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This is a HYBRID position that requires on-site presence at times in our Bloomfield, CT location.
Only local applicants will be considered.
POSITION SUMMARY
Our Corporate Owned Life Insurance (COLI) organization is looking for a Life Insurance Account Analyst to support our collaborative team as you learn our life insurance products.
As your knowledge base grows, you will have the opportunity to expand your responsibilities which would include managing your own block of cases, working closely with broker and client contacts with the support of a healthy team environment.
If you are a detail oriented, self-motivated individual, this role is for you!
ESSENTIAL FUNCTIONS
* Process various life insurance transactions for our Corporate Owned Universal Life Insurance clients (e.g.
death claims, premium payments, surrenders, withdrawals, loans, lapse mailings, etc.).
* Independently manage and perform case and policy level servicing, focusing on complex level plans for universal life products within Corporate Insurance.
* Manage the renewal process per the requirements of the case profile and the dates established in the renewal calendar.
Ability to quickly adapt to changes in plan designs, deliverables, requests, illustrations, software, case load, legislation, etc.
* Utilize advanced level of expertise in all products and procedures to take ownership of the business and effectively service our clients.
Maintain knowledge of Corporate Insurance products and plan designs at advanced/expert level.
Demonstrate ability to apply design concepts to assigned cases and identify exceptions and the impact on the end results.
* Act as the primary client contact for issue identification and resolution.
Communicate technical insurance concepts to executive insureds and brokers.
* Complete all client requests accurately, within service standards and/or within agreed upon deadlines.
Ensure all transactions are compliant with applicable laws and regulations.
* Produce special reports and perform analysis as required with accuracy and by the necessary deadlines.
* Utilize knowledge of product and plan designs to interpret illustration results and compliance implications.
* Identify problem areas and implement operation procedures to eliminate escalated issues.
* Identify inefficiencies and make improvements in workflow.
* Actively participate in departmental projects.
Project involvement includes: audits, spec development, prioritizing requests, testing, etc.
* Support scanning of critical policy documentation for future audit retrieval.
* Develop expertise in the administration / illustration / imaging systems to efficiently and accurately perform all policy activity.
QUALIFICATIONS
* Bachelors degree strongly preferred.
* Working knowledge of windows based computer software applications (MS Office products).
* 3+ years of customer support or business experience in financial servic...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 09:00:01
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The role will define, drive, and measure high quality employee experiences, via leadership of the enterprise employee listening and workplace experience operations.
This leader will transform our employee listening strategy and lead the team accountable for the delivery of employee listening, associated data analysis, and the development and execution of impactful interventions to improve employee engagement.
They will also lead our new worksite experience program which will co-create how we will work together in our offices, guiding ~ 150M in investments in our worksites over the next 3+ years.
This will be achieved through effective leadership of a key governance function that spans the business, Global Workplace (GWP) and HR, aligning business strategies, talent policies, and local needs, translating them into discrete requirements for program delivery.
Combined, these functions have a shared goal of enabling the business to achieve superior results via highly effective and engaged talent, enabled leadership, and workplaces that cultivate collaboration and drive cross enterprise leverage.
This role will help create engagement and experience strategies, manage the operations within the function, while also influencing and aligning strategies across various businesses, real estate and human resources.
This individual must innovate, influence, drive alignment, execute with excellence, and operate at enterprise scale.
Scope of Responsibilities:
Employee Listening:
* Leads the team who will mature our employee listening capability including the annual census survey, deep, continuous listening, predictive & GenAI insights and capabilities embedded in Listening Dashboards.
Provides strategic direction that aligns their work to the broader enterprise employee engagement and experience strategy.
* Leads the activation of efforts to address results including delivery of scalable action planning and resources delivered directly to managers, Executives & HR CO Partner with business analytics professionals to enable in-depth research with the goal of breaking new ground in business data analytics.
* Creatively addresses business problems and challenges the status quo.
* Focus on providing thought leadership and technical expertise across multiple disciplines.
* Enable the analytics process through new tools, including data and analytic development.
Workplace Quality Experience:
* Leads the workplace experience team ensuring clear accountabilities across all stakeholders within and outside the worksites who impact employee experience and engagement.
