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Home Infusion Registered Nurse - Accredo
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel within a designated area
* Ability to work Monday-Friday, during the day, with occasional evening or weekend visits as needed
* Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered with...
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Type: Permanent Location: Louisville, US-KY
Salary / Rate: Not Specified
Posted: 2024-09-18 08:51:10
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As a Senior Inventory Representative you are responsible for processing supplier delivery receipt information in perpetual inventory system.
Ensure all paperwork is received and filed properly.
Resolve delivery issues between receiving department, purchasing, and suppliers.
SHIFT: Monday-Friday 7am-3:30pm
Job Responsibilities:
* Deliver specific delegated Inventory tasks assigned by Supervisor.
* Conduct daily/weekly cycle counts of inventory
* Complete day to day administrative, facilities/clerical and/or other business support service tasks without immediate supervision but has ready access advice from more experienced team members
* Resolve non-routine issues escalated from more junior team members
* Maintain an accurate physical count of product in dispensing and overstock locations
* Reconcile variances to vendor invoices/packing slips; research and troubleshoot quantity discrepancies
* Organize and maintain dispensing and overstock for efficient dispensing and material storage and handling
* Work with warehouse Associates to maintain accurate labeling of items and locations
* Set up of new items and resources in software as needed
* Continually update Inventory Descriptions in Dispensing software
* Assist Operations Managers/Supervisors with all inventory reports
* Performs related duties as required
* Ensure each package receives the correct paperwork, envelopes, medications, packing and or shipping labels before sealing and sending packages to patients.
* Consistently work on only one order at a time at their work station at all times
* Ensure that the address prints correctly on each package, all bags are correctly sealed and printers are accurately loaded with the correct paper
* Accurately package prescriptions requiring special handling according to specific process and policy requirements
* Work collaboratively with all coworkers to ensure that best-practices are shared while maintaining productivity and quality standards
* Keep work station clean at all times
* Other duties assigned as needed
Job Qualifications:
* High School Diploma or GED required
* 2-3 years relevant experience
* Intermediate computer skills including Microsoft office: Word, Outlook, Excel & Access
* Intermediate office equipment skills
* Ability to understand mathematical conversions
* Working knowledge of inventory control practices
* Must be detail-oriented and pay close attention to accuracy
* Ability to effectively establish rapport; present information and respond to questions related to inventory
* Excellent verbal and written communication skills
* Ability to quickly resolve problems and develop favorable solutions
What we offer:
* An independent work environment, effective communication, positive morale, and manager/mentor coaching to provide successful career pathing.
* Comradery and Engageme...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2024-09-18 08:51:09
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The experienced MA provides front assistance to the providers in the preparation for, examination and treatment of patients, and is a critical partner in our Health Centers.This MA will be cross trained for the back office for any coverage as needed.
EvernorthDirect 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.
* 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.
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
* CMA or RMA
* Current BCLS required
* At least 1 or more years of front and back office experience
* Experience answering phones and scheduling patients
* Phlebotomy skills
* Solid Computer skills including Electronic Health Records
* Excellent customer service skills required
* Team oriented
* Strong time management skills
* Responsible and reliable
* 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 applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited ...
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Type: Permanent Location: Kissimmee, US-FL
Salary / Rate: Not Specified
Posted: 2024-09-18 08:51:08
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Please note: This hybrid role will require the incumbent candidate to come into a local Cigna office 3 days per week.
The Provider Network Contractor serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
* May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
* Should possess a Bachelor's Degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:51:00
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Position scope:
Primarily regional with national level case work for Cigna Healthcare (CHC)
Summary description of position: A Medical Principal performs medical review and case management activities.
The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers.
He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims).
This is an entry to mid-level position for a physician interested in a career in health care administration.
The Medical Director role is a Medical Principal who also manages 2 or more direct reports.
Major responsibilities and required results:
* 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 and allowed by applicable regulatory agencies and accreditation organizations
* Participates in coverage guideline development, development and maintenance of medical management projects, initiatives 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.
Minimum Requirements:
* Current unrestricted medical license in a US state or territory
* Current board certification Pediatrics (lifetime certification or certification maintained by MOC or other applicable program) in an ABMS or AOA recogn...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:59
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Director, Product Management - Digital Benefits Platform
As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the strategy, define requirements, and drive execution for the platform capabilities that power an integrated benefits experience across multiple different products and capabilities.
