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Do you have a bachelor's degree and are ready for a meaningful career where you can make an impact and improve lives? Join us as a Behavioral Health Customer Service Advocate- an inbound call center role focused on helping people access needed care.
You'll support members and providers seeking services for mental health and/or substance use disorders.
This position features a structured work schedule with adesignated queue time.
Using empathy, active listening, multitasking, and problem-solving skills, you'll help ensure every caller's experience with Evernorth is both efficient and compassionate.
Key Responsibilities:
* Take back-to-back phone calls from members and providers (calls last about 8-10 minutes).
* Triage and conduct intake for risk of harm and substance use concerns
* Communicate eligibility, assist with scheduling appointments and providing referrals, quote benefits, and advise on authorization requirements
* Utilize resources and independent judgment to deliver accurate information, exceptional service, and resolution on the first call
* Collaborate with matrix partners and coordinate seamless handoffs to clinical teams for timely support
* Navigate multiple systems and applications across multiple screens while on calls (sometimes up to 9 programs at once)
Requirements:
* Bachelor's degree in psychology, social work, or a related field, or bachelor's degree in another field plus 2+ yearsof behavioral health experience.
* Customer service experience
* Strong time management and multitasking abilities
* Proficiency with typing and PC usage
* Must remain at your workstation while handling calls from a phone queue
Training schedule: Monday-Friday, 8:30 AM-5:00 PM CST
Work schedule: a permanent 8-hour shift between the hours of 7am-7pm CST will be offered based on business need.
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 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a div...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:08
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Technology Development Program (TECDP) - Full Time Associate
At The Cigna Group, we believe technology is the heartbeat of innovation in healthcare-powering smarter decisions, better outcomes, and more personalized experiences for millions of people.
Our Technology Development Program (TECDP) is a launchpad for passionate early-career technologists who want to make a meaningful impact while accelerating their growth.
TECDP is a two-year immersive experience designed to build deep technical expertise and a holistic understanding of how technology fuels transformation across the healthcare ecosystem.
Associates join a technical track aligned to their interests and career goals, gaining hands-on experience, expanding their technical acumen, and collaborating across disciplines to solve real-world challenges in healthcare.
What you'll do:
* Meaningful Role Work: Work within a specific track, where you'll design, maintain, and watch over the technologies that support better healthcare outcomes.
Gain hands-on experience solving real-world challenges, deepening your technical skills, and driving innovation across The Cigna Group.
* Learning From Others: Engage with peers, mentors, and cross-functional partners through community-building activities and collaborative initiatives.
Whether you're supporting recruiting efforts, driving innovation, promoting community, or enhancing onboarding experiences, you'll learn by doing and growing through shared knowledge.
* Formal Education and Curriculum: Participate in structured learning through both core and track-specific curriculum.
This includes technical training, leadership development, and exposure to the business designed to support your growth as a well-rounded technologist.
* Community Building: Build meaningful relationships across the organization through networking events, mentorship, cross-functional collaboration, or informal peer engagement.
Develop strong relationships that support your personal and professional growth.
Qualifications
This posting is part of our intern conversion process and is primarily intended for individuals who have previously interned with our Technology Leadership Development Program.
Additional TECDP roles are posted and we look forward to reviewing your application for our other positions.
We value diverse experiences and encourage all candidates to explore additional roles that may better align with your background and career goals.
We're seeking passionate well-rounded technologists with a desire to make a meaningful impact on healthcare.
You'll be part of a team that designs, builds, and delivers scalable solutions that power The Cigna Group.
Ideal qualifications include:
* Education: Full time candidates must have completed a bachelor's or master's degree in a technical program at the time of hire.
* Technological Proficiencies: Familiarity with the languages and tools used within your aligned track.
* Courses & Experiences:...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:07
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This position plays a dual role in supporting the growth and integrity of the Evernorth Behavioral Health Network.
It involves recruiting and onboarding qualified behavioral health providers, maintaining accurate provider data across multiple systems, and executing provider agreements.
The role requires strong communication, analytical, and relationship-building skills to ensure high-quality service and operational excellence.
Key Responsibilities:
* Identify and recruit qualified behavioral health providers in targeted geographic areas.
* Conduct outbound and inbound communications to build and maintain strong relationships with providers and their office staff.
* Process provider screening applications and assist providers throughout the onboarding process.
* Negotiate competitive and cost-effective contract terms to meet health plan needs.
* Explain plan policies and procedures, resolve provider complaints, and ensure compliance with internal guidelines.
* Verify and load provider data across multiple systems.
* Ensure accuracy of provider demographics and fee schedules in contracts and screening forms.
* Issue updated contracts when demographic changes require revisions.
* Respond to internal and external inquiries via phone and email regarding provider data and contracting.
Minimum Requirements:
* 1+ year of experience in a medical office, insurance, or healthcare-related field.
* Strong phone, communication, and analytical skills.
* Self-directed with excellent problem-solving and decision-making abilities.
* Proficiency in Microsoft Office and ability to navigate data entry systems and tracking tools.
* Proven ability to work collaboratively in a fast-paced, matrixed environment.
* Customer-centric mindset with strong interpersonal skills.
* Experience in negotiating contracts and maintaining provider relationships.
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 23 - 35 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth He...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:06
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Accredo is currently seeking a General Clerk Representative.
This position entails high volume calls.
The General Clerk Representative delivers straightforward administrative and/or other basic business services in General Administration.
Issues tend to be routine in nature.
Good knowledge and understanding of General Clerk duties and business/operating processes and procedures.
Executes automated reports and compiles and prints listings; may manage a database, retrieves data and conducts status inquiries; maintains a filing system; examines documents for quality and accuracy, resolves minor discrepancies; maintains an inventory, receives, stores and issues material and supplies; determines appropriate methods for processing of mail, files and supplies.
RESPONSIBILITIES:
* Adhere to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures.
* Follow up on the individual workload and taking appropriate action when agreed targets are not met.
* Work within a fast-paced environment.
* Take initiative for problem solving with ability to multitask effectively and use critical thinking when working different task with the team.
* Maintain a co-operative and friendly working environment.
* Take ownership of difficult task work.
* Respond via the most efficient channel (e.g.
phone, e-mail, letter, etc.).