This includes participation from but is not limited to GWP, Technology, Business Continuity Planning (BCP), Employee Relations (ER), Employee Wellbeing, and Security.
* Co-creates the way we will work together in our workplaces going forward, bringing together the physical, cultural, human and business attributes that will be necessary in our workplace to achieve our ent...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 09:00:00
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Overall
Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary, utilization management, SafeGuard, and other trend solutions.
Essential Functions:
* Ability to manage development and execution of clinical UM strategy.
This would include both the ongoing updates to existing UM solutions and the evolution of UM to both incorporate new technologies and meet the changing demands of both clients and regulators
* Ability to understand and ensure alignment with clinical guidance within our trend solutions and contracting efforts.
Meet with clinical leadership and SMEs to support efforts to update clinical guidance and its application to create solutions that provide financial savings with a clinical-first mindset
* Ability to understand and negotiate contracting language to protect formulary and trend solutions from unintended conflicts across commercial, Medicare, and product offerings that depend on those contracts.
* Support of negotiator teams to drive efficient communication of asks and the resulting internal stakeholder evaluation of newly obtained contracted rates and/or language
* Ability to collaborate and support PBM solutions and supply chain strategic initiatives
* Ability to work and influence cross-functional partners to achieve key initiatives and corporate goals
* Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines
* Ability to work cross functionally with finance to model opportunities and track the financial value of the programs
* Effectively communicate with clients, pharmaceutical manufacturers, and other external stakeholders/partners to support adoption of new solutions, demonstrate Evernorth expertise, and to promote the PBM's ability to serve clients and patients
* Lead a team of multiple direct reports and their associated teams.
Responsible for the identification and development of talent within the team to ensure continuity and to support the growth of new leaders.
Ensure the team drives both the consistency and innovation necessary to accomplish the financial and outcome goals in support of Evernorth commitments
Qualifications :
* Bachelor's degree or beyond in an applicable area of study, which could include business/product strategy, business development, pharmacy, or healthcare management
* 8+ years relevant experience
* Licensed pharmacist in good standing, if degree is Pharmacy
* Excellent verbal, presentation, and written communication skills required; proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must; ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills; ability to learn multiple internal reporting and analytic tools use adva...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:59
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Professional Driver/Health Event Assistant - Part time 24 hours/week -
Evernorth Workplace Care
* Must currently reside in Miami-Dade County and be familiar with the area
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Duties and Responsibilities
* Operate the Company vehicle to transport Evernorth Health Coaches to and from destinations in Miami Dade County
* Report 20 min early to shift to ensure the vehicle is prepped
* Arrive at Evernorth office and field destinations on schedule
* Research and plan for traffic, construction, and weather delays
* Use navigation applications to determine the best route
* Maintains a safe driving and working environment, including PPE (Personal Protective Equipment)
* Maintain a clean vehicle, including clean and refill water container at all times
* Follow all company policies, procedures, dress code, and management direction, including privacy/confidentiality, and all fleet and safety policies
* Perform daily check of vehicles to ensure safe operating conditions
* Know how to and ability to change a tire, jump a battery and carry jumper cables
* Ensure all maintenance services are completed as scheduled (including oil change, gas, emergency service, etc.)
* Coordinate mobile detailing schedule and take the vehicle to get cleaned when not in use (inside and out)
* Fulfill administrative needs and maintain all service records
* Assists with set up and break down at each site and office
* Ensure everything is shut off at end of shift: lights, A/C, generator (if applicable), etc.
* Assist with flow and organization at the field/site events to ensure successful operations
* Submit all expense reports in a timely manner (within 30 days)
* Must possess superior interpersonal skills necessary to support excellent customer service
* Ability to work independently with little to no supervision
* Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
* Ability to complete special projects or other duties as assigned
Qualifications:
* Must have a valid driver's license with no moving violations
* Minimum 5 years of driving experience
* High school graduate or GED
* Ability to load, move, and lift heavy objects (including bending and frequent lifting of 50 to 75 pounds)
* Ability to perform basic computer tasks; Microsoft Outlook, WebEx and data entry functions
* Ability to work a flexible schedule including weekends and/or evenings as needed
* Excellent communication and decision-making skills
* Outgoing personality
* Must be reliable and professional
Must be a current resident of greater Miami FL.