This role will report into the Product Strategy Senior Director and will be responsible for innovating, identifying opportunities and executing strategies to enhance specific platform capabilities including: developing intuitive plan benefits insights, implementing accessible cost of care estimation tools, streamlining claims and Explanation of Benefits (EOBs)/Explanation of Payments (EOPs), simplifying authorization processes & digital payments, and the digitization of ID cards.
These focused efforts will advance the company's transition to a platform centric model, ensuring a robust, user-friendly platform that aligns with the broader goal of creating a modular, reusable architecture.
This includes managing all aspects of product management including strategy & roadmap development, research & analysis, and platform execution.
You'll build, mentor, and work with a team of talented product managers whose mission is to redefine health care as we know it.
The right person for this role can solve complex problems, communicate solutions concisely and articulate clear vision to technical and non-technical groups.
A successful Product Director will help our organization deliver end-to-end experiences that connect health consumers with the guidance, support, and transparency they need to improve their health, well-being and sense of security.
This individual will work closely with Product & Technology leadership, Research, Analytics, Clinical, and Development/Delivery teams, as well as key stakeholders in senior leadership to develop and deliver solutions that will differentiate Evernorth as a market leader.
In support of strategic efforts, this individual will understand the strategy of all stakeholders and will partner with business leads and functional owners to accomplish core responsibilities.
Ultimately, this individual will not only help translate business objectives into a clear product roadmap and requirements, but also help define them and identify opportunities for Evernorth Digital.
How you'll make a difference:
* Set the pace for our future: Manage the development and maintenance of the product roadmap, defining new products and initiatives and communicating product strategy to key stakeholders.
* Get in the trenches with your team: Define requirements and work with Design, Development, and QA teams to ensure rapid and iterative product development.
* Collaborate with all areas of our business: Engage executive business stakeholders as well as various internal and external groups to communicate new features and changes and incorporate feedback.
* Build a superior product: Ensure ongo...
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Type: Permanent Location: Santa Monica, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:58
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Reporting to the Chief Privacy and Innovation Governance Officer, the Chief Privacy Counsel will lead the Privacy Legal team; counsel on high-profile issues related to privacy, cybersecurity, data use, and technology matters; and partner closely with IT, Cigna Information Protection, Data Governance, Digital & Analytics, Government Affairs, and Enterprise Risk Management.
This role requires expertise in HIPAA, state and federal privacy laws, data use regulations, and breach notification laws; seasoned judgment; diplomacy; exceptional communication skills; and a demonstrated ability to identify and resolve issues proactively.
The ideal candidate will have experience working for large healthcare organizations; navigating complex regulatory environments; prudently managing outside counsel budgets and vendors; and exercising sound legal and business judgment.
They will thrive in a fast-paced environment; work effectively in a matrixed organization across all levels of leadership; have excellent interpersonal, communication, and presentation skills; think strategically; and act decisively.
Location:
Bloomfield, CT preferred.
Hybrid.
Open to alignment with one of Cigna's office locations.
Responsibilities :
Leads a team of high-performing attorneys who:
* Counsel the enterprise with respect to the response to information incidents and data breach response.
* Negotiate privacy, security and data related language in contracts with clients and vendors.
* Support the enterprise's M&A efforts by providing advice on all data, cyber and privacy related issues.
* Provide guidance on the appropriate methodology to de-identify data.
* Provide guidance on the development and administration of privacy notices and privacy policies.
* Provide guidance on the development and administration of data, cyber and privacy training.
* Work with Government Affairs to develop positions with respect to key legislative and regulatory developments.
* Engage with regulators on issues related to data, cyber and privacy.
* Work with Cigna Information Protection on developing a relationship with the FBI and other agencies focused on combating cyber-crime.
* Provide subject matter expertise and proactive legal guidance to the business regarding all legal and regulatory issues related to privacy, security and data.
* Intake, assess and communicate the requirements of all new laws and regulations related to privacy, security and data.
Qualifications
* Juris Doctor required.
* 10+ years regulatory compliance experience, with prior 8 focused on healthcare privacy; in-house privacy experience at a large, matrixed healthcare company preferred.
* Deep understanding of HIPAA, state and federal privacy laws, data use regulations, and breach notification requirements.
* Extensive experience assessing and mitigating legal risks associated with privacy and data governance, cybersecurity, data and digital transact...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:56
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The job profile for this position is Actuarial Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna Health and Life Insurance Company.
Cigna Health and Life Insurance Company, Philadelphia, PA.
Perform actuarial research and develop actuarial assumptions for global healthcare insurance company.