* Demonstrate exemplary customer service skills.
* Effectively manage timetocomplete job responsibilities and tasks.
* Prioritize work by knowing the most effective and efficient processes toaccomplishtasks, with a focus on continuous improvement.
QUALIFICATIONS:
* High school diploma or GED required
* 1 year of experience in call center preferred
* Ability to work in collaboration with a team
* Proficient in Typing
* Knowledge of MS Suite (Microsoft Excel, Microsoft Word, PowerPoint) Preferred.
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 17.79 - 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.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs,...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:05
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If you are an RN and looking for a Telephonic role, this opportunity is for you! Read on to learn more.
How you'll make a difference:
Take ownership of patient experience via telephone: Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers.
Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention.
Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients.
Work with the patient's treating physician to inform them of any new symptoms and health-related matters with an entire network of nurses that you can lean on.
At Accredo, you are a part of an eco-system that will support you and advocate for you.
Grow alongside your peers in a patient-centered environment.
Aid our clinical departments with new hire training and mentoring as well as conduct peer-to-peer quality documentation checks to provide feedback to management.
Full time work from home - you MUST reside in a compact state.
Start Date: Monday, October 20, 2025
Shift for this role: 10:30 am to 7:00 pm CST Monday - Friday
Please note, the first 6 weeks of training will be varied and may start between 8am-11:30am EST depending on the week.
The primary responsibility of this role is to provide telephonic education to patients and caregivers following Clinical Protocols and working within the nursing scope of practice and guidelines.
This opportunity allows you to improve the health and well-being of others, while giving them a sense of security
Minimum Qualifications:
Registered Nurse (RN) compact license required
MUST reside in a compact state
2 years or more of relevant experience with an RN License:
Requirements:
* The RN must have an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam.
* The RN will be required to apply for or have a compact license as well as the ability, with no restrictions, to apply for additional single state licenses
* Maintaining all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment.
* Must have taken Microbiology in order to obtain California licensure
* Knowledge and experience in the areas of Neurology / Multiple sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics.
* Proficient in using microsoft applications
* Minimum Internet speed: 5MBPS upload/2 MBPS download - Cable broadband or Fiber Optic.
* Excellent phone etiquette
Your Benefits as an Accredo Telephonic Registered Nurse (RN):
Internal Career Training Resources
Tuition Assistance
Medical, Prescription Drug, Dental, Vision and Life Insurance
401K with Company Match
Paid Time Off and Paid Holid...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:04
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The Quality Review & Audit Senior Analyst ("Analyst") exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS' Risk Adjustment (RA) program and Risk Adjustment Data Validation (RADV) audits.
The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic code abstraction, and possesses HHS' Hierarchical Condition Category (HCC) expertise, evaluating data accuracy and record compliance, executing on audit requirements, and identifying and recommending process improvements within the RA program.
Core Responsibilities:
* Proficient in assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines , and HHS' RADV Protocols
* Audits accuracy of abstracted diagnostic codes from identified medical record cohorts, evaluating work of peers and coding vendor coders, to ensure compliance with quality standards, scoring as appropriate per monthly quality feedback reports or other scoring instrument, as defined per policy.
* Performs claims matching and auditing, as required, identifying missing or inaccurate data within RA claims and ensuring compliance with HHS' RA program protocols.
* Leads, trains, or mentors junior team members, as required, sharing expertise in RA programs.
* Contributes to execution of Risk Adjustment programs, and other IFP programs, as needed, to ensure accurate and compliant data submissions.
* Collaborates and coordinates with stakeholders to facilitate coding and risk adjustment education.
* Contributes expertise to creation and maintenance of Coding Guidelines and Best Practices, as needed.
* Participates in RADV execution for designated markets, including but not limited to, medical records reviews; subordinate, peer, or vendor coding audits; evaluation and reporting of progress, barriers, or errors; or other tasks as defined in HHS' RADV Protocols.
Minimum Qualifications:
* High School Diploma or equivalent; Bachelors or equivalent work experience preferred
* 5+ years' experience in medical record coding, with certification in good standing from either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), in one or more of the following:
* Certified Professional Coder (CPC)
* Certified Coding Specialist for Providers (CCS-P)
* Certified Coding Specialist for Hospitals (CCS-H)
* Registered Health Information Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Risk Adjustment Coder (CRC)or able to obtain within 12 months of hire, if not previously certified
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.
Fo...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:03
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OVERVIEW:
Are you someone who thrives in a dynamic, fast-paced environment? Do you enjoy solving problems that directly influence patient care and client satisfaction? Do you have a track record of accomplishment in producing results, working with and through matrixed organizational partners? If so, you could be an excellent fit for the Cigna Business Unit.
JOB SUMMARY:
As a CBU Data Performance Manager, you will provide advanced professional input to complex Client Services assignments/projects specific to Cigna.
You will be responsible for providing client support in the areas of data performance, including but not limited to:
* Data enhancements/project support
* New product implementation support
* Compliance reporting and audit coordination
* Renewal period readiness activities
* Bug fixes
* Production issue coordination
* Data mapping set up/maintenance
* Other support, as determined by manager
In this role, you will be expected to respond to complex inquiries, solve non-routine problems using independent judgment and discretion, and ensure client satisfaction with products and services.
You will drive coordination with Cigna's National Ancillary Service Team (NAST) to ensure needs are met and potential problems are averted, while proactively keeping them informed of the account status and daily operational performance.
You must exercise sound judgment in evaluating, selecting, and adapting both standard and complex techniques and procedures.
Successful individuals in this role have an aptitude for understanding technical concepts, particularly related to data and file structures.
While a background in IT is not required, the ability to follow and contribute to discussions on technical topics is essential.
COMPETENCIES:
* Action oriented
* Resourcefulness
* Collaborates
* Situational adaptability
* Manages conflict
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
* High School diploma; four-year college degree, preferred.
* 3+ years of experience working directly with EviCore's proprietary software platforms (Image One, Isaac, or EP), strongly preferred.
* 5+ years' experience working in a customer/client support facing role.
* Advanced working knowledge of EviCore's prior authorization process, including post-service client offerings (Appeals, Claims, etc.), strongly preferred.
* Strong problem solving, adaptability, and time management skills.
