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Ashland Specialty Ingredients, GP
Are you the kind of person that is always thinking, sketching, seeking, and adjusting? Who needs to understand how things work and then figure out how they can work better? Are you a passionate, tenacious, solver who loves to work with others who share your drive? Are you positive, constructive, and ingenious?
Are you always solving?
Then we'd like to meet you and bet you'd like to meet us.
Ashland Specialty Chemicals has an exciting opportunity for a Cosmetologist to join our Consumer Science group at our Bridgewater, NJ location.
This is a very visible, significant role within the Company and the Personal Care division.
This position will report to the head of consumer science.
The responsibilities of the position include, but are not limited to, the following:
* Evaluate various hair care, hair styling, hair color, skin care and cosmetic products by performing paired comparisons, qualitative and quantitative sensory tests.
* He/She will be responsible for application of the formulations and commercial benchmark products on panelists.
The candidate will be entering sensory data into computer during evaluation and write a final study report so basic computer skills are required.
Work load will mostly come from hair care and hair styling; hence, skilled use of a blow dryer, flat or curling iron is essential.
* Product and formulation evaluation is the main responsibility.
Occasional preparation of mannequin heads and wigs is required for shows and events.
* Recruiting panelists required for the project, updating panelist database, rewards program, incentive, mannequin head, wigs and equipment inventories.
* Travel 5-10% of time, domestic and international
* Ability to multitask efficiently between several testing requests and provide results timely
* Adaptability to company environment with excellent written and oral communication skill
In order to be qualified for this role, you must possess the following:
* Valid Professional License of Cosmetology
* Minimum 3-5 years Hands-on Experience in Hair Styling
* Proficiency with All Hair Types including Ethnic Hair
* Valid License as Make-up artist for on-stage / fashion
* Excellent Communication Skills, Good Work Ethic, Positive Attitude and Team Player
* Good Computer skills, including Microsoft Office (Word, Excel, PowerPoint)
* Applicants must be authorized to work in the United States
The following skill sets are preferred by the business unit :
* Minimum 5-7 years Hands-on Experience in Hair Styling and Coloration
* 2-3 years in make-up artistry
* Experience in data gathering into excel and plotting
* Hair coloration training such as Redken or else
* Bachelor's Degree in an Associate Field of Study
In more than 100 countries, the people of Ashland LLC.
(NYSE: ASH) provide the specialty chemicals, technologies and insights to help customers create new and imp...
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Type: Permanent Location: Bridgewater, US-NJ
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:31
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Ashland Specialty Ingredients, GP
Are you the kind of person who is always thinking, sketching, seeking, and adjusting? Who needs to understand how things work and then figure out how they can work better? Are you a passionate, tenacious solver who loves to work with others who share your drive? Are you positive, constructive, and ingenious? Are you always solving? Then we'd like to meet you, and we bet you'd like to meet us.
Ashland has an exciting opportunity for a Process Engineer to join our Ashland Specialty Ingredients G.P.
business at our Hopewell, VA, manufacturing facility.
This is a visible, significant role within the Company and the Engineering function.
This position will report to the Engineering Manager
The responsibilities of the position include, but are not limited to, the following:
* Develop and lead initiatives associated with tracking and reporting utility and energy greenhouse gas emissions (GHG), optimizing energy performance and usage, and setting cost savings goals for the site.
* Lead facility audits to identify energy conservation management.
This includes field verification to identify and document Potential energy conservation measures (ECMs), the facility's Operational and usage characteristics, and low-cost/no-cost behavior-based opportunities.
* Develop models and tools to track utility usage and associated materials across individual units.
* Recommend energy-efficient design solutions and technology upgrades supported by accurate descriptions, measured and logged energy data, savings calculations, and cost estimates.
* Ability to provide technical leadership and project management to develop and implement integrated energy efficiency programs.
* A general knowledge of the financial, technical, and political aspects driving the energy industries
* Support manufacturing processes as needed.
In order to be qualified for this role, you must possess the following:
* Bachelor's degree in engineering or equivalent discipline with 3-5+ years of experience in a utility or energy improvement role.
* Experience in a plant manufacturing environment (chemical preferred).
* Passion in the areas of energy efficiency, alternative energy, and sustainability
* Engineering, analytical, and technical writing skills, including spreadsheet analyses
* Excellent written and oral communication skills
* Must be well organized and a self-starter with the ability to work with minimal supervision.
* Must be flexible and able to adjust to rapid changes in work priorities and prioritize work according to those changes.
The following skill sets are preferred by the business unit:
* 8+ years of experience in a utility or energy improvement role at a multi-unit manufacturing facility.
* Experience implementing energy conservation and performance contracts.
* CEM certification
Must be authorized to work in the US.
Third-party recruiters and agencies ("A...
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Type: Permanent Location: Hopewell, US-VA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:31
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Consolidated Precision Products (CPP) in City of Industry is currently looking for Welder to join our team! This role will be reporting to our Operations Supervisor on 2nd Shift (3:30 pm - 12:00 am) at our Aerospace Manufactory in City of Industry, CA.
This is a great opportunity to join a growing company that has been in business for over 30 years! CPP offers a competitive compensation with heavy overtime opportunities, comprehensive benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, and 401k with employer match, paid vacation, sick time, and holidays.