Develop and maintain profit studies, pricing strategies and policies.
Support preparation of financial forecasts to achieve profitability and growth goals.
Partial virtual/work.
Requirements
Position requires a Bachelor's degree in Actuarial Science, Mathematics, or a closely related field.
Must have passed at least 5 Society of Actuaries (SOA) exams towards ASA/FSA certification.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:55
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Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Otolaryngology Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified inPediatric Otolaryngology recognized by the American Board of Medical Specialties, or American Osteopathic Association
* P refer one of the following state medical licenses but is not required: DC, MD or VA
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, company provided...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:54
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The Warehouse Associate Representativeis responsible for performing tasks related to receiving product, stocking and replenishment, and inventory control.
This includes safely unloading trucks and unpacking received product, comparing the purchase order to the product received for accuracy, counting quantities of product received and ensuring the quality of the product is at an acceptable level, and removing damaged or non-conforming product using data entry and retrieval devices to record receipt transaction (using scanners and computer input).
In addition, this position safely transfers material from receiving area to warehouse or dispensing locations and ensures proper stock rotation-utilizing PDAs to update the inventory system.
The Warehouse Associate Representative also audits shelf counts for accuracy, reviews inventory for short-dated and expired product, and reports discrepancies to the supervisor.
Shift:
Monday - Friday, 8:00AM - 4:30PM
What you'll do:
* Safely unpack and evaluate incoming product for correct count and condition in comparison to purchase orders
* Safe operation of material handling equipment and hand tools such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc.-to unload trucks and stock the warehouse/pharmacy
* Accurate data entry and retrieval using computers, and scanners (PDA)
* Bin and shelf inventory maintenance and stock rotation-including shelf counts, short shelf life and expired product audits
* Communicate discrepancies or issues as they are occur to the appropriate personnel
* Maintain organization and cleanliness of assigned work stations and areas
* Other duties as assigned
What you need to do the job:
* 0 -1 years of relevant work experience.
* Ability to accurately compare two sets of data.
* Basic math, organization, computer, and communication skills.
* Ability to do repetitive bending, squatting, standing, walking, pushing, pulling and hand motions.
* Willingness to work a flexible schedule to accommodate heavy work volumes.
* Ability to walk/stand for full shift.
* Bend, stoop, and lift up to 50 lbs.
* Ability to read and differentiate small print.
* Drug Supply Chain Security Act (DSCSA)working knowledge/experience preferred
Why join us?
* Health coverage effective day 1 (including medical, dental, vision)
* Holiday and PTO
* 401K with company match
* Possible Quarterly incentive bonus
* Fun, friendly and unique culture - bring your whole self to work every day!
About Accredo
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.
In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care ...
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Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:53
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Position Summary:
Responsible for ensuring quality and accuracy are held to the highest standard through the warehouse and forwards stock locations.
Will be assigned an area to ensure work is completed timely and accurately.
Serves as a resource to supervisor and back up team leads and team members.
Supports productivity, quality, and safety efforts by accurately operating production equipment, assisting in troubleshooting and rectifying issues, training and mentoring team members.
Work with a focus on quality and safety to fulfill requests in a timely manner.
How You'll Make an Impact:
• Safely unpack and evaluate incoming product for correct count and condition.
Maintain bin and shelf inventory-including shelf counts and expired product audits.
• Safely operate material handling equipment and hand tools such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc.-to unload trucks and stock the warehouse/pharmacy.
• Accurately enter data using computers and scanners.
ESSENTIAL FUNCTIONS
• Ensure appropriate workflow for assigned area to include filling movement requests from between warehouse and other stock locations
• Assist in all assigned work areas in Warehouse and Support areas
• Complete assigned tasks thoroughly and correctly in a timely manner
• Other duties as assigned.
QUALIFICATIONS
• 0-1-year relevant work experience
• Basic math, organization, computer, and communication skills
• Ability to do repetitive bending, squatting, standing, walking, pushing, pulling and hand motions
• Must be able to lift 50 lbs
• Must be able to be on feet for entire shift; walking, bending, and lifting.
What we offer:
* Comradery and Engagement with emphasis on Quarterly Standouts, appreciation lunches and social events!
* Continuous focus on on-site training and skills development
* Working Environment: climate-controlled facility
* Health coverage effective day 1 (including medical, dental, vision)
* Holiday, PTO, and OT pay
* 401K with company match
* Tuition assistance for all full time team members
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 mil...
....Read more...
Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:52
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The Provider Contracting Advisor 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 Provider Agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
• Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
• Manages key provider relationships and is accountable for critical interface with providers and business staff.
• Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
• Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
• May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
• Should possess a Bachelor's Degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a Bachelor degree.
MBA or MHA preferred
• 3+ years of Healthcare Provider Contracting and Negotiating experience i...
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Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:51
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The CIGNA Tax Department is seeking an experienced Tax Professional for a Tax Accountant role that will directly support its Statutory Accounting operations.
The Tax Department is known throughout the company for its technical innovation.
Our Tax Accountants are encouraged to not only develop their own job specific technical competencies but to expand their skills across the department in different areas of insurance taxation.
Major Duties
* Responsible for tax statutory accounting including interim and yearend calculations, tie out of annual statements/audited financial statements, and corresponding tax footnote preparation.
* Assist with responses to audit requests from PWC and insurance departments.
* Develops strong working relationships with team members and internal accounting contacts.
* Acts as a resource on special projects including support and participation in tax planning initiatives.
* Utilizes independent judgment and discretion while working on tax research and special projects.
* Demonstrates ownership of cyclical responsibilities, and the ability to manage various tasks simultaneously during peak periods.
* Actively contributes to building a high performance culture and a positive work environment.
Required Qualifications:
* Bachelors degree with a concentration in Accounting
* 2-5 years of Public Accounting or Corporate Tax (income tax experience is a must)
* Must be able to demonstrate competencies in corporate income tax and working in a team environment.
Accounting, ASC 740 (f/k/a FAS 109) or Insurance Statutory Accounting knowledge is a must.
* Proficiency in Microsoft applications is a must, with intermediate to advanced Microsoft Excel skills.
* Exposure to a variety of software applications.
* Masters in Taxation or CPA, a plus
* Public Accounting firm or Big 4, 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 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 ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:49
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D elivers specific delegated tasks assigned by a supervisor in Utilization Management.
Handles moderately complex medical review, utilization review, credentialing/re-credentialing, quality assurance/improvement, and/or health education programs/cases.
Collaborates with physicians and multidisciplinary team members to determine appropriate course of action for treatment.
May analyze treatment patterns and utilization trends.
Contributes to the development and implementation of action plans to improve policies and quality.
Completes day-to-day Health Services tasks without immediate supervision but has ready access to advice from more experienced team members.
Tasks involve a degree of forward planning and anticipation of needs/issues.
Resolves non-routine issues escalated from more junior team members.
May require specialized licensure.
Genetic Counselor Job Description:
The Genetic Counselor is responsible for the following:
* Laboratory molecular and genetic testing clinical case review activities.
* Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; and authorizing coverage of services or referring requests for expert clinical review as appropriate.
* Be available as an expert advisor for physicians and labs on the appropriate use of genetic testing, including new and cutting-edge tests entering the market.
Minimum Education, Licensure and Professional Certification Requirement :
* Master's degree in genetic counseling.
* Board certified American Board of Genetic Counseling or American Board of Medical Genetics.
* Licensure (if available) in state of residence.
Minimum Experience required:
* Minimum of 2 years' experience as a Genetic Counselor.
* Experience with computer data entry, customer service, and managed care beneficial.
Required Skills:
* Strong interpersonal skills with the ability to clearly explain complex medical information in both verbal and written form.
* Ability to work independently, be flexible and adaptable.
* Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests.
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 69,000 - 115,000 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 be...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:48
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Role Summary
Responsible for growing membership within existing accounts and for directly managing business relationships with client accounts.
Ensures that systems and processes are in place to meet the needs of internal and external clients.
Develops and implements strategies and policies relating to account management.
Responsibilities
* Overall account management responsibility for CIGNA HealthCare assigned customers including responsibility for persistency results, membership and revenue growth, and the cultivation of customer and producer/broker relationships.
* Provides input that positively impacts financial results.
* Ensures exceptional service and growth through the development of client and broker relationships
Qualifications
* College Degree or equivalent related experience
* Minimum 3 years' experience in health benefits
* Excellent communication/customer service skills/sales negotiation skills
* Sales/marketing/underwriting or operations
* Financial Savvy; ability to grow book of business
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:46
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Position Details:
The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to; Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
How you'll make a difference:
• Juggle multiple tasks without sacrificing deadlines or attention to detail.
Sort, package, seal, and inspect packages.
• Use your expert problem solving skills to help our patients receive their product on time.
Package and label for safe delivery, then work with technology to efficiently get it out the door.
