpret financial data and requirements.
* Excellent verbal and written communication skills.
* Proven ability to work effectively in a fast-paced, deadline-driven environment.
* Capable of working independently and collaboratively within a team.
* Proficiency in Microsoft Office applications required.
* Experience with Oracle Financials or similar ERP systems preferred.
* Prior experience in the healthcare or insurance industry is a plus.
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 meaningfu...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:12
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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
Major Duties:
* Primary Care treatment in an Employer-based setting
* Episodic care (low acuity Urgent Care) Extended Episodic Acute Care which can include 4-5 visits for an illness or injury that is limited in its chronicity
* Chronic condition education and co-management with outside primary care if we are not the PCP
* Ability to oversee and perform CLIA waived tests, dispense Rx medications, and oversee a specimen collection lab
* Collaboration with onsite employees to provide biometric screening and health and wellness education
* Potential for Travel Medicine recommendation and immunizations or administration of allergen immunotherapy (with proper training)
* Direct one on one health coaching to employees along with referring patients into wellness programs
* Demonstrated ability to work well with and manage members of the health care team (MA, LPN)
* Excellent interpersonal skills including internal and external customers and group settings
* Ability to partner with local HR/Benefits team to improve employee health
Clinical Requirements:
* Active and unrestricted NP or PA license in Georgia
* Minimum of2years of experience, working independentlyin an internal medicine or family practice setting
* Ability to practice independently in GA
* DEA licensure and prescriptive authority
* Electronic Health Record experience
* BLS certification
* Ability to work clinic hours (40 hours/week, 1 Saturday every 5 weeks from 8 am - 12 pm)
Schedule:
* Tuesday 7-11a,
* Wednesday, Thursday and Friday 6 AM to 6 PM.
* Off Saturday, Sunday, and Monday; 1 Sat every 5 weeks or so 8 am - 12 pm (off Tues)
Spanish speaking skills are preferred for this role, but language translation services are offered.
This role is based onsite in Dalton, GA.
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...
....Read more...
Type: Permanent Location: Dalton, US-GA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:12
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Evernorth Direct Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.
Evernorth is built on the recognition that health makes progress possible.
Our health services are designed to redefine healthcare as we know it.
But we can't do it alone.
True change takes all of us, united in a shared vision.
Health is what drives us.
But it's just the start.
Together, we can solve the problems others don't, won't or can't.
Sound like you? Great! Here's more on how you'll make a difference:
The experienced MA provides front and back office assistance to the providers in the preparation for, examination and treatment of patients, and is a critical partner in our Health Centers.
• Greet and check in patients at the health care centers by verifying coverage and eligibility and completing appropriate paperwork.
• Obtains the patient history, takes vital signs, and assists with coordination of care.
• Administers medications
• Prepares examination room
• Cleans and sterilizes instrument per protocol
• Answer telephone in compliance with departmental procedures.
Ascertain nature of call and route appropriately.
If necessary, take accurate and legible messages.
• Schedule appointments and verify membership according to various benefit coverage
• Reviews preprinted instruction sheets with patients
• Attends department Staff Meetings and In-service programs
• Cross-trains to new procedures and departments.
• Assists in orienting new employees and temporary pool staff to job responsibilities.
• Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs.
Be a role model for the six cultural beliefs to drive personal accountability and organizational results.
What we expect from you:
• Graduate of approved MA program
• Current BCLS required
• At least 1 or more years of front and back office experience
• Phlebotomy skills
• Solid Computer skills including Electronic Health Records
• Excellent customer service skills required
• Team oriented
• Strong time management skills
• Responsible and reliable
• Ability to work clinic hours
Bonus points for:
• CMA or RMA Certification
• Phlebotomy Skills
• Bilingual in Spanish
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 applican...
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Type: Permanent Location: Kissimmee, US-FL
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:11
-
Work Hours: 11:30-8pm est
POSITION SUMMARY
Pick Packer is responsible for pulling, packing, and shipping of pharmaceuticals (both refrigerated and non-refrigerated) and medical supplies.
Uses various warehouse equipment, RF units, computer system SAP, manifest machines, and cherry pickers.