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 64,700 - 107,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:02
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The Provider Data Senior Representative is responsible for ensuring the accuracy and integrity of provider data by verifying, updating, and loading information across multiple systems.
This role also supports the execution of provider agreements and serves as a key point of contact for internal and external inquiries related to provider data.
Key Responsibilities:
* Load and maintain provider data across multiple internal systems.
* Verify provider data on contracts and screening forms for accuracy and completeness.
* Ensure demographic and fee schedule information is correctly reflected in contracts.
* Send updated contracts to providers when demographic changes require contract modifications.
* Load delegated clinic rosters into applicable systems.
* Respond to internal and external inquiries via email or phone in a timely and professional manner.
Minimum Qualifications:
* Strong communication skills, both verbal and written, with a customer-centric approach.
* Excellent analytical and problem-solving abilities; self-directed and proactive.
* Proficiency in navigating computerized data entry systems and relevant tracking applications.
* Familiarity with Microsoft Office Suite (Word, Excel, Outlook).
* Ability to work effectively in a fast-paced, matrixed team environment.
* Strong interpersonal skills with a proven ability to build and maintain relationships.
* Demonstrated decision-making, negotiation, and financial acumen.
* Experience working with provider contracts and understanding of contract language is preferred.
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 22 - 33 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving gro...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:01
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Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place.
The Cigna Group's Summer Internship Program is designed to assign you projects that have a lasting impact on our business - which touches millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry.
Program activities, including an executive speaker series, volunteer events, and career development workshops, give you the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work
Evernorth Health Services creates pharmacy, care and benefits solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of disease more accessible to millions of people.
In your role as a Healthcare Analytics Summer Intern , you will have ownership for one or more specific department related projects.
The intern will also conduct research, review internal processes and perform data analysis.
This position will work cross-functional with other departments within Evernorth Heath Services.
You will gain experience understanding healthcare and developing data driven solutions to improve care delivery, while working closely with other interns and senior members of the team to deliver value to our business partners.
What You'll Do
Real work: Over the course of your internship, you'll be assigned real project work to solve problems and build your healthcare knowledge.
Your work will also allow you to make direct contributions to our mission and company goals.
* Conduct research related to clients
* Perform data analysis and assist in data reporting
* Assists in developing presentations to management
* Collaborate with other functional areas on various projects
Qualifications
* Ideal student will be a rising Junior or Senior enrolled in a Bachelor's degree program
* Preferred majors include Public Health, Healthcare Policy, Biomedical Informatics and Health Information.
* Excellent analytical skills and ability to work with data
* Proficiency with Microsoft Office Suite
* Experience with SQL, Python & Tableau is a plus!
* Motivated self-starter
* Excellent verbal and written communication skills, presentation skills
* Attention to detail
* Creative and resourceful
* Strong business aptitude; knowledge of healthcare industry preferred
Additional Information
* Location : This in an in-office internship.
Applicants should be prepared to be aligned to the Morris Plains office located at 115 Tabor Road, Morris Plains, NJ 07950.
Intern housing is not provided.
* Work Authorization: One goal of this internship program is to prepare and identify qualified candidates for roles with The Cigna Group post-graduation.
Therefore, this temp...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-13 10:01:01
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Network Development and Competitive Insights Intern
Start Date May 18, 2026
Location: Bloomfield, CT or Virtual
Work Style:Hybrid (3 days in-office/week) or Virtual
Duration:10-12 Weeks | Full-Time
Make an Impact This Summer
Join The Cigna Group's Summer Internship Program and work on meaningful projects that drive real business results and touch millions of lives.
You'll gain hands-on experience in your field, collaborate with top professionals, and participate in career-building activities, including executive speaker sessions, volunteer events, and networking opportunities.
Where You'll Work:
You'll spend 10-12 weeks with our Network Development & Competitive Insights team, supporting Provider Contracting through fast-paced, impactful work.
Internship roles vary in focus-from competitive medical cost analysis to provider network access and intelligence reporting-across national and regional scopes.
Remote and in-office options may be available.
We're looking for curious, proactive interns ready to dive in and make a difference.
What You'll Do:
* Evaluate competitive medical cost data, including hospital and payer price transparency, and derive actionable insights to provide information to the Provider Contracting team to help improve Affordability for our customers and clients, or
* Evaluate the competitiveness of our contracted network of providers for various markets and products, and produce reports to help enable Provider Contracting decisions, or
* Support targeted Competitive Intelligence research and reporting by conducting secondary research.
Derive actionable insights and provide information to the Provider Contracting team to help improve Affordability for our customers and clients.
Minimum Qualifications
* Must currently be enrolled in an undergraduate program in Business, Economics, Data Analytics, Market Research, or a similar field (public health majors)
* Demonstrated leadership through work, student organizations, athletics, or community involvement.
* Proficiency with Microsoft Office Suite (Word, PowerPoint, Excel, Access)
* Strong analytical, problem-solving, and decision-making skills
* Comfortable navigating ambiguity and driving results through collaboration
* A self-starter who is eager to learn and acquire new skills
* Excellent communication, presentation, and listening skills
* Ability to work independently and as part of a team
* Strong attention to detail and ability to connect dots across a matrixed organization
Preferred Skills & Experience
* A strong foundation in Microsoft Suites, Project Management, and Financial Acumen
* Data query, manipulation and analytics tools such as SQL, SAS, and/or Python
* Highly motivated, confident, and optimistic
* Strong critical thinking, influencing, and teamwork abilities
* Goal-oriented with exceptional customer service standards
* Able to manage multiple priorities effectiv...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:57
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The Product Management Senior Advisor provides leadership and strategic direction in executing product support in collaboration with operational teams and account teams.
This position will take a lead role in reporting support for Federal, State regulatory reporting for current clients as well as prospective clients.
Key responsibilities for this position include: Direct and Indirect Remuneration (DIR), financial audit support, tracking and maintaining standard and ad-hoc regulatory reporting needs as well as a key contributor to continuously improve quality controls, consistency and accuracy to ensure successful submission of regulatory reporting data.
This involves using extensive knowledge to support comprehensive regulatory reporting needs, manage work plans, perform data analysis, as well as work cross functionally as needed.