Hourly Rate: $28.00 - $31.00 DOE and passing CPP Weld Test + $1 Shift Differential
ESSENTIAL JOB FUNCTIONS/DUTIES
• Ability to weld by method of GTAW for rework, repair and cosmetic upgrade in accordance with customer specifications and internal procedures.
• Evaluate castings to ensure preparation from prior operation is adequate.
• Assess the condition of the castings to determine weld technique.
• Perform additional weld preparation with the use of die and belt grinders.
• Ability to document weld locations and dimensions.
Qualifications:
* Education: High School Diploma or General Education Degree (GED); Weld Test Meets AWS D17.1 with weld thickness
* Experience: Formal training or classes a plus.
* Certifications/Licenses: Must successfully complete CPP ISO Procedures: Manufacturing 500, 501 and 502.
Obtain and maintain NADCAP certifications on all assigned alloys (stainless steel and Aluminum).
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the US on a permanent and consistent basis without company sponsorship now and in the future.
This position requires use of information or access to hardware which is subject to the International Traffic in Arms Regulations (ITAR).
All applicants must be U.S.
persons within the meaning of ITAR.
ITAR defines a U.S.
person as a U.S.
Citizen, U.S.
Permanent Resident (i.e.
'Green Card Holder'), Political Asylee, or Refugee.
It is the policy of CPP Corporation to cooperate to the fullest extent with the applicable regulations of the Civil Rights Act and any legislation on Equal Employment Opportunity.
CPP Corporation is an Equal Opportunity Employer that recruits, hires, trains, and promotes employees in all job classifications without regard to race, color, religion, age, sex, sexual orientation, gender identity, marital status, national origin, disability, veteran's status, or other legally protected status.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
This is a full time position
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Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:29
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Consolidated Precision Products (CPP), an aerospace and defense manufacturing company, has an immediate need for a Sr.
Assembler to join our team! This is a 1st shift position at our plant in Cudahy, CA.
Who are we?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 50 years! We specialize in manufacturing aluminum products for commercial, regional, corporate and military aircraft and engines.
Benefits:
Pay range: $18.00 -22.00/hr.
Medical, dental and vision insurance, paid vacation, holidays, 401k employer match and employee bonus plan.
Schedule:
* Monday-Saturday 5:00am - 1:30pm Overtime as needed
The Sr.
assembler performs assembly procedures on all standards and most complex complicated castings, under general supervision.
What we offer:
What will you do:
* Perform precision assembly on production aerospace parts such as attaching parts together according to customer specifications.
* Read, understand and interpret instructions and procedures, including engineering blueprints, accurately and ensuring quality by self-inspecting your work.
* Perform visual inspections for defects and as needed with provided specification and established standards of quality and quantity.
* Install hardware, apply sealant, measure/record, ream brusing, ink stamp.
* Perform clerical procedures in Applied Stats and Work Instructions.
* Acquire additional certifications and credentials as required for work or career development
* Comply with all safety, DOT, HAZMAT and environmental policies and procedures
* Attendance
* Maintain a clean, organized work area
* Ability to work overtime
* Work on/participate in special projects as needed o
Qualifications:
* Education: High school diploma or equivalent required
* Experience: 1-2 years in assembly such as mechanical assembly or electrical assembly
* Proficiency with power tools and mechanical measuring equipment.
* Ability to read and interpret blueprints and schematics
Working Conditions:
* The job is performed under reasonably good working conditions with some exposure to noise, cold temperature, and machinery.
* Working Environment: Indoor working environment within various areas of a foundry facility
* Required PPE: Safety gear varies throughout the plant, check with area Supervisor to ensure proper PPE is being used
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly-engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
U.S.
person status is requi...
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Type: Permanent Location: Cudahy, US-CA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:28
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Consolidated Precision Products (CPP) in City of Industry is currently looking for an Operations Supervisor to join our team! This role will be reporting to our Area Manager at our Aerospace Manufactory in City of Industry, CA.
This is a great opportunity to join a growing company that has been in business for over 30 years! CPP offers a competitive compensation with heavy overtime opportunities, comprehensive benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, and 401k with employer match, paid vacation, sick time, and holidays.
Salary Rate: $90K - $100K
ESSENTIAL JOB FUNCTIONS/DUTIES
* Operate as a business owner demonstrating metrics-based management in areas of Safety, Quality, Delivery, and Cost
* Ensures effective employee relations, coaching, and employment development
* Create a positive culture focused on metrics and progressing business unit forward through group participation and ownership of project pipeline and business unit as a whole.
* Responsible for driving a culture of safety in your business unit, putting safety first, and utilizing stand up meetings, safety talks, and other means to communicate and set expectations with employees, driving accountability and excellence in all facets of safety.
* Owns quality, productivity, cost and morale to achieve positive results in all areas.
* Responsible for onboarding new employees and training for on-the-job tasks and responsibilities.
* Mentor existing Leads and/or develop Leads to help facilitate company goals and objectives.
* Responsible for performance management and conducting annual performance reviews.
* Enforces and implements company policies in a way that employees buy-in.
* Develops and implement corrective actions where necessary.
* Understand and communicate quality specifications required by customers to staff.