Performs other warehouse functions including but not limited to: stocking pack stations with packing supplies, house keeping
ESSENTIAL FUNCTIONS
* Pulls order accurately, according to RF unit and order ticket.
* Verifies orders before sending to pack station.
* Manifest cartons using carrier manifest stations and verifying the carton label to the pick-ticket.
* Stack and shrink wrap cartons to specific skids by carrier ship level.
* Packs orders according to order ticket paying attention to items needing extra dunnage, ice, and special instructions.
* Use warehouse equipment , RF units, manifest machines, cherry picker, computer system.
* General housekeeping of warehouse and pack stations.
* Restocking pack stations with shipping supplies (boxes, bubble wrap, paper, air pillows, etc.) return totes and carts to proper areas.
QUALIFICATIONS
* Minimum six months to a year in a distribution center environment preferred.
* Basic computer skills.
* RF unit experience preferred.
* Ability to read, write and type English.
* Attention to detail to ensure accuracy.
* Ability and willingness to work required overtime with little to no notice.
ABOUT CURASCRIPT SD
CuraScript SD provides integrated delivery solutions for the safe and efficient distribution of specialty pharmaceuticals and associated medical supplies.
With an expertise honed by more than 25 years in the Specialty Distribution business, CuraScript SD supplies biologics, branded drugs, generics, vaccines, infused medications and ancillary supportive care products for office or clinic administration to a wide range of medical providers - including physicians, infusion centers, acute care treatment centers and long-term care facilities.
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 17.75 - 23 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and 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 da...
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Type: Permanent Location: Grove City, US-OH
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:11
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Are you ready to step into an exciting position that combines complex contracting and negotiation skills while working with Hospital systems, Ancillaries, and Physician groups? If so, read on to learn more!
As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of the Provider Contracting Team and report to the AVP of Provider Contracting.
In this role, you will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory.
Your work will directly contribute to helping patients access high-quality, affordable healthcare-making a meaningful difference in the lives of individuals and families in your community.
Location: You must reside in the Mid-Atlantic market: Maryland, DC, or Virginia.
How you'll make a difference:
* Manage complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and other providers (Hospital systems, Ancillaries, and large physician groups).
* Build relationships that nurture provider partnerships and seek broader value-based business opportunities to support the local market strategy.
Manage key provider relationships and is accountable for critical interface with providers and business staff.
* Manage key provider relationships, accountable for critical interface with providers and business staff.
* Initiate and maintain 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.
* Manage strategic positioning for provider contracting, develop networks, and identify opportunities for greater value-orientation and risk arrangements.
* Contribute to the development of alternative network initiatives.
Support and provide direction to develop network analytics required for the network solution.
* Work to meet unit cost targets while preserving an adequate network to achieve and maintain Cigna's competitive position.
* Create and manage initiatives that improve total medical cost and quality.
* Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepare, analyze, review, and project thefinancial impact of larger or complex provider contracts and alternate contract terms.
* Create "HCP" agreements that meet internal operational standards and external provider expectations.
Ensure the accurate implementation and administration through matrix partners.
* Assist in resolving elevated and complex provider service complaints.
Research problems and negotiate with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Demonstrate knowledge of providers in an assigned geographic area through understanding interrelat...
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Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:11
-
*
*The selected candidate will work on-site at Accredo Health Group, Inc., 677 Ala Moana Blvd.
Suite 404, Honolulu, HI
*
*
Training Schedule
6-week training from 8a - 5p, Local Time.
Monday - Friday
Post Training Shift
You will be required to work an 8-hour shift between the hours of 6a - 6p, Local Time.
Monday - Friday.
Sign On Bonus
$300 at 30 days, $300 at 90 days and $1000 at 1 full year.
Job Summary
Works as part of the fulfilment team in prescription management.
Responsibilities will include benefits investigation and verification, pick, pack and shipping of medications, order entry, customer service note entry, inventory management, patient and provider correspondence, and any other tasks assigned by management Must adhere to strict HIPAA regulation especially when communicating to others outside of Express Scripts.