• Create new knowledge with our systems and new relationships with your peers.
You'll start with training and you're not doing it alone.
You'll have the opportunity to cross-train and support overall pharmacy health in other areas like technicians, bulk & prep, and the packing manifest area.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
ESSENTIAL FUNCTIONS
• Ensure each package receives the correct paperwork, envelopes, medications, packing and / or shipping labels before sealing and sending packages to patients.
• Consistently work on only one order at a time at their work station at all times.
• Ensure that the address prints correctly on each package.
• All bags are correctly sealed; Printers are accurately loaded with the correct paper.
• Accurately package prescriptions requiring special handling according to specific process and policy requirements.
• Work collaboratively with all coworkers to ensure that best-practices are shared while maintaining productivity and quality standards.
• Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
• Bulk up of medications from manufacturer bottles, including; visual inspection and labeling of large containers.
• Visual inspection of patient bound medications.
• Orientation of packages for sortation system.
• Preparation of mail sacks or bulk containers for shipment.
• Manual material handling , storage, and stocking of shelves, workstations, and/or channels.
• Sorting and distribution of literature packs to CADS / Averts stations.
• Keep work station clean at all times.
• Other duties assigned as needed.
QUALIFICATIONS
• No prior experience required.
• General computer skills.
• Good visual acuity.
• Ability to read and compare and differentiate data.
• Ability to stare/ review small medications or bottles for long periods of time.
What we offer:
* Comradery and Engagement with emphasis on Quarterly Standouts, appreciation lunches and social events!
* Continuous focus on on-site training and skills development
* Working Environm...
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Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:45
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Location - Remote, Middle & West Tennessee (must be located in/or near area)
Ideal locations: Nashville, Middle Tenn (covering Middle/West Tennesse areas)
*
* Must live in the service area
*
*
Travel - Locally 75%
Reliable transportation, valid driver's license, and insurance required - mileage reimbursement provided
Bilingual preferred, but is not required
Valid local state Agent Health and Life Insurance license is required
Excited to grow your Sales and Leadership career?
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 today!
Our people make all the difference in our success.
First things first.
We're a global health service company dedicated to helping people improve their health, well-being and sense of security.
But we don't just care about your well-being, we care about your career health too.
That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and share in changing the way people think about healthcare.
Now let's talk about the role:
SUMMARY:
Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker down-line sales within the market for the book of business they manage through training, relationship management, member retention and sales growth.
RESPONSIBILITIES:
• Execute multi-year local broker strategy for book of business
• Influence brokers to sell more by positioning our product and promoting our brand
• Execute on national topline strategies with downline sales agencies & local direct agencies to drive profitable growth through down-line sales (e.g.
educate and expand on MA products)
• Develop & execute direct agent strategies to drive profitable growth and member retention
• Search for new local/regional agencies & agents to cultivate and grow
• Responsible for a territory, manage contacts and exercise long-term vision approach
• Executes on strategy to expand sales efforts across multiple products as appropriate (e.g.
synergies with MA, PDP, CHS)
• Execute on market / region sales goals and objectives (sales events, training, branding, etc.)
• Communicate and monitor downline agency sales goals against production within their book of business, assist in recruiting, business plan development and new agent training
• Meet or exceed sales objectives through broker channel
• Conduct advertised sales presentations for prospects and leverage community partnerships to host events
• Meet with brokers and agencies to build relationships and promote our brand
• Produce campaign and event tracking reports showing return on investments and key initiatives using data and excel.
• Carry out appropriate sales activity standards as directed by their manager
• Responsible f...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:45
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POSITION SUMMARY
This Business Analytics Senior Advisor will be responsible for leading critical analytical work that supports Customer Experience and Operations Enablement (CX&OE) strategic priorities.
They will work closely with CX&OE leadership and their teams to deeply understand the business problems at hand, develop analytical models/insights and build compelling business cases presentations that positively influence go forward strategy.
This role will be highly visible, and the individual will be a critical thought partner to the organizations that they directly support.
Primary Functions
* Business case development
* Ad hoc investigation and remediation of emerging issues
* Cost / benefit analysis for potential intent changes
* Identification of insights and trends via data analytics
* Success criteria & monitoring plans to measure impact of intentchanges
* Strategic thought partnership inclusive of deck builds & executive storytelling
* Translate Operations needs into business requirements for Tech intent
Role Components:
* Analytics- Employ a range of analytical techniques to identify business opportunities and make strategic recommendations.