This role is part time 24 hours a week with the potential to move to full time in the future, based on business need.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadba...
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Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:59
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The Advocate role is a non-clinical customer service position within an inbound call center that supports Evernorth Behavioral Health.
Advocates are responsible for handling inbound calls from both members and providers or their office support staff regarding mental health or substance use disorder services.
Advocates guide and assist the members and providers to help them work with Cigna/Evernorth more effectively and ensure first-call resolution.
The types of calls an Advocate service may include but are not limited to: triaging and assessing the need for clinical intervention, inquiries about provider referrals and access to care, eligibility, and benefits.
Due to the wide variety of call types, several applications are required to service these inquiries, and multiple applications are often needed within the same call.
Independent problem-solving, multitasking, and technical savvy are essential in order to be able to carry out the responsibilities of this role.
Calls must be serviced helpfully and professionally.
The nature of discussions within the Behavioral Advocate role often delves into personal and sensitive topics with members.
It demands a nuanced understanding of mental health and substance use issues.
This role differs from its medical counterpart in that mental health is a sensitive subject and staff are helping members navigate complex and emotional mental health challenges.
Responsibilities:
The primary responsibility of this role is to answer inbound calls from members and providers.
The work environment is structured, and the majority of the day will be spent answering these calls from a queue.
Occasional outbound calls may be necessary for issues requiring follow-up.
Within a call, an Advocate may:
* Use active listening and empathy skills to triage and assess for risk of harm and substance use concerns
* Coordinate with multiple matrix partners, and facilitate seamless handoffs to clinical partners for timely support
* Communicate eligibility, generate a list of provider referrals, quote benefits, or advise of authorization requirements for services
* Write authorizations to ensure claims are paid correctly
* Provide follow-up on issues by making outbound calls when necessary
* Send resources to members and providers via email
* Submit a complaint on the member's or provider's behalf
* Independently problem-solve to ensure accurate information is given, and exceptional customer service and first-call resolution is achieved
Qualifications
* Bachelor's degree in the mental health field or psychology/social work-related field (family communications, health coaching, community/public health or other related major), is strongly preferred .
Alternatively, a bachelor's degree in another field or equivalent work experience, combined with 2+ years of experience in the behavioral health field will be considered
* Customer Service experience
* Prior experience working in a ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:57
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The Manager of National Accounts will manage a team of Sales Representative responsible for the continued development and growth in the National Account segment.
As a Manager, you will participate with key Account Managers and Sales Managements to develop sales strategies for new and existing accounts and help identify target accounts and opportunities within the framework of the organization-wide strategy for revenue growth.
In this role, you will ensure that market share for products related to National Account in the non-acute space is strategically and tactically increased with consistency.
The Manager, will also monitor competitive activity in each account and ensures that appropriate response strategies are formulated and communicated.
This may include compiling reports on customer retention, business opportunity and market trends for senior management.
This position is responsible for setting goals, expectations, and developing future strategies to maintain and enhance the quality of support the team provides.
Focuses on implementing and executing strategies within own department/discipline/team.
Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
The Manager of National Sales is recognized internally as a subject matter expert.
ESSENTIAL FUNCTIONS
* Manage the day-to-day activities for a team of Sales representatives.
* Take an active role in the sales process with sales representatives and their prospects as needed to drive business.
Guide communication with existing clients to ensure all relevant data is accurate and to organize quarterly review meetings, RFP's or other events.
* Identify and implement best practices across the team.
Motivate team members and maintain morale.
* Serve as a SME regarding current sales processes.
Serve as a liaison for all cross-functional needs.
* Conduct annual reviews, address performance issues, and reward achievements; while also setting goals and develop future strategies to maintain and enhance the quality of support the team provides.
* Manage the execution of team and cross-functional projects.
Take an active role in managing projects from creation to finalization and meet all deadlines.
* Develop policies and procedures to document process improvement efforts.
Make sure that all current and potential products relevant to this market are in focus, availability awareness is consistent and pricing through all channels is executed appropriately and in the best interest of the organization.
* Take an active sales role with all segments under your direct Sr.
Sales Manager.
* Support Sr.
Sales Managers, Sales Directors and Strategic Relationship Directors as assigned.
* Assist with the hiring process for all positions within their department, Monitors staff performance, develop and mentor to ensure a high performing team.