All team members will be expected to work as per Policies and Procedures (P&P) and work instructions with onsite or offsite departments, internal or external to the company as directed.
The weights listed in Essential Functions will vary as size and needs of the department change.
All team members are expected to work with Supervisors and Management to cross-train and develop proficiency across all functional areas of the job.
Role Responsibilities
* Standard Work includes processing prescription and inventory management and is subject to change by Supervisor/Manager.
* Works in a production setting to help production needs and stay familiar with current work instructions.
* Primary focus will be fulfilment and inventory management but willingness to cross train in all functions is expected.
* Patient calls
* Patients may pick up medication in person
There will be additional duties as assigned.
Qualifications
* High School diploma or GED required.
* 6+ months pharmacy technician experience strongly preferred.
* Pharmacy Technician license / certification / registration preferred but not required
* Basic math skills and general PC knowledge including Microsoft Office, Internet, and email
* Strong Verbal and written communication skills desired
* Strong attention to detail, accuracy, and quality.
* Comfortable in holding people accountable to hit production rates and the ability to determine to appropriate reasons when rates are not met.
* Ability to work collaboratively in a dynamic environment to learn quickly, solve problems, and make decisions with minimal supervision.
* Ability to work in a fast-paced, production environment.
* Willingness to work a flexible schedule to accommodate peak.
* volume times and adjust to changing needs from the enterprise.
* A willingness and ability to learn internal systems/processes/programs as needed.
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.
*...
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Type: Permanent Location: Honolulu, US-HI
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:10
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As a S trategic Account Executive , you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing clien t issues, selling annual renewal rate increase s in addition to new products and services to expand the relationship .
Y ou will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth , earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work for...
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Type: Permanent Location: Walnut Creek, US-CA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:10
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The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna -Evernorth Services Inc.
Responsibilities-
* Design, develop, and maintain enterprise-level Java/J2EE applications.
* Write clean, efficient, and reusable code using frameworks with Java/J2ee technologies Spring framework, Spring Boot, Restful Services, Kafka and Database.
Lead the design and development of large-scale, complex systems using Java/J2EE technologies.
* Define technical standards, frameworks, and best practices for the team.
Collaborate with stakeholders to create a technology roadmap aligned with business goals.
* Conduct feasibility studies and propose innovative solutions.
* Oversee the architecture and design of distributed systems, microservices, and cloud-based solutions.
* Ensure systems are scalable, secure, and maintainable.
* Coordinate cross-functional teams to deliver high-quality software products.
Evaluate new technologies and tools for potential adoption.
* Drive innovation by identifying trends in software engineering and applying them to projects.
* Act as the point of contact for technical issues and solutions with clients, partners, and leadership teams.
* Hybrid work schedule.
* The salary being offered for this role is $179,982.
Qualifications-
Master's or foreign equivalent degree in computers or engineering plus four years of experience in software development or a bachelor's or foreign equivalent degree in computers or engineering plus five years of experience in software development.
Must have experience with: Java/J2EE technologies; Spring framework; SpringBoot; Restful Services; Kafka; Sonar Qube; OWASP principles; Continuous Integration and Development using automation tools including Jenkins, Maven, Junit, Mockito, Cucumber and Cloud environments (PCF or Kubernetes); Angular JS, React JS, JavaScript; IDE such as IntelliJ and Eclipse; Databases including Oracle, SQL Server, DB2, and Mongo; Database tools including TOAD, SQL Developer, Razor SQL, and Hibernate.
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 127,400 - 212,300 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...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:09
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Behavioral Health Counselor- LMFT LCSW LPC- Evernorth- San Diego, CA
The Onsite Behavioral Health Counselor is responsible for counseling individuals to diagnose and treat mental health disorders.
The responsibilities also include referring clients to specialists, monitoring progress during treatment and creating a comfortable environment where clients can be treated.
This BH professional will treat clients with emotional, behavioral and mental disorders.
They may work in conjunction with psychologists and psychiatrists, and refer patients to these specialists as they see fit.