* Partners with and engages Engineering & Quality for product & policy needs.
Supports Engineering and Quality with improvements to business systems, process, and product.
* Responsible for preventive maintenance program where applicable.
Resolve daily maintenance issues or breakdowns by partnering with facility maintenance team.
* Responsible for owning inventory and supplies for department, keeping business unit within budget and maintaining appropriate levels for production demand.
* Utilize LEAN management within your business unit
* Continuous improvement - hold formal meetings with hourly workers to obtain cost saving projects that will be reported to Senior Management in the proper format.
* Responsible for 5/6S within your area / business unit (Sort, Set in Order, Shine, Standardize, Sustain, Safety)
* Focus on TOC's - Delivery, Cost (earn/spend), Throughput
* Display positive attitude towards employees and peers to aid in forging a metric driven culture
* Participate in overall scrap and rework reduction
Q...
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Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:27
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Heat Treat Operator -Aerospace Manufacturing - Swing Shift
If you would love to be part of a company that is poised for substantial growth with opportunities for advancement, then working for CPP and its subsidiaries may be the right fit for you! We have multiple facilities in Albany, OR and are a world class supplier of titanium castings and components for the aerospace industry.
If you are selected to join our team you will enjoy benefits such as quarterly bonus, medical, dental, vision, 401(k), company paid life insurance, and other great benefits!
Primary Purpose:
A Heat Treat operator sets up and runs multiple heat treat furnaces; sort and serialize the different castings for various heat treats, sets-up the castings on fixtures.
Duties and Responsibilities:
* Sets up and run multiple heat treat furnaces.
* Sort and serialize the different castings for various heat treats.
* Maintains accurate heat treat logs for all castings and test materials.
* Individual will be required to follow instructions both written and verbal and to effectively communicate both orally and in writing with employees from other departments in order to expedite castings into heat treat.
* Employee is also required to work in a responsible, safe, and professional manner.
Minimum Qualifications and Experience:
* Basic math ability, including addition.
* Able to understand and follow verbal and written instructions and procedures.
* Must poses basic computer skills with the ability to retrieve, organize, and save files and emails.
* Previous experience working in manufacturing and production; aerospace castings preferred.
* Possess good communication skills at all levels within the organization.
* Able to interact effectively with co-workers and supervisors in a positive manner.
* Solid job history including more than 1 year at previous or recent employer.
* Must be at least 18 years of age.
* Must be able to lift up to 50 lbs with or without reasonable accommodations.
* Must be willing to undergo a pre-employment background check.
* Must be willing to participate in pre-employment drug screen.
* Must take a base line hearing test prior to starting.
Working Conditions:
* The job is performed under reasonably good working conditions with some exposure to noise, temperature, and machinery.
Schedule:
* Swing Shift
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly-engineered
components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
U.S.
person status is required for this position in order to com...
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Type: Permanent Location: Albany, US-OR
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:26
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As a 2nd shift CNC Machinest, you will operate computer numerical control machines to fabricate parts, load parts in the machine, cycle the machine, detect malfunctions in machine operations such as worn or damaged cutting tools.
You will also run production lots, communicate with co-workers regarding productions runs, and maintains safe, organized and clean work environment.
Who are we?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 100 years! We specialize in manufacturing aluminum and magnesium products for commercial, regional, corporate and military aircraft and engines.
What will you do?
* Perform typical machine shop operations.
* Detect and report defective materials or questionable conditions to management or designee.
* Perform inspection of machined products (including documentation of results).
* Read, understand, and interpret instructions and procedures including engineering blueprints accurately.
* Complete and maintain paperwork for parts.
* Experience in micrometers, inside micrometers, calipers, and other tool shop an inspections equipment.
* Acquire additional certifications and credentials as required for work or career development
What can you bring to the table?
* High school diploma or equivalent required, Vocational School in a similar field
* Requires an extensive knowledge of techniques, and basic foundry practices in addition to acquired additional specific knowledge in the targeting area usually acquired through two to three years of targeting experience.
* 3+ years of experience
What do we have to offer?
* 2-10:30 pm M-F
* $27-28/ hr
* 5% quarterly bonus potential
* Positive and collaborative work environment
* Paid training
* Educational Assistance
* 401K with match
* Health, dental, vision insurance
* 12.5 days of paid time off/ ESST time
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered
components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
CPP Corporation is an Equal Opportunity Employer that recruits, hires, trains, and promotes employees in all job classifications without regard to race, color, religion, age, sex, sexual orientation, gender identity, marital status, national origin, disability, veteran's status, or other legally protected status.
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the US on a permanent and consistent basis without company sponsorship now and in the future.
This posit...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:26
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Role Summary
Develops and implements sales strategies for targeted key accounts in a plan, a territory, or a specified geographic area.
Very knowledgeable of complete line of products/services and clients' issues and needs.
Primarily focuses on seeking out new clients.
Typically has at least five years of related sales experience.
Responsibilities
* Obtain new accounts through direct or brokerage channels for sales.
* Meet or exceed annual business plan as measured by new firms, revenue, membership and profitability objectives.
* Maintain prescribed weekly activity levels.
* Manage the sales process for Medical, Dental, Pharmacy, Behavioral products.
* Review and respond to RFP's, manage internal strategy and present quotations.