ESSENTIAL FUNCTIONS
* Coordinate with cross functional partners to provide surveillance and oversight reporting support for Express Scripts regulated market clients
* Develop reporting solutions that help differentiate Express Scripts in the marketplace and align our interest with those of our clients and their members.
* Collaborate with project teams to deliver a suite of accurate, timely and relevant reporting to our clients.
* Create and assist in the documentation of business requirements which guide reporting application development efforts
* Review and interpret CMS and State guidance/regulations to maintain compliance
* Exhibit problem solving capabilities in a complex environment
* Makes specific recommendations with rationale to leadership
QUALIFICATIONS
* Bachelor's degree in related field or five+ (5) years of experience
* Knowledge of Medicare regulations or experience with government regulation interpretation
* Strong logic, deductive reasoning, problem solving and critical thinking skills
* Able to synthesize data and simplify findings to solve client business issues
* Excellent communication skills, including group presentation experience
* Basic financial analysis skills
* Demonstrated ability to prioritize and manage work load and meet project deadlines in complex situations
* Knowledge of PBM or Healthcare industry preferred
* Excellent customer service skills required
* Demonstrated ability deliver improved efficiency in existing processes
* Ability to manage data and data analytics using SQL, a strong 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.
For this position, we anticipate offering an annual salary of 110,700 - 184,500 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, ...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:56
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Cigna Corporation exists to improve lives.
We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions.
Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
What difference will you make?
Evernorth, a wholly owned subsidiary of Cigna Corporation, is seeking 2025 Summer Interns who have a passion for applying advanced analytics and Data Science to healthcare's biggest challenges with the aim of improving the affordability of healthcare.
Evernorth's purpose is to manage best-in-class total health care outcomes and make a difference in affordability, quality, complexity and inequality - all powered by our proprietary benefits, pharmacy, care and intelligence solutions and partnerships.
Our charge is to identify and break down barriers to care, enabling our most vulnerable and underserved populations to live their best life.
Be a part of our purpose-driven organization and be on the frontier of something great!
About the Department
The mission of Evernorth Research Institute is to assist our members, clients and the broader community with empirical evidence fostered through peer-reviewed research alongside innovative and thought-provoking reports.
Through our research, we support clinical and business decision-making enabling Evernorth to deliver safe and effective healthcare solutions and improving health outcomes.
What You'll Do
The Evernorth Research Institute (Institute) Summer 2025 Internship program has three (3) open intern positions.
Summer interns will directly report to leaders in the Institute and will be involved in some of the research activities aimed at investigating challenging questions facing healthcare today, supporting the value of services delivered to patients, identify new business opportunities and demonstrate the clinical and financial impact of Evernorth products and services.
The summer interns will apply some basic understanding of research methodology (including research design and statistical analysis) to the development and implementation of research projects and serve as collaborators for one or more projects that will provide opportunities to learn new specialized skills and gain exposure to a breadth of expertise in clinical, research, payer and provider solutions teams at Evernorth.
Summer interns may assist project leads in various activities such as conceptualizing research questions in conjunction with clinical and operational team members, developing research design and determining appropriate methodology, writing research proposals, completing complex analyses, and interpreting and...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:55
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The Sr.
Vice President of Sales is responsible for leading our sales strategy and execution across Pharmacy Benefit Services (PBS) and addition to sales support for other Evernorthservices.
This executive will be responsible for driving new client relationships, expanding existing client relationships and consultants/brokers across the diverse healthcare system.
The Sr.
Vice President of sales will develop a high qualitysales division.
There will be a focus on working across senior leaders across the.
This role is responsible for creating an atmosphere where people are engaged, rewarded for positive progress, and share a strong sense of ownership of the organization.
Key Responsibilities:
* Strategic Leadership:
Develop and execute a comprehensive sales strategy aligned with corporate goals, focusing on PBS as well as support for Evernorthservices and Cigna Healthcare.
* Strategic Growth:
Drive top-line growth through new client wins, upselling, and cross-selling to existing clients, including health plans, employers, TPAs, and government entities.
Assess and evolve sales methodology as appropriate to ensure organization remains competitive in dynamic marketplace.
Develop and drive the consultant relations strategy in order to win and retain business.
* Team Management:
Build, mentor, and lead a high-performing sales organization, including regional VPs, account executives, and business development teams.
* Market Engagement:
Cultivate executive-level relationships with key clients, consultants, brokersand prospects.
Serve as a trusted advisor and thought leader in the PBS and healthcare services space.
* Market Intelligence:
Monitor industry trends, competitive landscape, and regulatory changes to inform go-to-market strategies and product positioning.
* Collaboration:
Partner with Product, Marketing, Operations, and Clinical teams to ensure alignment of sales initiatives with service delivery and innovation.
* Performance Metrics:
Establish KPIs and sales targets.
Monitor performance and implement corrective actions to ensure consistent achievement of goals.
Qualifications
* Bachelor's degree required.
MBA is preferred.
* 15+ years of sales experience within the PBM or healthcare industry; previous sales leadership experience required.
* Experience in managing complex client relationships required.
* Ability to organize highly flexible/leveraged team and develop/implement supporting processes in a fashion that drives efficiency, responsiveness, and standardization in an environment where clients expect customization and dedicated teams.
* History of developing new and innovative sales programs.
* Solid understanding of healthcare market dynamics and industry regulations/initiatives.
* Extensive leadership experience; including proven ability to lead teams in meeting client retention goals and growing, developing, and retai...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:54
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Responsible for coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis program.
Responsible for liaising with the Initial Validation Audit Entity to ensure compliant, efficient, and successful audit processes, including but not limited to file reconciliation and appeals processes.
Responsible for coordinating with Quality Mgmt to effectively and compliantly execute daily RA program operations, as identified.
Participates in coding reviews of medical documentation for RA programs, as needed.
Responsible for communication and reporting of daily productivity and risks associated with IFP RADV audits and other RA programs, as needed, and collaborates with internal educational team to develop necessary curriculum to ensure compliance and program excellence.
Contributes to Cigna IFP Coding Guideline updates and policy determinations, and liaises with Matrix Partners, as required, to develop and promote shared goals.
The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation audits (RADV), Risk Adjustment operations, Risk Adjustment medical record and diagnosis coding excellence, implementation of Quality Improvement processes, and the ability to communicate experience and knowledge to peers, colleagues, and Matrix Partners.