Responsibilities and Essential Functions
* Conduct regular appointments with clients who wish to converse with a mental health professional
* Establish positive and trusting relationships with clients
* Screen and assess patients for common mental health and substance use disorders, leveraging evidence based tools
* Provide patient education about common mental health and substance use disorders, as well as available evidenced based treatments.
* Implement various treatments and protocols to provide guidance and appropriately address client situations using evidenced based techniques
* Continually assess client situations and provide the proper ongoing treatments
* Educate and involve family members or other loved ones in the treatment process when necessary
* When required, partner with plan and community resources to make referrals to outside sources or agencies that can augment or better address their specific needs
* Coordinate care after an acute event including emergency department presentation or inpatient admission in collaboration with the patient's provider and population health team
* Coordinate with patient's care plan team in order to ensure holistic care
* Maintain the strictest confidentiality of each and every client situation
* Maintain all required licenses and the appropriate insurance
* Participate in clinical team meetings as assigned
* Ability to work in the office in San Diego, CA
Minimum Qualifications
* LCSW, LPC or LMFT
* Current, unrestricted license(s) in California; additional state licenses a plus
* Must have an Independent License
* Must have at least 2 years of therapy experience
* Experience with population management
The position is based in the office in San Diego, CA
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 65,600 - 109,400 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 o...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:07
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Work Location: Remote - Work at Home
The Competitive Unit Cost Advisor will focus on the analysis of competitive unit cost information, validation of internal information and the development of actions and tools to improve Cigna's competitive unit cost position.
Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners in Contracting, Sales, Network Analytics/Medical Economics, Underwriting and Pricing to accurately understand and represent Cigna's competitive unit cost position by area and product and to help drive improvements.
Support the generation of actionable reports to assist Contracting.
This position is responsible for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources to most accurately portray historic and projected competitive unit cost positions at both the market level and the provider level.
This position will evaluate cost trend projections compared to budgeted plan trends by product, by area and by provider to determine root causes of variances to plan and to identify opportunities for improvement.
This individual will obtain competitive data points from many sources and produce actionable reporting based on the data.
This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.
DUTIES AND RESPONSIBILITIES:
* Support COB, MCR/State Cost Data, UC Plan, Hospital Transparency Analytics, Payer Transparency Analytics, NS&E updates, Local Market Affordability reviews, Market/Provider Triangulations, and Event Planning as needed.
* Independently present to Contracting & other customers competitive insight analyses in support of market discount and unit cost improvement initiatives.
* Evaluate discounts by product by area by component of medical expense to identify trends by payor, product or market.
* Validate internal roll ups of discount information inclusive of projected trends and ensure accurate representation of information to internal and external customers.
* Review of the current market's unit cost position and consult with the Regional Unit Cost Lead to recommend opportunities for medical cost improvements.
* Assessment of current unit cost position compared to competition and creation of reports to display competitive position.
* Partner closely with matrix partners to tap additional sources of competitive data and plot market trends.
* Partner with Pricing, Underwriting and Sales to help create accurate portrayal of unit cost within Pricing assumptions and in build up of employer specific medical expense.
* Determine competitive unit cost positions for top priority markets.
* Create and/or assist in the creation tools and information to help ma...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:06
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As a Pharmacy Technician on our teamyou will be a part of a passionate team of pharmacy technicians focusing on fulfillment and order accuracy.
This is an onsite postion.
The work schedule is: Monday through Friday 8 AM to 5 PM CST.
What you will do:
* Fulfillment of orders/shipments and/or any other fulfillment tasks.
* Maintain productivity and quality standards while adhering to procedures and guidelines.
* Provide technical assistance and prescription order resolution to team members when needed.
* Maintain pharmacy inventory.
What you'll need:
* High School Diploma, GED or equivalent experience
* Minimum 3 years Data Entry or equivalent work experience
* Alabama Pharmacy Technician License required.
* Retail pharmacy and previous leadership exposure preferred
* Basic Math skills and Strong experience with MS Office, especially with Excel
* Attention to detail, accuracy, and quality
* Ability to work collaboratively in a dynamic environment to learn quickly, solve problems, and make decisions with minimal supervision
* Ability to diagnose a situation and make recommendations on how to correct
* Willingness to work a flexible schedule
* Excellent communication skills; written and verbal
* Ability to self-direct, multi-task, be accountable, approachable, and organized
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.