* Manage database of prospects and assigned producers.
Qualifications
* 3+ years sales experience.
* Prior Insurance experience in Underwriting, Operations or Proven sales track record.
* 1-2+ years' experience in managed care sales.
* Highly motivated with excellent organizational skills.
* Self-starter with ability to work independently or as a team to achieve goals and objectives.
* Excellent presentation skills, verbal and written communication skills.
* Ability to work strategically with matrix partners to design presale strategies and proposals.
* Ability to obtain necessary licenses.
* Acceptable driving record.
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/nic...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:22
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POSITION SUMMARY
The Evernorth Strategic Initiatives team functions as an internal consulting organization and provides broad support on senior-leader sponsored and high-impact/cross-functional programs across Evernorth.
This role would lead strategic planning projects, provide content/idea creation, work cross-functionally, develop strategic planning communications (verbal and written), and be responsible for directing, managing and synthesizing strategic topics.
Work may report through a senior-level functional leader and will require extensive collaboration with one or more teams within the Evernorth or the broader Cigna organization.
The role executes and enables the strategy set by senior management and integrates policy and/or programs across several departments, and identifies significant improvement opportunities, innovation opportunities, and facilitates cross-business unit initiatives including business development.
ESSENTIAL FUNCTIONS
* Engage with executive stakeholders - proactively build relationships with senior leaders across business units to understand strategic needs, help identify opportunities, and if warranted scope new engagements.
* Facilitate decision making and alignment - design and lead executive-level steering committees, workshops, and/ or working sessions to align cross-functional teams to drive strategy into action
* Lead high-impact programs - work with business stakeholders to manage the end-to-end execution of some of the company's most complex and strategically significantly initiatives, ensuring alignment with business goals, timely delivery, and measurable outcomes.
* Provides business direction for a team of program or project resources and/or external consultants, coaches individuals on performance
* Serve as a thought partner - act as a trusted advisor to executives by providing strategic counsel, surfacing emerging issues, and offering perspective on business challenges and opportunities.
* Manage stakeholder communications - develop and deliver high-quality presentations, reports, and updates tailored to a variety of audiences including senior executives
* Support internal team development - contribute to the evolution of the SPO team by refining methodologies, tools, and knowledge sharing practices
* Promote continuous improvement - identify and recommend opportunities for process improvement, internal capacity building, and scaling best practice across the SPO team
* Mentor and guide team members - provide day-to-day guidance, coaching, and quality assurance for team members on team projects.
* Analyzes complex situations, distillation of the issues into strategic options and driving to appropriate conclusions
* Manages tight deadlines, scope and converging opinions to solutions in timely manner.
* Develops executive communications including presentation slides and analysis
* Handles high-pressure environment with multiple competing ...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:21
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Licensed Vocational Nurse LVN/LPN - Evernorth Workplace Care - San Antonio TX
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person.
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
Licensed Vocational Nurse (LVN) - PT 33 hours / week - San Antonio TX
The health center Licensed Practical Nurse is responsible for assisting providers with the evaluation and management of all members presenting to the Health Center and is a critical partner in our Evernorth Workplace Care team.
Our experienced LVN will :
* Conduct assessments
* Assist in development of care plans and coordination of care.
* Assist in implementing physician orders and order follow-up, medication refills, patient/family education, identifying opportunities for preventative screening, notification of member's test results.
* Where applicable, coordinate with front office team to schedule appointments, meetings.
* Communicate effectively to providers and all departments to resolve issues.
* Set up all members for procedures, exams and obtains vital signs.
* Utilize EMR (Electronic Medical Records)
* Maintain supplies in exam room
Qualifications :
* Graduate of approved LPN/LVN program
* Current licensure as a Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN) in respective state and ability to maintain license
* At least one year experience in a Clinic or Physician's office.
* Current BCLS required
* 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 health center hours - 8 am - 5 pm; 4 day work week (alternating Wednesday / Friday off)
Bonus points for :
* At least 1 or more years of front and back-office experience
* Customer-centric Focus
* Dynamic personality
This role is based in our health center in San Antonio TX.
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, creat...
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Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:20
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Primary Functions:
The Quality Review & Audit Analyst is responsible for conducting medical record reviews, accurately assigning ICD-10-CM diagnostic codes based on medical record documentation and auditing medical charts for Hierarchical Condition Categories (HCC), as defined by HHS' Risk Adjustment model.
Responsible for performing various documentation and data audits with identification of gaps or inaccuracies in risk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program.
Responsible for collaborating and coordinating, as required, with team members to facilitate coding education with internal and external partners, as well as performing quality reviews of vendor partner coding output.
Contributes to Cigna IFP Coding Guideline updates and policy determinations, as needed.
The Quality Review and Audit Analyst position recognizes individuals experienced in Risk Adjustment processes, medical record and diagnosis coding excellence, Continuous Quality Improvement (CQI) processes, and the ability to communicate programs and processes to peers, colleagues, and Matrix Partners.
Essential Duties:
* Review of medical records with accurate diagnosis code abstraction in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, and any application rule set.
* Comprehensive understanding and proficiency with the Complete Official Code Set, Coding Clinic, and CMS guidelines for code abstraction and medical record compliance
* Knowledge and application of Risk Adjustment models when reviewing medical records for code abstraction, with emphasis on HCC identification and CMS compliance for Risk Adjustment programs.