Core Responsibilities:
* Oversight and coordination of daily operations for IFP Risk Adjustment Data Validation (RADV) audits,
* Support of Supplemental Diagnosis programs, as required
* Demonstrates comprehensive understanding and proficiency with the Complete Official Code Set, Coding Clinic, and CMS guidelines for IFP code abstraction and medical record compliance
* Demonstrates comprehensive understanding of RADV Protocols and Compliance Requirements for RA programs, including EDGE Server Business Rules, where applicable
* Demonstrates ability to coordinate with external partners to execute efficient and compliant programs
* Demonstrates ability to identify risks or program gaps and communicate effectively to management in a timely manner
* Demonstrates ability to report productivity, progress, and risks to leadership on a timely basis
* Develops and implements internal program processes, as required
* Coordinates with Quality Mgmt to determine priorities and demonstrates ability to prioritize projects to meet deadlines, as determined
* Demonstrates the ability to remain current on Federal regulations related to diagnosis coding and the HHS Risk Adjustment program, including audit protocols
* Demonstrates effective communication skills with peers and matrix partners to ensure Continuous Quality Improvement and ensure compliance with all CMS guidelines and regulations
* Engages in Continuous Quality Improvement (CQI) of IFP programs, as applicable
* Demonstrates ability to work with ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:53
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Duties
Act as technical accessibility SME liaison to cross functional product teams and stakeholders.
Advocate for and educate teams about accessibility best practices.
Conduct and support accessibility testing efforts, automated and manual.
Document accessibility best practices for the organization to adhere to.
Analyze existing applications for accessibility issues and work with cross functional teams and stakeholders to define and implement solutions.
Work with diverse team of product owners, UX designers, and developers in fast paced environment, with quick iterative cycles.
Conduct accessibility-focused qualitative research using a variety of methods including user testing, interviews, surveys, artifact research (chat, call, email transcripts, etc.), journal studies, etc.
Support initiatives that scale and mature the accessibility program across the enterprise.
Skills
Experience working in an Agile environment
5+ years of experience in accessible (508/WCAG) analysis, design, development and/or testing
Subject Matter Expertise in WCAG, Section 508, ADA, other accessibility laws and standards
Knowledge of correct use and limitations of WAI-ARIA (Accessible Rich Internet Applications) in web application development
Passion for making websites and applications accessible to all users
Experience using Accessibility testing tools as well as screen readers such as JAWS, NVDA, and Voiceover
Knowledge of HTML5, CSS, JavaScript and iOS/Android development best practices with the ability to research and recommend solutions in these various technologies in collaboration with developers
Thorough, methodical, and creative with attention to detail
Expert at time management as well as working & finding answers to questions independently
Strong verbal and written communication skills, problem solving skills, customer service and interpersonal skills
Understanding of SDLC and the technical and business challenges that come with development of a product
Understanding of UX, design techniques and principles
Social science research methods (e.g.
usability, surveys, observation), qualitative and quantitative data analysis, foundational statistics
Data visualization and presentation skills (in addition to analysis and research skills)
Education
BA/BS in related field; advanced degree in Cognitive Science, Statistics, Human- Psychology, Computer Science, Computer Interaction or related field preferred.
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 118,900 - 198,100 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 wh...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:52
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POSITION SUMMARY - Content Coordinator
The Content Coordinator provides support to the Market Influence and Engagement (MI&E) team on a variety of content development activities that influence how Regulated Markets lines of business (Medicare, Medicaid, EGWP, Marketplace) show up in the market.
This team is responsible for developing a range of informational content to help influence growth and retention of Regulated Markets clients; content includes RFP response assets, thought leadership, case studies, presentations and marketing collateral.
The MI&E team will be expanding upon the volume of assets created, and the Content Coordinator will support the development and maintenance of content.
ESSENTIAL FUNCTIONS
* Partner with RFP Advisor to track and organize new RFP library assets
* Perform reporting and follow up on publication of assets to the RFP library
* Conduct research, such as RFP assets within the RFP library and market research
* Support PowerPoint presentation development
* Coordinate and manage project requests
* Provide proofreading and editorial reviews for content deliverables
* Project coordination and support, including:
+ Development and distribution of meeting agendas
+ Capture meeting notes & distribution
+ Support team with project outside of RFP work, relating to content development/delivery as needed
* Organize and track KPIs, as defined by team
* Stay informed of the latest brand standards
* Learn and apply AI tools utilized by the organization (Microsoft Co-Pilot, etc).
QUALIFICATIONS
* Bachelor's degree and/or 3 years of relevant experience
* Strong project management/organizational skills, with the ability to work toward specific deliverables within an environment of tight deadlines and significant pressure
* A self starter, with the ability to initiate delegated tasks
* Detail oriented with effective critical thinking abilities
* Excellent written and verbal communication skills
* Experience writing and editing copy a plus
* Basic PowerPoint skills with an aptitude for skill development preferred
* Sales administration experience a plus
* Basic data and reporting tracking abilities
* Demonstrated ability to proactively prioritize and manage work load and meet project deadlines
ABOUT THE DEPARTMENT
The Client and Market Strategy team, is the face of Express Scripts for our Regulated Markets clients.
The team is responsible for relationship building, winning new business and retaining clients.
Through education efforts, we show how our benefit offerings can help clients achieve their business goals and make recommendations on products and services to best serve their members.
ABOUT EXPRESS SCRIPTS
Express Scripts, a part of the Cigna Corporation, unlocks new value in pharmacy, medical and beyond to further total health for all.
Express Scripts PBMis evolving.
We are now part of E...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:51
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Health Coach - Behavioral Health - Mattawan Michigan
Our Custom Coaching program connects employees with a highly skilled wellness coach for face-to-face (or video/telephonic) sessions.
Coaches take a holistic approach to help employees set and accomplish goals, manage chronic conditions and encourage healthy behaviors.
We are seeking a compassionate and skilled Behavioral Health Coach to support individuals in achieving their mental well-being and personal development goals.
This role focuses on guidance, motivation, and skill-building rather than clinical diagnosis or therapy.
As a coach, you will empower clients to navigate life's challenges, enhance resilience, and build healthy habits through a whole-person approach to behavioral health.