* Work may be in confined areas close to machinery.
* Work may be performed in an environment with varying levels of noise.
What we offer:
* Benefits start on Day 1
* 18 days of PTO within a full calendar year
* 401(k) plan
* Career advancement opportunities
* Bonus eligibility through incentive plans
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
...
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Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:04
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Job Description
Clinical Wellness Nurse -GA
Role Summary
The primary focus of the Clinical Wellness Nurse focuses on individual coaching, site health promotion, and Clinic Functions.
In collaboration, with the Cigna benefits and account teams, this Nurse balances individual coaching sessions with appropriate delivery and coordination of wellness programs including event scheduling and appointment coordination and monitors effectiveness of the programs.
A core objective of this position is to facilitate wellness programs that educate and influence employees at the worksite to lead healthy lifestyles.
Coach Responsibilities
* Individual coaching sessions
* Assist in the identification of members' health advocacy needs.
* Utilize motivational interviewing and engagement strategies to support overall health and wellness of employees.
* Provide onsite support to members in order to help them identify a need for behavior change to improve health status, reduce health risks and improve quality of life.
* Provide health and wellness education utilizing a multitude of media including group presentations, support group facilitation, creative use of modalities (i.e.
games, quizzes, etc.), newsletter contributions, etc.
* Follow up with employees to ensure that wellness program engagement has been achieved and assess future educational and/or program referral needs.
Health Promotion
* Educate about wellness programs, tools and services
* Raise awareness and create visibility for wellness
* Wellness Events and Campaigns
Clinical Functions/Telemedicine
* Prepping patient for virtual provider
* CLIA waived testing
* Labs
* Input HPI info into the system
* Overall management and day to day operations of the health center
* Biometric Testing
* Vaccine administration
What we expect from you :
* Active and unrestricted RN in GA
* Minimum of 3 or more years clinical experience as an RN a physician's office or hospital setting
* Experience in health education and wellness coaching preferred.
* Demonstrated experience and ability in providing superior Client service to organizations and individuals.
* Positive role model in demonstrating healthy behaviors.
* Proven administrative abilities with strong computer and software application skills.
* Excellent interpersonal skills and the ability to work in a team environment.
* A high energy level and excellent written and oral communication skills are essential.
* Self-directness and the ability succeed in an independent role.
Bonus points for :
* Virtual/telemedicine experience
* Positive role model in demonstrating healthy behaviors.
* Passion for health improvement and patient education.
* Strong computer/technical skills
This Clinical Wellness Nurse will be covering two health centers in Peachtree and Griffin, GA.
Cigna is committed to a healthy work force.
Ne...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:03
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Help us automate and maintain our future.
Get ready for a job that encourages you to think strategically yet stay connected with your teams.
Do you have problem-solving or strategy experience? If so, prepare to innovate, create, and inspire.
The Pharmacy Automation Engineer (Automation Engineering Lead Analyst) is primarily responsible for providing first-level electrical and process Controls support for a highly-automated pharmaceutical filling and packaging system.
Perform emergency, corrective, and preventive maintenance activities to restore equipment.
In addition, key responsibilities will involve implementing equipment and system upgrades, engineering change controls, and continuous improvements.
The position will support equipment installations, upgrades, or equipment expansions.
Automation engineer also trains, mentors, and supports the development of other team members
Responsibilities
* Performs advanced level maintenance and service on automated equipment by using and understanding electrical, mechanical, and pneumatic drawings and schematics, and using special test equipment and tools.
* Maintains reliability of the pharmacy automation equipment by executing preventive, corrective, and emergency work orders.
* Troubleshoot, service, install and repair automated production equipment, to include equipment modifications, upgrades, and spare parts inventory
* Utilizes knowledge and skill to monitor and improve the Mean Time Between Failures (MTBF) of the electro-mechanical equipment, and supporting application software systems.
* Observe system for degraded performance using routine inspections, maintenance rounds, and diagnostic equipment.