* Demonstration of critical thinking and application of Program regulations and guidelines for Risk Adjustment Data Validation (RADV) audits and Supplemental Diagnosis programs.
* Comprehensive understanding of RADV Protocols and Compliance Requirements for RA programs, including EDGE Server Business Rules, where applicable.
* Coordinates with external partners to execute efficient and compliant programs
* Identifies risks or program gaps and communicate effectively to management in a timely manner
* Demonstrates ability to complete assigned tasks by prescribed deadlines, and meet required productivity standards
* Develops and implements internal program processes, as required
* Remains current on Federal regulations related to diagnosis coding and the HHS Risk Adjustment program, including audit protocols
* Practices effective communication skills with peers and matrix partners to ensure Continuous Quality Improvement and ensure compliance with all CMS guidelines and regulations;
* Proficiency with Microsoft Outlook, Microsoft Excel, Microsoft Word
* Practices clear, concise,...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:18
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OVERVIEW:
A career within Forsyth Health's Product team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and market insights.
At Forsyth Health, we focus on a collection of data management, business intelligence, advanced analytics and data science capabilities to support various functions within these organizations to meet their business needs around market access and patient support programs.
How you'll make a difference:
The Principal Data Scientist role is a key role to the enterprise and will be leading a highly complex and growing area within the health care data and product development space.
As a strong individual contributor, with a potential for taking on supervisory responsibilities, the role will lead product development efforts using NLP and machine learning technologies and workflows.
The role will help design Forsyth's data product features that utilize unstructured clinical and other text data to enable research within the commercial Pharma Analytics space.
Responsibilities include mining unstructured data, help develop healthcare domain-specific ontologies, assist in development of use cases and data curation models and algorithms that help bring "research-ready" datasets to market.
This role will work closely with the internal Technology, Analytics, and Client Services teams to support and showcase Forsyth data capabilities with both existing and potential clients.
Role Summary:
ThePrincipal Data Scientistposition is an opportunity for a Data Scientist/NLP Engineer to establish NLP and ML based development workflows and meaningfully impact the design and development of the Forsyth Enterprise Data Model.The job responsibilities include, but are not limited to the following:
* Develop and implement NLP models and algorithms, such as, text classification, sentiment analysis, named entity recognition, etc.
with the goal of adding clinical data attributes, denial reason details and other variables to the Forsyth data model.
* Design, build and optimize NLP pipelines.
* Design and build training datasets and associated workflows as needed, including workflows for validating NLP/ML-derived outputs.
* Collaborate with data engineers to deploy NLP models into production environments.
* Work with other cross-functional teams to gather and refine requirements for mining text and design resulting variables
* Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) as needed to gain a deeper understanding of patient / clinical activity from Forsyth data to validate and further refine NLP/ML models and output.
* Create and maintain technical documentation for NLP models and algorithms.
* Work with Client Solutions in understanding client needs and/or providing training and guidance to clients and help derive value out of NLP-sourced variables.
* Project management and prioritization - supportmultiple projects ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:18
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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 Surgery 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 Radiation Oncology , recognized by the American Board of Medical Specialties, or American Osteopathic Association
+ Eligible to acquire additional state licensureas required
+ Prefer one of the following state medical licenses but is not required: DC, MD or VA
+ 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, ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:17
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The Quality Review and Audit Lead Analyst will be instrumental in serving as a key subject matter expert in HHS risk adjustment regulations and coding policy for both Cigna's internal teams as well as value-based provider partnerships to drive a standard of excellence in risk validation accuracy, compliance and engagement.
Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network & contracting and provider relations to develop, implement and manage a detailed and thorough Affordable Care Act, Health and Human Services (HHS) risk adjustment education & training program for both internal coding teams, internal matrix partners and value-based provider groups.
The ideal candidate will have experience and understanding of HHS risk adjustment rules & regulations, coding guidelines, provider practice negotiations, relationship building, program strategy & execution and be familiar with value-based reporting metrics and HCC analysis.
Core Responsibilities:
* Work across multiple teams to drive performance and provide support, feedback, education and training on value-based metrics specific to risk adjustment.
* Develop, implement, and maintain risk adjustment training and informative material and present to a broad range of audiences including current employees, executive and senior leadership and value-based care partners.
* Support reporting distribution and deploying of education efforts to increase provider knowledge, adoption and awareness of risk adjustment metrics and clinical/business impacts.
* Responsible for supporting partnerships with medical & market leaders, both internally and externally, to develop programs/incentives for more accurate, complete and compliant risk capture.
* Demonstrated ability to work in multi-disciplinary team environments and forge strong interpersonal relationships with peers/providers.
* Develop coding curriculum and training materials and ensure annual up to date coding guidelines.
* Collaborate internally to support risk adjustment compliance including policy updates, facilitating compliance meetings and developing new policies.
* Research and stay current to report on coding guidelines, coding clinic updates, RADV protocols and defined best practices.
* Collaborate with peers for ongoing HCC educational development while introducing innovative ideas and implementing new technologies to better support value-based programs and quality outcomes.
* Ability to work independently, meet required timelines and perform at the highest standards of excellence.