* Ensure the utilization and accuracy of data in the Saleforce sy...
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Type: Permanent Location: Lake Mary, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:56
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Location: 100% Work on site Grove City, OH
Hours: Monday-Friday 11:30am - 8:00pm.
Job Summary
Serve in a leadership role in the processing of prescriptions including all areas for the department employees in which business needs dictate the need for a leadership role while maintaining productivity and quality standards.
Provide expert assistance to team members with issues requiring technical expertise.
Be a role model of Expressway values and behavior.
Assist in identifying and helping resolve recurring issues impacting key team metrics.
Provide input and recommendations for employee development.
Seek to continually develop leadership skills.
Collaborate with site leadership in the selection of department candidates.
What you'll do:
* Perform staff level departmental duties as assigned within operations.
Maintain quality and productivity standards as established for the operation.
Serve as a staff level model for Expressway values and behaviors.
* Provide expert assistance to team members with issues needing technical expertise.
* Provide on-the-job training for new or existing team members.
* Mentor and coach team to improve their understanding and skills.
* Act as a liaison to resolve prescription order problems.
* Work collaboratively with team members to ensure best practices are shared.
Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve internal and external customer issues and ensure timely resolution
* Assist with work plan development of work distribution for team members.
Identify repetitive problems or issues and recommend process improvements.
Actively participate in Continuous Improvement Events, update Visual Management Boards/tools with data and communication of the results on a daily basis.
* Involvement in the process of hiring and interviewing departmental positions.
Taking part in leadership meetings and leadership development programs as required.
* Additional duties as assigned.
Qualifications :
* Ability to provide coaching, clear directions and mentoring
* Excellent communication, interpersonal and organizational skills
* Ability to work effectively with all personnel
* Ability to prioritize and handle multiple tasks with minimal supervision
* Ability to make prudent and timely decisions
* Sound working knowledge of departmental functions and understanding of general department processes
* Demonstrated leadership tendencies and abilities
* Keen organizational skills, planning skills, and adaptability
* Ability to work as part of a team, as well as independently
* Ability to prioritize and handle multiple tasks with minimal supervision
* Ability to maintain confidentiality
* Microsoft/computer skills preferred
* Lifting up to 40 lbs
* Walking/standing throughout your shift
* HS Diploma/GED required
Why Choose Us?
* Comprehensive Health Co...
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Type: Permanent Location: Grove City, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:56
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If you're looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within the Risk Management & Underwriting Leadership Development Summer Internship Program (RULDP) will allow you to do all this and more.Underwriters evaluate the risk of insuring a potential customer and use that information to set premium rates for insurance coverage.
As part of our internship program, you will directly impact our business on a daily basis by protectingthe company's sound financial position and enabling us to meet our financial commitments to our clients.
What you'll do:
Our Risk Management & Underwriting Leadership Development Program (RULDP) is looking for motivated individuals to join us in the 10-week RULDP Explore Summer Internship Program.
The internship is designed to further develop analytical skills and business acumen in a dynamic and flexible work environment.
With a strong focus on providing, you with the experience of being a full-time employee, our internship is a great way to assess whether the underwriting profession and The Cigna Group are a good fit for you.
RULDP Explore Internship offerings:
* Real W ork: you will be assigned underwriting responsibilities to make direct contributions to our underwriting goals , as well as an intern project that will challenge your problem-solving and innovation skills.
* Dedicated Training: We will provide you with the foundational underwriting knowledge you need to be successful within the internship program.
then Real Work: you will be assigned underwriting responsibilities to make real, direct contributions to our underwriting goals through live casework
* Community: you will have the opportunity for visibility with senior management as well as one-on-one learning with underwriting professionals, who will share their knowledge, experience and assume roles as individual coaches and mentors.
* Speaker Series: you and your fellow interns will be exposed to a variety of lectures and presentations given by members of the community.
* Compensation: earn a highly competitive hourly rate in addition to gaining valuable work experience.