* Use a computerized maintenance management system (MAXIMO) to record labor hours, repair parts, and monitor pharmacy equipment performance.
* Recommend alterations to developers and designers to improve the quality or performance of processes and/or machines.
* Interpret the output of the reporting systems and take appropriate action that will result in the removal of the root cause problem from the system on a permanent basis.
* Document all emergency, corrective, and preventive maintenance work via work orders associated with Computerized Maintenance Management System (CMMS - MAXIMO).
* Operates on-site in an on-call capacity.
Qualifications
* High School diploma; Associates degree preferred.
* Associate's degree in Industrial Maintenance or related technical field or 2+ years of maintenance experience in an industrial setting preferred.
* 0+ years of relevant experience with a Bachelor's Degree and mechanical electrical experience related to automated, industrial equipment preferred.
* Experience working in high volume production or pharmaceutical environment.
* Experience in troubleshooting complex PLC/computer-operated electro-mechanical equipment; PLC's, I/O, and field devices; repairing, setting up, adjusting, and t...
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Type: Permanent Location: Newark, US-DE
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:02
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LOCATION: Richmond or McLean, Virginia or Washington, DC or the Baltimore, MD area.
This Manager, Hospital 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 degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a B...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-09-12 08:16:01
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Redmond Care & Rehab
Come join our team and start making a difference!
Redmond Care and Rehabilitation is a 5 star skilled nursing facility located minutes off the I-405 and 520.
We are seeking new and experienced Housekeeping/Laundry with wonderful bedside manner who enjoy serving and interacting with patients and coworkers.
We do our best to express our gratitude to our employees.
We have many employees who have stayed with us for years and helped to create a friendly environment.
Pay is very competitive and based off of experience.
Redmond Care and Rehabilitation is an equal opportunity employer.
Reach out to schedule an interview, we would love for you to come and meet the team in person.
(Contact: call/text 425-622-8014)
Redmond Care and Rehabilitation Center has a commitment to a diverse and inclusive workplace and welcome applicants from all backgrounds and walks of life.
Job Types: Full-time
Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
Medical Specialty:
• Geriatrics
Physical Setting:
• Long term care & Assisted Living
• Nursing home
Schedule:
• 8 hour shift
• Monday-Friday and some weekend
• Holidays
Supplemental Pay:
• Bonus pay
Pay Range:
Salaried: $20-$22 (based on experience)
* Coordinate daily housekeeping services with nursing services when performing routine cleaning assignments in resident living and/or recreational areas.
* Perform day-to-day housekeeping functions as assigned.
* Empty and sanitize ash trays daily.
(NOTE: Ash trays must be emptied into appropriate metal containers with self-closing cover devices.)
* Clean/polish furnishings, fixtures, ledges, room heating/cooling units, etc., in resident rooms, recreational areas, etc., daily as instructed.
* Clean, wash sanitize, and/or polish bathroom fixtures.
Ensure that water marks are removed from fixtures.
* Clean windows/mirrors in resident rooms, recreational areas, bathrooms, and entrance/exit ways.
* Clean floors, to include sweeping, dusting, damp/wet mopping, stripping, waxing, buffing, disinfecting, etc.
(NOTE: Ensure that appropriate caution/safety signs are properly set up prior to performing such duties.)
* Clean carpets, to include vacuuming, shampooing, deodorizing, and disinfecting.
* Clean walls and ceilings by washing, wiping, dusting, spot cleaning, disinfecting, deodorizing, etc.
* Remove dirt, dust, grease, film, etc., from surfaces using proper cleaning/disinfecting solutions.
* Clean hallways, stairways, and elevators.
* Discard waste/trash into proper containers and reline trash receptacle with plastic liner.
* Clean vacant rooms as assigned.
* Ensure that work/assignment areas are clean and that equipment, tools, supplies, etc., are properly stored at all times, as well as before leaving such areas for breaks, meal times, and end of the work day.
* Perform isolation cleaning proc...
....Read more...
Type: Permanent Location: Redmond, US-WA
Salary / Rate: Not Specified
Posted: 2025-09-11 08:44:17