* Perform other related duties as necessary.
Minimum Qualifications:
* Bachelor's degree in health care, nursing, business management or related field
* HHS / ACA Risk Adjustment knowledge preferred
* Experience in claims processing and revenue cycle management is preferred.
* Present a professional image and exhibit strong delivery and presentation...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:16
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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.
Sound like you? Great! Here's more on how you'll make a difference :
• Provide onsite face-to-face customer coaching and support.
• Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna clinical programs or client specific programs as clinically appropriate
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health.
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
• Collaborate with our matrix partners to support the overall health and wellness strategy your aligned client.
What we expect from you :
• Active and unrestricted RN license in respective state, with ability to maintain active licensure is required.
• Strong Clinical skills with at least 3 or more years of experience in health and wellness field.
• At least 1 or more years of health coaching/health education experience
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
• Proven administrative abilities, with strong computer and software application skills.
Bonus points for :
• Chronic Disease Management experience
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
* Monday: 8:00-4:30
* ...
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Type: Permanent Location: Marietta, US-GA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:15
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Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system.
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system.
* Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention, as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements:
Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
Minimum of two years full-time direct patient care as an RN required.
Preferred requirements:
* Complex Case Management experience preferred.
* Must have an active and unencumbered RN License
* Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
*...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:14
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Position Scope
Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system.
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system.
* Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention, as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements:
Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
Minimum of two years full-time direct patient care as an RN required.
Preferred requirements:
* For Specialty Case management positions, experience in the specialty (Maternity) preferred.
* Must have an active and unencumbered RN License
* Within four (4) years of hire as a case manager will poss...
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Type: Permanent Location: Pittsburgh, US-PA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:13
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SUMMARY:
The Account Executive (Centene Med D and Exchange) manages the overall contract and relationship with existing complex clients and their consultants.
This position is the owner of the strategic renewal plan, development of long-term account strategy and leads the growth & retention of current clients.
The Account Executive is responsible for leading the identification of business solutions that meet client needs and incorporating such into strategic business reviews using their in depth knowledge and specialized expertise.
They are also responsible for client retention, customer satisfaction and achieving corporate strategic goals relative to their book of business.
The Account Executive serves as the client expert and a resource for others within the organization.
They share best practices to contribute to development of others and provide forward-thinking leadership designed to move the business forward and lead projects/corporate initiatives.
ESSENTIAL FUNCTIONS:
Sales Ability/Selling:
* Uses influence & persuasion to gain the support & commitment of others.
Advocates and uses relationship building to obtain support.
* Convinces others to take action.
* Negotiates skillfully in tough situations.
* Responds effectively to positions/reactions of others.
* Efficiently & effectively sells solutions.
* Uses structured training to educate and influence clients, customers, & consultants.
Maximizes Results:
* Systematically manages accounts to maximize results.
* Consistently meets or exceeds sales targets through personally controlling the critical aspects of the sales and delivery processes.
* Leads & coordinates overall team effort.
* Driven to win customers' attention and treats their business as an honor, never letting them feel taken for granted.
* Produces by increasing profitable sales to existing accounts.
* Concentrates on finding avenues to generate increased sales from established accounts.
* Uses broad knowledge of multiple business areas and the marketplace to advance the organization's goals.
* Knows how the business works and how organization makes money.
* Keeps up with current and possible future policies, practices, innovations, and trends in the organization, with the competition, and in the marketplace.
* Conducts/Uses financial analysis to generate, evaluate, and act on strategic options and opportunities.
* Has clinical knowledge and can apply understanding in interactions with clients.
Customer Focus:
* Builds strong customer relationships & delivers customer-centric solutions.
* Gains insight into customer needs and helps ensure a better member experience.
* Identifies opportunities to benefit the customer.
* Builds/Delivers solutions that meet the customer's expectations.
Builds and maintains effective customer relationships.
* Balances short- & long-term relationship needs to effectively execute rene...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:12
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Are you passionate about working for a company on a mission to make health care more affordable, more personalized and more focused on helping the whole person achieve better health outcomes? Express Scripts is looking for a high-energy, positive individual to join our Regulated Markets team.
The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to health care options that fit their unique needs.
Join us in our mission to change lives.
WHERE YOU'LL WORK
In your role, you will serve as the primary contact for Medicare strategic initiatives and market development contract commitment management as well as provide strategic growth consultation.
You will become a subject matter expert (SME) on Medicare Prescription Drug Coverage, Express Scripts Medicare Programs and Products and CMS Regulations.
This client-facing position will collaborate with our health plan account teams and clients to support clientcontract andneeds associated with Medicare regulation, Star Ratings and to support strategic growth opportunities using market and industry perspectives.
You will contribute to product development and offerings by providing industry and client perspective allowing for and assisting with definition and development of future opportunities for the Medicare team.
The ideal candidate will be able to master complex and detailed Medicare rules and regulations in a manner that allows for consultation, idea generation, compliance consulting, and strategic support.
This person needs to have excellent relationship building skills as well as proven presentation and communication skills.
The individual must be capable of thought leadership and strategic consulting with clients.
This is an excellent career opportunity to join a dynamic team and to develop business skills to complement existing skills.