Here's more on how you'll make a difference with our patients :
• Provide one-on-one and group coaching and support to individuals in areas such as stress management, emotional well-being, self-care, and personal growth.
• Identify customer health education needs through targeted health assessment activities, to include screenings for depression, anxiety and stress.
• Utilize evidence-based techniques like motivational interviewing, cognitive behavioral strategies, and mindfulness practices to encourage behavioral change.
• Collaborate with clients to set achievable goals and action plans tailored to their needs.
Empowering clients to become an active participant in their own health outcomes.
• Identify when clients may need clinical intervention and refer them to appropriate care when necessary.
• Assist Customer in overcoming barriers to better health.
• Utilize biometric values and motivational interviewing techniques to collaborate with customers to drive to improve clinical outcomes.
• Lead and support a variety of Health and wellness promotional activities to include, delivering educational workshops, wellness programs, or digital content to support behavioral health initiatives.
•Provide support for health-related site events, which include open enrollment, wellness committee facilitation, health fairs, etc.
• Maintain accurate and confidential client records in accordance with company policies and ethical guidelines.
• Stay informed on the latest behavioral health research, coaching methodologies, and best practices.
Required Qualifications :
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion with a behavioral health focus.
(Experience in coaching, counseling, wellness or behavioral health settings.)
• Bachelor's Degree requiredin a health-related field.Behavioral health focused degree (psychology, social work, behavioral science or public health) preferred.
Master's degree preferred
• Current ACLS/BLS/CPR/AED Certification or ability to obtain during onboarding
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy ...
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Type: Permanent Location: Novi, US-MI
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:51
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* General Purpose:
* Cigna's mission is to improve the health, well-being and sense of security for those we serve.
The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple health care, is dedicated to achievement of our Enterprise goals improving affordability and customer health outcomes, client growth and retention, and network performance.
* OVERVIEW:
* The Nurse Executive Sales Specialist, as trusted Clinical Leader, Educator and Advocate, is closely aligned with Clients, Brokers, and other Key Stakeholders to promote improved healthcare quality and affordability for clients, members and communities we serve.
This role executes on strategic priorities to meet enterprise targets related to Cigna Healthcare U.S.
Sales Growth, Persistency and Total Medical Cost.
* RESPONSIBILITIES:
* Stays current with healthcare industry trends and maintains a working knowledge of Cigna business segment strategies, clinical programs, services and operational processes necessary to educate and provide consultative clinical insights to Sales, Clients, Brokers and other key stakeholders.
* Fosters deep collaborative relationships with Sales, Sales Operations, Clients and Brokers, championing Cigna's differentiated clinical value proposition.
* Supports achievement of business growth targets including prospective review, request for proposal, finalist meeting and new client onboarding.
* Supports achievement of business persistency targets including medical cost driver analysis and action, complex case review, referral and engagement, account renewal consultation and recommendations to positively impact medical cost trend, healthcare quality and outcomes.
* Collaborates and aligns across business units, working closely with sales, clinical product and program teams, marketing, data and analytics, clinical operations, health engagement, Evernorth Workplace Care and others, to design and deliver innovative client and market specific solutions.
* Participates in cross-functional projects at the local or national level, implementing actions that improve organizational or enterprise effectiveness and affordability.
* In conjunction with Sales, Health Engagement and others, facilitates Client and/or Broker external engagements (health forums, community and worksite events, educational presentations, corporate tours, other) promoting Cigna's integrated value proposition.
* Responds to and facilitates resolution to escalated case inquiries, benefit and coverage explanations and non-standard client benefit requests.
* Ideal candidate must reside in one of the following locations: San Francisco Bay Area, Seattle Washington or Portland, Oregon.
* Qualifications:
* Active and unrestricted Nursing License
* Required Bachelor's degree, Advanced Degree preferred
* Minimum of three (3) years of clinical practice experience
* Proven industry expe...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:50
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The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical
Condition Category expertise to the role, evaluates complex medical conditions, determines
compliance of medical documentation, identifies trends, and suggests improvements in data and
processes for Continuous Quality Improvement (CQI).
Key Job Functions :
• Conduct medical records reviews with accurate diagnosis code abstraction in accordance with
Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, HHS
Protocols and any additional applicable rule set.
• Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories
(HCC) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year.
• Apply longitudinal thinking to identify all valid and appropriate data elements and
opportunities for data capture, through the lens of HHS' Risk Adjustment.
• Perform various documentation and data audits with identification of gaps and/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.
Inclusive of Quality Audits for vendor coding partners.
• Collaborate and coordinate with team members and matrix partners to facilitate various aspects
of coding and Risk Adjustment education with internal and external partners.
• Coordinate with stake holders to execute efficient and compliant RA programs, raising any
identified risks or program gaps to management in a timely manner.
• Communicate effectively across all audiences (verbal & written).
• Develop and implement internal program processes ensuring CMS/HHS compliant programs, including
contributing to Cigna IFP Coding Guideline updates and policy determinations, as needed.
Education & Experience :
The Quality Review & Audit Analyst will have a high school diploma and at least 2 years' experience
in one of the following Coding Certifications by either the American Health Information Management
Association (AHIMA) or the American Academy of Professional Coders (AAPC):
o Certified Professional Coder (CPC)
o Certified Coding Specialist for Providers (CCS-P)
o Certified Coding Specialist for Hospitals (CCS-H)
o Registered Health Information Technician (RHIT)
o Registered Health Information Administrator (RHIA)
o Certified Risk Adjustment Coder (CRC) certification or ability to obtain certification within 6 months
of hire.
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 25 - 38 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible t...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:49
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JOB DESCRIPTION
* The Quality Review and Audit Lead Analyst is responsible for supporting Accredo Specialty Pharmacy's organizational goals of delivering high quality service to our customers by professionally addressing their needs, delivering accurate information and ensuring compliance to established standards.
As a member of the Quality Department this employee will be expected to have a customer mind-set focus, provide unbiased, factual, and timely feedback to allow for employee improvement.