What you need to do the job:
* Ideal candidates will be progressing toward a bachelor's degree and have completed 3 years in a p referred major and/or minors includ ing Risk Management, Economics, Finance, Accounting, Management, Mathematics, and Business
* Preferred GPA of 3.0 or higher
* Strong analytical and strategic thinking skills
* High comfort level with math/numbers
* Excellent oral and written communication skills
* Proficiency with Microsoft office software, especially Microsoft Word and Excel
* An interest in pursuing a career in underwriting
* C ustomer-centric mindset
Additional Information:
* Location: Hybrid in Bloomfield, CT .
A hybrid position means that you will be expected to work in-person at your assigned offi...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:55
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Product Management Advisor - Regulated Markets Communications
The Regulated Markets Communications team is responsible for all regulated lines of business including Medicare, Medicaid, and Healthcare Reform/Exchange Market.The team supports Pharmacy Benefit Management (PBM) delegated regulated communications, campaign and letter setup, Medicare Explanation of Benefits (EOB), and working cross-functionally to support operations, RFPs, and audits.
Key Responsibilities:
* Provides expert content/professional leadership on complex assignments/projects.
* Interact with clients and account team to provide SME communications and marketing guidance
* Support Account Teams with communications inquiries, Field Alert development, and presentations
* Manage document creation and annual updates to member communications for setup
* Review annual guidance and CMS model communications and collaborate internally to ensure updates are made.
* Manage PBM delegated communications to meet clients' contractual mandates & PGs
* Exhibits proven ability to work cross-functionally in development and execution of a comprehensive message and strategic marketing framework aligned to enterprise goals and in support of the needs of our clients.
* Interfaces with multiple departments including sales, marketing, and operations to develop product requirements and specifications.
* Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
* Uses deep professional knowledge and acumen to advise functional leaders.
* Focuses on providing thought leadership within Product Management but works on broader projects, which require understanding of wider business.
Ideal Candidates will offer:
* Bachelor's Degree with a preferred focus of Marketing, Business or Communications desired.
* At least 5 years of communications experience.
Medicare, Medicaid and Healthcare Reform/Exchange experience a plus.
* Able to balance high priority, long-term projects with short-term, immediate deadlines
* Creative thinker and exceptional problem solving skills
* Expert communicator and collaborator
* Able to translate technical data concepts to business partners for understanding and alignment
* Excellent verbal and written communication skills: role does require writing and editing of market-facing collateral and communications.
* Proven ability to function in a heavily matrixed environment.
* Extensive knowledge of Microsoft Office products (particularly Excel, Word, Power Point, etc.).
* Experience leading projects and working with cross functional teams, especially Business and Marketing communications teams
* Ability to work effectively in dynamic, rapidly changing, team-based environment across multiple functions and in support of diverse buyers and geographies.
* Critical thinker and creative problem solver, who exercises goo...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:54
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In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team.
As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems.
What you'll do:
* Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches.
* Completes all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy.
* Works with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals while providing great customer service.
* Works with various staff, departments, and prescribers via fax, email, IM, and phone.
Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask.
* Manipulates multiple Excel documents to determine what needs to be completed and urgency of completion.
* Responds timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules.
* Investigate/research issues and provide resolution.
* Take initiative for problem solving with ability to multitask effectively and use critical thinking.
* Correct and timely entry of data in appropriate systems.
What you need to do the job:
* High School education or GED required.
* 5+ years of relevant Customer Service experience.
* High proficiency and regular use of Excel and Outlook required.
* A pro-active work ethic with ability to be managed/trained virtually.
* Be detailed oriented.
* Excellent written and oral professional communication skills.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions.
REMOTE POSITION BUT MUST BE LOCATED WITHIN 50 MILES: 4901 West Reno, Ste 950, Oklahoma City, OK 73127 or 361 Inverness Drive South, Suite F, Englewood, CO 80112
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 17.98 - 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, ...
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Type: Permanent Location: Oklahoma City, US-OK
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:53
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Practice Manager - Evernorth - Clearwater FL
Responsibilities:
* Work directly with Operations Director that supports the overall client management to assist with management of clinical and office staff and have shared responsibility for day to day operations per our contractual agreements and scopes of service.
* Work with Operations Directors to develop key strategies and enhancements of services to continuously drive improvements/ operational excellence, efficiencies and margin expansion for the business.
* Responsible for monitoring revenue generation and operational expense management, ensuring operational excellence of the budget, Key performance indicators and performance guarantees in the client's contract.