ESSENTIAL FUNCTIONS
* Upsell and renewal-related opportunities for applicable Medicare products
* Strong qualitative and/or quantitative analysis abilities to support to recommendations.
* Deep understanding of market landscape and competitive intelligence
* Develop selling strategies that help differentiate Express Scripts and Evernorth in the marketplace
* Deliver market message to account teams and clients
* Demonstrate thought leadership
* Championing and Advocating Strategic Initiatives
* Relationship Management
* Client Support
* Contract management
* Executive Presence
* Ability to work in a dynamic business environment
QUALIFICATIONS
* Bachelor's degree in related field (or equivalent work experience)
* 5 or more years of relevant experience (or 4+ years of relevant experience with a Master's degree)
* Strong knowledge of the PBM industryand Government Regulated Programs such as Medicare, Medicaid, HCR
* Knowledge of annual CMS bid process
* Strong communication skills, inc...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:11
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As a Strategic Account Executive, you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship.
You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work for an organization that...
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Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:10
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The Cigna Group is looking for a proactive, detail-oriented individual to join our organization.
The Executive Assistant will provide administrative support for the Finance Transformation Officer and other leaders, acting as a trusted resource and professional problem solver.
In addition to foundational administrative tasks, this role will be responsible for running point on cross team initiatives to support senior leaders and ad hoc requests.
The ideal candidate will exhibit high degree of discretion, confidentially and sound judgement.
Responsibilities:
* Perform diversified and confidential administrative duties for department head and senior leadership as assigned, utilizing broad and comprehensive experience, skill and knowledge of organization policies and practices.
* Executes on complex scheduling requests that will include varying leadership levels across the enterprise.
This includes our Enterprise Leadership team as well as various senior leadership forums.
Will act with speed, accuracy, and efficiency to complete requests.
* Coordinate and project manage visits to Cigna offices for C-suite leaders.
Project management tasks include: planning the visit agenda, working with local teams on logistical, technology and food & beverage needs, working with travel and meeting services, sending out invites, etc.
* Build effective relationships and work closely with internal partners to perform key task.
This includes peer administrative and executive assistants, Executive IT support, corporate internal communications, corporate travel/aviation etc.
* Administrative lead for department meetings.
Includes scheduling and logistics and technology needs.
* Handle travel arrangements for leaders and prepare and settle expense accounts.
Ensure that all plans are managed seamlessly and coordinate related arrangements.
* Manage an effective calendaring system and look for opportunities to enhance efficiencies.
Make last minute calendaring decisions based on priority and business needs using sound judgment.
* Schedule and organize meetings including Webex and conference calls to be hosted by principal, and/or direct reports (i.e., booking training rooms, posting materials to Sharepoint, send pre-reads to participants) as required.
* Plan and coordinate on-boarding activities as needed.
* Maintain and coordinate department distribution lists and sharepoint/file systems.
* Order equipment and supplies using the portal supply system.
* Manage department space planning in conjunction with office Real Estate team.
* Manage department vendor payment activities, track and approve invoices, assume delegate responsibilities for travel and expense entry for department head using Concur.
Qualifications:
* 8+ years of progressively responsible administrative, executive assistant, or project management experience.
* Can work independently, exhibit sound judgement, and maintain confidential...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:09
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This is a hybrid position (3 days per week in-office + 2 days work at home).
The incumbent candidate can be based out of any US Cigna Healthcare office.
This position is a hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.
Primary Functions
* Develop Change Strategy: Design and implement enterprise-level change management strategies aligned to business priorities and transformation goals.
* Lead Change Frameworks: Apply structured methodologies (e.g., PROSCI, Kotter) to lead change management processes including readiness assessments, stakeholder engagement, training, and communication.
* Build Business Readiness: Partner with business leaders, PMOs, and operational teams to assess readiness, assign change champions, and ensure effective planning and execution of change.
* Capability Adoption: Drive adoption and utilization of new processes, tools, and capabilities across functional teams to achieve targeted business outcomes.
* Manage Communication Plans: Oversee development of integrated communication and training plans to build awareness, knowledge, and commitment at all levels of the organization.
* Create Governance Structures: Establish clear roles, responsibilities, and governance models for change leads, champions, and cross-functional partners.
* Measure Success: Define KPIs, adoption metrics, and performance outcomes to track success and continuously refine the change approach.
* Coach & Mentor: Build internal change management capabilities by mentoring change leads and developing training and toolkits.
* Risk Mitigation: Identify and proactively manage resistance and risks associated with organizational change.
Key Qualifications
* Bachelor's degree in relevant discipline preferred
* 8-12 years' experience in business planning, financial planning or similar functions preferred
* Experience in the PBM or healthcare industry required
* Thorough understanding of business operations and processes required
* Strong people leadership experience required; Ability to create a culture and team dynamic to maximize a team environment required
* Excellent written and verbal communication skills and presentation skills required
* Advanced problem-solving skills with the ability to work cross functionally to resolve issues and generate results among potentially conflicting constituencies required
* Ability to effectively operate within a fast pace, dynamic organization required
* Ability to influence and build strong relationships across the organization required
* Ability to effectively work within a complex, matrix environment required
* Proficient PC skills including knowledge of Microsoft Office required
* Change Management certification preferred
* Strong knowledge of customer service/patient interaction experience and/or pharmacy related processes re...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:09
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If living in AZ, the hours will be 11:30-8pm ET.