DUTIES & RESPONSIBILITIES
* Meets daily, weekly and monthly audit productivity and accuracy goals
* Manage intake requests from the business within agreed service level agreements and turnaround times
* Works and delivers on assigned projects/task timely
* Self-motivated, action oriented and works independently
* Maintain a working knowledge of internal systems and business processes
* Develop and maintain standard operating procedures related to the responsibilities
* Conduct ongoing studies and data analysis through call listening and tracking conversation outcomes
* Identify opportunities for improvement using existing technology, data analysis, and knowledge.
* Prepares and/or participates in calibration and call listening sessions
* Analyze data for trends and provide clear and actionable insights
* Drive and support service improvement initiatives
* Prepare and present reporting to Operations Leadership
* Foster strong and trusted working relationships with internal partners
* Support and/or partner with leadership in conducting effective coaching sessions
* Collaborate with operational leaders to streamline processes and achieve objectives
* Bring creative and collaborative solutions internally to the Quality Dept.
and to our business partners/customers
* Standardize and refine comment structures to improve clarity, actionability, and alignment with guidelines.
* Ensure quality audit elements remain relevant, identifying underutilized trends, and determining when updates are needed
QUALIFICATIONS
* Strong analytical and data analysis skills required
* High School diploma or equivalent required; Bachelor's degree preferred
* At least 2 years of Specialty Pharmacy experience with Cigna/Accredo a plus
* Working knowledge of internal pharmacy systems such as CRM/Care Central, RxHome, CSP preferred
* Knowledge of Verint Call Recording platform preferred
* Previous auditing, calibration, and/or quality experience preferred
* Proficient/advanced knowledge of Microsoft Office 365/Online applications such as Excel, SQL, Tableau, Outlook, SharePoint, Power BI, etc.
preferred
* Strong oral/written communication skills, and proven ability to present to all levels of organizational leadership strongly preferred
* Ability to learn and apply quickly, prioritize, organize and thrive through change
APPLICABLE COMPETENCIE...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:48
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Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place.
The Cigna Group's Summer Internship Program is designed to provide a diverse workload best suited for a well-rounded skill set.
You will be assigned projects that have a lasting impact on our business, touching millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry.
Program activities, including an executive speaker series, volunteer events, and career development workshops, provide the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work:
Our Cigna Group - Express Scripts Supply Chain team is comprised of Pharma & Retail Relations as well as Product & Strategy.
The Pharma & Relations team plays a key role in keeping us at the forefront of healthcare evolution.
Team members are tasked with overseeing partnerships with key supplier groups, including brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.
Our Product & Strategy teams play a key role in creating new and exciting programs to help drive accessible and affordable solutions for both our patients and clients.
Together, both areas work to ensure patients have access to the medicine they need at an affordable price.
What You'll Do:
This internship will support the teams responsible for contracting with manufacturers on discounts, rebates and product solutions for brand pharmaceuticals.
* The Home Delivery Contracting team is responsible for purchase discounts on brand drugs and supply for Express Scripts Inc (ESI)-owned pharmacies.
They also assist in the design and development of future initiatives to optimize the value proposition of ESI and Strategic Drug Sourcing.
* The Medical Contracting team is responsible for strategy and contracting of pharmaceuticals that fall under the medical benefit.
* This role may also assist with the MedRx product offering and custom strategy.
The summer intern will support the teams with ad hoc projects related to managing their respective programs in a fast-paced environment.
These tasks may include: assist in RFP, data analysis, presentation development, and cross-functional project work.
Outside of your day-to-day work, you will have the opportunity to partake in personal and professional development activities, including an executive speaker series that opens a dialogue between you and company leaders, community service events, and networking opportunities with employees and other summer interns.
Qualifications:
* Currently enrolled in a bachelor's degree program
* Junior or senior-level college students with a 3.0 GPA or above preferred
* Effective written and verbal communication skills, along with strong presentation skills
* Proficiency with MS Office suite
...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:47
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U.S.
Employer Portfolio Strategic Planning Intern
Start Date May 18, 2026
Location: Bloomfield, CT | St.
Louis, MO | Bloomington, MN
Work Style:Hybrid (3 days in-office/week)
Duration:10-12 Weeks | Full-Time
Make an Impact This Summer
Join The Cigna Group's Summer Internship Program and work on meaningful projects that drive real business results and touch millions of lives.
You'll gain hands-on experience in your field, collaborate with top professionals, and participate in career-building activities, including executive speaker sessions, volunteer events, and networking opportunities.
Where You'll Work:
The U.S.
Employer Portfolio Strategic Planning Intern will support leadership in planning and organizing business strategy, priorities, and goals.
This role bridges strategy and execution by engaging with cross-functional stakeholders to deliver strategic initiatives.
The intern will assist in feasibility assessments, impact estimation, and alignment across business units.
They will also help drive adoption and change management efforts to ensure successful implementation and value realization.
The ideal candidate is a self-starter, intellectually curious, and capable of synthesizing complex developments into executive-level insights.
What You'll Do:
Portfolio Management - U.S.
Employer
* Partner with the Portfolio Strategy and Intake Team across Business, Technology, and Finance.
* Manage and refine intake submissions and coordinate prioritization processes.
* Support resource planning and execution readiness post-portfolio decisions.
* Facilitate strategic guidance, decision flow, and alignment with leadership.
* Assist in annual strategic kickoff and roadmap activities.
* Contribute to post-mortem reviews and continuous improvement of portfolio practices.
* Coordinate leadership forums and cross-functional meetings, including agenda setting and follow-ups.
* Support the development of executive-level communication materials and ensure consistent messaging.
Impact & Feasibility Assessment
* Assess business and technology impacts high-priority initiatives.
* Facilitate discussions to define scope, next steps, and solutions in ambiguous contexts.
* Identify synergies across cross-functional requests and support prioritization.
* Influence and negotiate across various leadership levels to drive alignment.
* Demonstrate initiative, urgency, and accountability in evaluating strategic opportunities.
Process Change Management
* Design and implement change management strategies and readiness plans.
* Lead execution of change activities and resolve potential obstacles.
* Communicate system progress and ensure effective incorporation into training content.
* Assess impact changes, identify risks, and develop mitigation plans.
* Promote adoption and proficiency of new processes and technologies across impacted teams.
Minimum Qualifications
* Must ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:46
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Location: 100% work on site, Fairfield, OH
Hours: Monday- Friday 8am-4:30 pm est
The Operations Administrative Coordinator is primarily responsible for delivering value by providing support to our Operations Production and Management Teams.