Individual will identify the right analytical approach given the problem statement / opportunity, analyze data for insights, understand the strengths and weakness of potential solutions and effectively incorporate those into a recommendation.
* Strategy- Use business acumen and analytical skills to make strategic recommendations to the business through clear and analytically sound business cases.
The individual will proactively think beyond "tomorrow" to identify truly transformational opportunities for change through partnership with the business, operations,and other horizontal teams (e.g.
Product, Technology, etc.).
* Data- Leverage a data first approach to identify critical business trends and insights to make specific actionable recommendations.
Individual will be responsible for acquiring the data to support their analysis which will require coding knowledge (primarily SQL).
Will partner closely with data teams across the company to deeply understand critical operations and business data while learning the most effective way to leverage that data for insights.
* Communications- Effectively leverage verbal and written communications to efficiently influence the desired outcomes with leadership.
Strong deck building, including data visualization, skills are required to create compelling business cases / stories.
Individual will be adept at distilling complex analytical work, modeling and insights into easily consumable stories for partners ranging from analytics leaders to key business partners.
* Teamwork- Role will partner close with Operations, Finance and business teams across the company.
Individual will be a key partner for specific operations teams, acting as the resource for insights, data generation and strategic deck bu...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:44
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Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As an Allergy & Immunology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified in Allergy & Immunology, recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router.
Wireless conne...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:42
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Summary
Cigna / Evernorth is seeking a highly motivated and innovative team member, reporting to the Strategic Planning Director of Digital & Analytics (D&A), to join our growing and dynamic team leading and supporting the development of our D&A strategy and execution of our strategy.
This individual will be an active contributor for D&A GenAI solution strategy and product management, leading key GenAI initiative as product owner/lead partnering with Engineering teams.
Responsibilities
* Lead PoC and adoption of AI technologies within the organization following a test-and-learn approach
* Develop AI related strategies to advance business objectives, enhance value propositions, create new revenue streams, strengthen competitive advantage and optimize operations
* Collaborate with cross-functional teams to identify and analyze potential use cases for AI applications both internally and externally
* Ability to think, and connect our strategy and execution to measurable, quantitative outcomes
* Collaborate effectively with D&A and business leaders influencing outcomes through effective verbal and written communication skills including planning and facilitating workshops, developing compelling senior-level presentations and other highly visible communications
* Own key strategic initiatives including defining scope, planning, executing and reporting to key stakeholders on progress, opportunities and value delivered
* Conduct analyses to identify business use cases, capability requirements, and digital, technology & data dependencies to support our key strategic initiatives
Qualifications
* 5+ years's experience in corporate strategy, data and analytics strategy, general consulting and other related fields with a history of demonstrated business success; healthcare experience preferred
* Project management experience required
* Strategic thinker with the ability to develop sophisticated quantitative analyses and synthesize the results into implications and communicate recommendations to senior leadership
* Experienced in developing and analyzing complex financial models and other quantitative assessments including Digital KPIs, ROI, P&L, etc
* Experience networking successfully across a large company by building trust, making decisions, focusing on stakeholder needs, continuously improving and building talent
* Excellent communication and presentation skills, capable of shaping messages appropriately for a senior-level audience and proficiency using MS Excel, Word and PowerPoint
* Familiarity with LLMs and commensurate prompt engineering capabilities is highly desirable
* Broad knowledge of AI and machine learning technologies including ethical AI practices; prompt engineering; generative AI capabilities and solutions; emerging use cases and scenarios in AI; AI service providers and tools available in the marketplace, etc.
is highly desirable
* Bachelor of Science Deg...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:41
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POSITION SUMMARY
The Account Manager is responsible for ensuring clients and patients receive superior service.
Key member of the core client account team is responsible for overall satisfaction and retention of assigned book of business.
Manages the day-to-day client relationship.
Accountable for core service delivery for clients working cross-functionally with all operational partners.
The Account Manager proactively reviews performance metrics to promote client satisfaction, profitability, and retention.
Utilizes technology, tools, processes and resources to anticipate and exceed client needs and expectations.
Collaborates with Account Directors on client activity, expectations, and service needs.
ESSENTIAL FUNCTIONS
Manages day to day client relationships through comprehensive knowledge of client's benefit plan and product offerings.
Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services.
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, product upsells, new groups, terminations and escalated issues.
Accountable for new group and specific product implementations; including establishing and leading internal meetings to ensure collaboration and attention to detail throughout the process in order to meet expected timelines and quality standards.