If living in FL, OH, PA or MO, the hours will be be 9:30-6pm ET Monday-Friday
Position Summary
Provide operational support for multiple programs within the Express Scripts clinical product portfolio, including but not limited to ScreenRx, Health Connect 360, Advanced Opioid Management, and several other programs that engage patients, providers, caregivers and clients to promote better health outcomes.In doing so, the Staff Pharmacist will need to be fluent about the intricacies of each program and provide appropriate patient counseling.
Essential Functions:
* Perform comprehensive evaluations of available patient health records and using evidence based medicine, proactively reach out to patients to educate and engage them in successfully managing their drug regimen and to advise them of cost saving opportunities available in their prescription drug plan.
Respond to incoming inquiries regarding drug therapy.
Follow up with patients to ensure continuity of care and provide clinical counseling as needed
* Reach out to patients new to their therapy to ensure early success in treatment by educating and engaging them in managing their medication regimens, including advising them on over the counter products and devices that may assist them in achieving their treatment goals
* Establish credibility as the trusted advisor to physicians and other healthcare professionals, including consultations to address omission of therapy concerns and recommend alternate treatment plans based on evidence-based protocols and guidelines
* Use specialized knowledge to conduct drug utilization review for patients with complex conditions or co-morbidities tied to TRC specific patient outcomes.
Consult with other specialist pharmacists, physicians and patients to resolve therapy concerns, including making Gap In Care (GIC) calls and other appropriate interventions
* Represent Express Scripts and the Therapeutic Resource Centers at meetings to educate clients on the TRC process and the value of the TRC's in improving the health of their members and saving costs
* Participate in pilot studies with specialized clinics or with other business partners
* Maintain leading edge knowledge in area of specialization through self-study and continuing education.
Contribute to the specialized knowledge of other pharmacists through participation in journal clubs, leadership of grand rounds and other opportunities as they arise
* Works to continuously improve TRC outcomes including suggesting improvements to processes and systems, approaches to therapy, improved methods of communication and new services that enhance value to the patient, client or physician.
* Performs related duties as assigned
Required:
* Registered pharmacist in the state of practice
* Highly-evolved clinical pharmacy skills and/or clinical knowledge of a specific disease state
* Superior written and verb...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:08
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POSITION SUMMARY
The Clinical Coordinator -Advisor position is an exciting opportunity for those looking to use their organizational, administrative and analytical skills to make a positive impact in the managed care arena, while expanding their knowledge of the health care industry.
This position assists and supports the delivery of clinical strategy for health plan clients, and is responsible for execution of clinical excellence.
Specifically, the Clinical Coordinator will
* Work collaboratively to gather/request data
* Provide analytical findings used in development of clinical strategy
* Lead Clinical Issue Management/Resolution
* Lead the implementation of new clinical solutions and support delivery on commitments
* Assist clinicians with day to day activities needed for delivery and execution on client commitments and projects
This position allows for greater understanding, interpretation, and providing to leadership the current industry trends, and develops skill sets necessary for strategic planning, project management and consultation.
ESSENTIAL FUNCTIONS
* Collaborate with Clinical Account Executive(s) to positively influence client and customer results and experience
* Support and develop reporting to monitor performance metrics, including clinical outcomes, financial trends, and rebate guarantees
* Prepare clinical consultation materials (e.g., P&T presentations, quarterly/annual business reviews, modeling/reporting, etc.)
* Lead the end-to-end management of clinical inquiries, data analytics, and claims research
* Work cross-functionally with Clinical Account Executive(s) to manage risk through continuous communication and quick resolution of problems
* Create administrative and operational efficiencies within the clinical team
* Actively participate in formal and informal training programs and professional development activities
* Effectively contribute to virtual teams, organizational committees, and work groups
QUALIFICATONS
* Bachelor's degree in related field and preferably 3-5 years relevant experience
* Client facing experience preferred
* Excellent verbal and written communication skills required
* Proficiency in Microsoft applications
* Motivated self-starter with proven leadership and ability to work collaboratively with cross-functional teams
* Ability to adapt in a dynamic work environment and quickly learn multiple internal reporting and analytic tools
* Detail oriented with strong organizational and project management skills
* Must be able to manage multiple tasks, prioritize, make decisions, and resolve complex issues
* Ability to work under pressure and meet tight deadlines
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 ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:07
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JOB DESCRIPTION
The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client's strategic goals and drive improved clinical and financial outcomes for their membership.
In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client's strategic goals.
The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with a goal to deliver lower healthcare costs and optimal clinical outcomes.
The CAE independently manages a book of moderately complex clients requiring this role to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience.
They must serve as the client's gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models.
They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan.
They are the client's healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client's and ESI's common goals.
ESSENTIAL FUNCTIONS:
* Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g.
client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal team members.
* Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals.
Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
* Leads the development, preparation, and presentation of healthcare strategy for each client assigned.
Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client.
* Leads clinical client Strategic Planning and Review Consultation (SPARC) meetings.
Responsible for retention, client loyalty and maximizing solution sales opportunities within assigned portfolio.
Maintains strong client relationships with clients to ensure retentio...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-06-18 08:48:06