This person will be working side by side with internal customers, leading projects that will support our production goals, and will be an advocate for the production floor team members.
They will work with limited supervision on projects for the supervisor staff and working in production tasks that support the need at any given time.
They will provide direction to team members and assist supervisors with follow up, coaching, and supporting administrative duties that will allow Supervisors to be more available to engage with their team.
Responsibilities are broken into two main functions; one function of this role is to support the Production staff as needed and supporting the Operations Supervisors by owning administrative tasks.
What you'll do:
* Assist in the efficient management of programs to ensure timely response and completion.
Examples would be Cigna Standout Recognition, New Hire Orientation, shift cross over, Safety, and Hiring events.
* Preparing Reports to all Management team in a timely manner.
Working in collaboration with RMG (Resource Management Group) partners.
* Scheduling and Coordinating Ad Hoc and Recurring Meetings for Supervisors, as well as adding reminders for follow up and due dates in Outlook Calendars.
This will include setting up times for Interviews as needed and team huddles.
* Posting critical, approved communications throughout the pharmacy in all areas of Operations to ensure consistency.
This will include monitoring communications and removing any outdated postings.
* Posting consistent Overtime Sign up requests in all departments for all shifts as needed, including pulling information from the postings for the management team as needed.
This may include attending Operations Overtime planning meetings.
* Support tracking of Supervisor tasks and providing reminders appropriately, including shift differential changes, new hire calls, interview support, and shift preference forms.
* Enter requests as needed for Real Estate, IT, or Supply needs as well as tickets as needed for stuck transactions or other technology team help needs to ensure the correct functioning of the Pharmacy.
* Assist with Supply needs and distribution and copying as needed.
* Collecting records as needed for Training/CTL completion and maintain cross training data for each department.
These must be consistent between both shifts.
* Assist as needed with Engagement Activities.
What you need to do the job:
* Project coordination skills
* Must exercise good judgement, problem solving skills and maintain the highest levels of confidentiality and integrity
* Must have excellent written communications and interpersonal skills
* Ability...
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Type: Permanent Location: Fairfield, US-OH
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:45
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Pharmacy Operations is complex, highly regulated, and mission‑critical to patient care.
As an HR Business Partner (HRBP) for Evernorth Pharmacy Operations, you'll coach and challenge operational leaders, elevate talent and culture, and build the capabilities that a modern pharmacy network needs.
If you thrive in a multi‑site environment and want tangible impact and a clear path to grow, this role is for you.
We are seeking a talented Senior HR Business Partner (HRBP) to join our team.
This role will support the Accredo Specialty and Express-Scripts Home Delivery Pharmacy Fulfillment organization within Evernorth.
This role provides day-to-day HR consulting to senior leaders and supports the development of culture and key capabilities to maintain a productive, inclusive and engaged workforce.
We are looking for someone who combines strategic insight with a proactive, action-oriented mindset.
You'll drive critical HR initiatives in the areas of leadership development, organizational design, employee recognition, engagement and retention and change management.
You'll also collaborate closely with our HR Centers of Excellence to build smart, scalable solutions that drive business success and long-term sustainability.
Responsibilities:
* Serve as a trusted advisor to senior leaders, aligning HR strategies with business priorities to drive growth and transformation.
* Lead initiatives related to leadership development, organizational design, workforce planning, and talent strategy.
* Partner with HR Centers of Excellence (COEs) to design and deliver scalable solutions that support enterprise-wide goals.
(Employee Relations, Talent Acquisition, Compensation, Benefits, HR Operations, etc.)
* Guide and coach leaders through complex people challenges, change management, and business transitions.
* Partner with business leaders on culture & engagement initiatives.
Turn employee feedback into action plans; drive recognition, inclusion, and accountability that improve engagement, safety, and quality.
* Consult on rewards & pay practices.
Consult on offers, promotions, market moves, and internal equity
* Use data and insights to drive decision-making and measure the impact of HR initiatives.
* Champion a culture of accountability, inclusion, and continuous improvement across teams.
* Identify talent gaps, succession needs, and development opportunities to strengthen leadership pipelines.
* Support ongoing optimization of operating models and workforce structures.
Qualifications:
* Bachelor's Degree and 5+ years of experience in a HR Business Partner role demonstrating increased levels of responsibility or equivalent experience within a HR COE.
* Strong business acumen with the ability to understand enterprise priorities, connect HR strategy to financial and operational outcomes, and influence decision making at all levels.
* Proven ability to manage multiple complex initiatives simult...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:44
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Job Summary :
The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI).
Key Job Functions :
• Conduct medical records reviews with accurate diagnosis code abstraction in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, and any additional applicable rule set.
• Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year.
• Apply longitudinal thinking to identify all valid and appropriate data elements and opportunities for data capture, through the lens of HHS' Risk Adjustment.
• Perform various documentation and data audits with identification of gaps and/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.
Inclusive of Quality Audits for vendor coding partners.
• Collaborate and coordinate with team members and matrix partners to facilitate various aspects of coding and Risk Adjustment education with internal and external partners.
• Coordinate with stake holders to execute efficient and compliant RA programs, raising any identified risks or program gaps to management in a timely manner.
• Communicate effectively across all audiences (verbal & written).
• Develop and implement internal program processes ensuring CMS/HHS compliant programs, including contributing to Cigna IFP Coding Guideline updates and policy determinations, as needed.
Education & Experience :
The Quality Review & Audit Analyst will have a high school diploma and at least one of the following Coding Certifications by either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC):
o Certified Professional Coder (CPC)
o Certified Coding Specialist for Providers (CCS-P)
o Certified Coding Specialist for Hospitals (CCS-H)
o Registered Health Information Technician (RHIT)
o Registered Health Information Administrator (RHIA)
o Certified Risk Adjustment Coder (CRC) certification or ability to obtain within 6 months of hire.
Minimum Qualifications :
• Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CM coding guidelines and conventions
• Familiarity with CMS regulations for Risk Adjustment programs and policies related to documentation and coding compliance, with both Inpatient and Outpatient documentation
• HCC coding experience preferred
• Computer competency with excel, MS Word, Adobe Acrobat
• Must be detail oriented, sel...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-13 10:00:43