Lead client centric team meetings to review operational performance against client's expectations and needs.
Presentation of operational performance metrics to clients on a monthly and/or quarterly basis to show specific performance measures in comparison with the book of business to promote client satisfaction, client retention and upsell opportunities.
QUALIFICATIONS
Bachelor's degree in related field or 11 to 14 years of experience.
5 years relevant experience with Bachelor's Degree
Excellent PC skills including Microsoft Office and Internet experience.
Excellent verbal and written communication and presentation skills.
Strong analytical and problem solving skills.
Strong focus on book of business client satisfaction and client retention results.
Demonstrated ability managing projects, utilizing proven project management processes.
Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
Ability to travel overnight up to 20%.
Role is based out Texas Region
Hybrid/Remote
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 ac...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:40
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Express Scripts is looking for licensed Pharmacy Technicians in Memphis, Tennessee.
Want to work at home? Are you passionate about helping people? Join Evernorth! Evernorth is changing health care to make it more; affordable, personalized, and focused on helping the whole person achieve better health.
Training Schedule
10/21/2024 - 11/29/2024 from 8a - 4:30p, CST .
Monday - Friday
Post Training Shift
9:30a - 6p, CST .
Monday - Friday.
As a Pharmacy Technician, you will be spending your days on the phone and computer to work with doctors and patients to get them the prescriptions they need.
You will focus on taking new prescriptions and clarifying prescriptions with questions.
You can feel safe and secure when you join our team because our facilities are closed to the public.
Role Responsibilities
* Taking Verbal Prescriptions from Doctors Office
* Ensure prescriptions are accurately entered into system
* Answering physician and patient questions
* Clarifying prescriptions we've received
+ Dosage
+ Quantity
+ Directions
* Juggle multiple tasks without sacrificing attention to detail
Position Requirements
* High School Diploma or GEDrequired.
* Active Certification from Pharmacy Technician Certified Board (PTCB) or National HealthCareer Association (NHA) - required.
* Active State Tennessee Pharmacy Technician License- required.
* Minimum of 1 year of relevant experience preferably as a Certified Pharmacy Tech.
* Reliable Internet Service (Minimum 10 Mbps)
* Basic math skills andgeneral PC knowledge including Microsoft Office, use of the internet, and email is required.
* Dedicated and quiet workspace in the home
* Excellent verbal and written communication skills
What you'll love about working at Cigna
* Fun, friendly, and unique culture - Bring your whole self to work every day!
* Medical Dental & Vision start 1st day.
* 18 days Paid Time Off & 8 Paid Holidays
* Employer Contributions for HRA and HSA accounts
* 401K with Company Match
* Tuition Assistance
NOTE : You will be required to have reliable internet connectivity provided through a wired ethernet connection .A mobile or hot spot environment is not acceptable, and you may need to purchase an Ethernet cord depending on your current set up.
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 - 26 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...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:39
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Role Summary:
This position is for a Market Business Finance Officer (BFO), supporting the Midwest and MidAmerica markets of our Medicare Advantage business.
We are seeking a creative and strategic finance leader capable of learning our business and applying that knowledge to drive growth and profit for their markets.
Prior health insurance is not required, but the ideal candidate should be able to work through complex business problems towards a defined objective without step-by-step instructions.
Major Responsibilities:
* Leads financial trend analytics and reporting for the market in support of market affordability goals and operational insights.
* Oversees pro forma modeling for contract negotiations - contract arrangements inclusive of health systems, physician groups, independent providers and value-based programs.
* Directs network analytics for the market - helping ensure that the market has both an affordable and marketable network.
* Manages existing market value-based arrangements (VBA).
Responsibilities include overseeing VBA monthly close support and ensuring that market VBA payments are accurate and processed timely.
* Prepares standard and ad hoc financial reporting utilizing moderate to complex Excel functions, PowerPivot, SQL and Teradata to guide and support business decisions for market and matrix partners in Medical Services, Contracting, Sales and Network Operations.
* Responsible for analysis and interpretation of moderate to complex Medicare Part C and D financial information.
Utilizes independent judgment and discretion, identifies trends, variances, and key issues and provides recommendations for adjustment.
* Manages one financial lead analyst.
Responsible for mentoring, supervising and training.
Ideal Candidate Will Offer:
* Bachelor's degree in finance, accounting, actuarial, business or related field
* 5+ years of financial reporting, finance, accounting or equivalent business experience - inclusive of financial analysis, planning/forecasting, and GAAP knowledge
* Strong analytical and problem solving skills
* Independent thinker with strong time management and organizational skills
* Excellent communication skills - both verbal and written
* Advanced understanding of Excel.