* Work in a strong matrix relationship where Evernorth supports in the hiring and management of clinic's professional staff.
* Work with Evernorth and Evernorth Legal to ensure compliance in states with the Corporate Practice of Medicine Prohibition.
* Support The Cigna Group Account Managers and Evernorth as the Client liaison.
* Ensure Contract Compliance and Performance Guarantee results.
* Assist the development of departmental annual budgets and 5 year forecast.
* Identify opportunity to enhance existing relationship with the addition of new Evernorth services.
* Work with Biometric / LMP partners for delivery of services.
* Evernorth client interface representative, working directly with the assigned Cigna Group Account Managers
* Ensure all assigned clinics meet or exceed all State, Federal and regulatory requirements.
* Develop close working relationship with National and Middle Market supporting regional Evernorth growth opportunity.
* Monitor existing business/operational processes for improvement opportunity.
* Implement compliance /operational/financial/clinical/quality policies and procedures.
* Provide effective leadership for all employees by establishing open communication, mentoring, training guidance, and articulating clearly defined goals and objectives.
* Work with Evernorth HR and Talent Acquisition in developing a recruiting and retention strategy.
* Works closely with Operations Director, internal and external Matrix partners to ensure alignment with organizations goals and direction.
* Travel for operational site visits (travel estimated at 40%).
Qualifications
* Experienced Healthcare professional (strong preference for a Nursing degree) with at least 3 years of Healthcare Management or an MBA with 5 years of healthcare management experience.
* Experience managing in a profit and loss business environment.
* Experience working in a matrix organization
* Strong project management skills
* Client facing /strong presentation/communication skills
* Management experience in healthcare delivery
* Experience working in an entrepreneurial/innovative organization.
* Experience mana...
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Type: Permanent Location: Clearwater, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:52
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This is a HYBRID role that requires on-site presence in St.
Louis, MO.
POSITON SUMMARY
The Analyst will manage invoicing and cash application for Evernorth Behavioral Health and Military One Source programs.
The Analyst will also own the operational invoicing activities for their select pharma manufacturer rebate contracts.
The Analyst should develop an in-depth knowledge of the contract to serve as the primary point of contact regarding the manufacturer's monthly rebate invoice.
ESSENTIAL FUNCTIONS
* Set up pharma manufacturer rebate contracts and amendments within our FRP invoicing system.
* Manufacturer Implementation in FRP system.
* Work with Contracting's Account Directors to understand contract intent.
Communicate setup strategy to the BDRO team to capture enhanced/restricted rebate options.
* Track all setup actions through Polaris SR system for validation and audit.
* Prepare validation packets to support all setup actions.
* Review manufacturer specific invoicing and datafix results to help ensure invoicing accuracy.
QUALIFICATIONS
* Bachelors degree in Finance, Business, Economics, Statistics, Accounting.
* 1+ years of experience with degree.
* Excellent customer service and communication skills; Strong Analytical Skills; Detail oriented.
* Excellent PC skills with ability to utilize MS Excel and Access.
* Knowledge of PBM and healthcare industry preferred.
* Ability to organize and plan multiple projects.
* Ability to demonstrate self-initiative, work cross functionally to resolve issues as they occur.
* Proven ability to work under tight deadlines.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you.
Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader.
We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, nat...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:52
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The Client Experience Consultant partners with the Middle Market Client Managers to drive retention and growth by helping clients optimize the value they realize from Cigna's products and services.
They do this through execution and coordination of activities in support of client operational, health & wellness and service needs.
Essential Functions & Scope of Role:
* Support Middle Market Client Manager's strategic selling approach that best demonstrates Cigna Healthcare's value
* Develop/Maintain a 'Trusted Partner' relationship with Client Managers
* Fully understands client needs, develops and executes (in conjunction with internal partners) on actions that addresses the client issues
* Maintain in-depth knowledge of Cigna products/solutions/services across all product lines (Dental, Behavioral, Pharmacy, Medical, Clinical, and Wellness & Incentives)
* Effectively leverage Expert Advisors (e.g.
Client Service Executive, Implementation Manager, Strategic Wellbeing Advisors and others) to deliver on client expectations
* Ensure all communications are clear/concise and delivered in a timely and consistent manner aligning with Cigna's strategy and value proposition - may require broad organizational collaboration, influence, and escalation
Qualifications
* Bachelor's degree preferred.