Experience with SQL preferred
* Strong motivator and team player able to lead and delegate responsibilities as needed
* Medicare Advantage experience and general knowledge of the healthcare industry and insurance products 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.
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 t...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:39
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JOB SUMMARY
The Clinical Program Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects.
Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
Uses clinical professional knowledge and acumen to advise functional leaders and educate other team members.
Delivers formulary consulting clinical modeling support, but also works on broader projects, which require understanding on a more global perspective.
Recognized internally as a clinical subject matter expert.
Represents supply chain department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting service model.
Serves as clinical advisor resource providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.
ESSENTIAL FUNCTIONS:
* Develop and execute formulary modeling for existing clients with close attention to detail and accuracy
* Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms
* Ability to perform independent modeling with little to no modeling oversight by Sr.
Manager/Clinical Director
* Identifies and recommends process improvement to streamline formulary consulting modeling
* Field clinical questions from other formulary consulting team members
* Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners
* Support standard utilization management review as needed
* Create client presentations and present to senior leaders within client as required
QUALIFICATIONS:
* Bachelor's degree in Pharmacy, Pharm.D.
preferred, with current active U.S.
Pharmacist License
* 2-4 years of pharmacy/ PBM/ Managed Care/healthcare related experience
* 1-2 years of formulary management/development experience preferred
* Detail Oriented, Organizational, and Analytical skills
* Ability to work independently and execute on deliverables in a timely manner and with little oversight
* Excellent PC skills - including Excel, PowerPoint and MS Access, experience with database
* Financial or analytical modeling experience
* Familiarity with pharmaceutical rebate contracts a plus
* Proven ability to work in a fast paced - ever changing environment
* Excellent relationship building and cross functional skills
* Ability to travel approximately 10%.
ABOUT THE DEPARTMENT
Supply Chain - Pharma Strategy & Contracting combines the coordination and management of the company's key supplier groups under a single management team.
Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.
Express Scripts by Evernorth, a leading pharmacy benefit manager with the nation's largest...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:37
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About Us
Korn Ferry is a global organizational consulting firm.
We help clients synchronize strategy and talent to drive superior performance.
We work with organizations to design their structures, roles, and responsibilities.
We help them hire the right people to bring their strategy to life.
And we advise them on how to reward, develop, and motivate their people.
Our 10,000 colleagues serve clients in more than 50 countries.
We offer five core solutions:
* Organizational Strategy
* Assessment and Succession
* Talent Acquisition
* Leadership Development
* Total Rewards
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Job description
About Us
Korn Ferry is a global organizational consulting firm.
We help clients synchronize strategy and talent to drive superior performance.
We work with organizations to design their structures, roles, and responsibilities.
We help them hire the right people to bring their strategy to life.
And we advise them on how to reward, develop, and motivate their people.
Our 10,000 colleagues serve clients in more than 50 countries.
We offer five core solutions:
* Organizational Strategy
* Assessment and Succession
* Talent Acquisition
* Leadership Development
* Total Rewards
For immediate consideration apply directly using the link provided below:
The Role
As a Business Development Manager, you will be responsible for full end-to-end client sales and account management.
A successful Business Development Manager at Korn Ferry not only hunts for new business but builds relationships and brings in additional revenue through established clients.
Our goal is to cultivate successful long-term relationships by matching the right people with the right organizations.
Our Business Development Managers are critical to the growth of our business and provide the best experience in the industry.
This role will be hybrid to our NYC office 2-3 days a week.
This is an evergreen requisition, open to pipeline talent for future opportunities with Korn Ferry.
Responsibilities
* Prospect for potential clients using various direct methods such as calling, face to face meetings, and indirect methods such as networking.
Build rapport with hiring managers within existing accounts to increase partnership opportunities
* Responsible for researching and generating leads, with a true hunter mentality
* Deliver exceptional service, remain engaged with all clients, and build a professional network that results in further business opportunities
* Actively sell against competitors
* Work closely with the Korn Ferry recruiting team to deliver quality candidates to clients
* Cultivate successful long-term relationships with organizations to further establish Korn Ferry as a trusted staffing provider and advisor.
Required Skills
* Competitive/performance-oriented individual who is driven to achieve goals
* High energy and always looking to improve
* Self-starter that act...
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Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2024-09-18 08:50:19