* Experience in health-related industry required; to include many or all the following: product knowledge, sales practices, account management and knowledge of administrative operations.
* Knowledge of Cigna funding options, benefits structure, and platforms are preferred.
* Ability to manage through systems and influence both external clients/brokers and internal matrix partners.
* Salesforce & KnowledgeXchange experience preferred.
* Strong Word, Excel, PowerPoint, SharePoint, Outlook skills required.
* Strong oral and written communication skills required.
* Strong presentation skills required.
* Demonstrated planning/organizational skills; ability to plan for both the long and short term; ability to work on many issues at once and to prioritize work required.
* If residence is in WVA, FL, TX: Ability to obtain Health & Life Insurance license
* Must reside in local market and have ability to regularly commute to local Cigna office.
Competencies:
* Manages Ambiguity: Operating effectively, even when things are not certain or the way forward is not clear.
* Decision Quality: Making good and timely decisions that keep the organization moving forward.
* Action Oriented: Taking on new opportunities and though challenges with a sense of urgency, high energy, and enthusiasm .
* Plans and Aligns: Planning and prioritizing work to meet commitments aligned with organizational dynamics.
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 o...
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Type: Permanent Location: Raleigh, US-NC
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:51
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Aligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the new business market leader for dental and vision products.
The DSE is responsible for selling dental and vision products within their aligned market space.
Distribution of these products are through three main channels, dental/vision standalone; packaged with medical; and upselling off existing medical relationships.
The aligned DSE will need to find the best path to maximize all distribution channels.
The individual needs to be very knowledgeable of our dental and vision line of product and services.
This is a 'hunter' role and requires a minimum of five years of industry experience.
Market Strategy Responsibilities
* Sell new dental and vision business within aligned market assignment.
Assume singular responsibility for overall dental growth plan, balancing membership needs and profit levers
* Meet or exceed growth plan as measured by new membership.
* Manage the dental sales process for all opportunities to identify the pathway to win and develop a strategy that drives the best outcome.
* Consult on vision sales opportunities.
* Review and respond to RFP's by coordinating with internal matrix partners (underwriting, proposal unit, network etc.).
Externally present financials and capabilities to the market.
* Oversee implementation of new dental and vision accounts.
* Develop and execute a business development plan focused on dental and vision.
Plan should be focused on broker development, prospecting and building a strong market presence.
Collaborate with aligned Cigna Healthcare Middle Market sales team; develop and implement short and long-term sales strategies for local market; focus on brokers/consultants, prospecting and driving vertical growth (Government Sector, Hospital and more).
* Develop and execute a prospecting plan focused on the following verticals: Government & Education, Hospital and other avenues.
* Attend Monthly Business Review sessions with matrix partners, review pipeline, discussion broker development plans and prospecting efforts.
Use this meeting to discuss any marketplace needs that are needed to succeed.
* Use insight into customer needs, local competitive landscape and independent judgment to work with the Dental Organization to drive industry leading Dental Products, Networks and Pricing.
* Build collaborative partnerships by actively participating in local market management discussions (e.g., growth calls, local strategy development meetings, etc.)
* Understand competitive and market-level dynamics and implications; independently recognize those that must be brought back to Dental Senior Management Team
* Maintain all-encompassing knowledge and proficiency in CIGNA Dental's products and capabilities;accomplish this through attendance and active participation in ongoing monthly dental information sessions, monthly dental operating ...
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Type: Permanent Location: Westerville, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:50
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Home Infusion Nurse (RN) - Per Diem:
Candidates for this position should be available at least 2 days a week, and must be comfortable traveling as far as Port Angeles or Olympia (ALL travel time is on the clock , plus mileage reimbursement of $0.70 per mile).
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in WA.
Must have an RN licensure in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel within a designated area
* Ability to do patient visits 2-3 days per week (mostly on weekdays, but may require some evening or weekend visits)
* Flexibility to work different shifts on short notice
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 36 - 61 USD / hourly, depending on relevant factors, including experience and geographic location.
About Evernorth Healt...
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Type: Permanent Location: Bremerton, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:49
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Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.
Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.
Our Evernorth Workplace Care solution isn't a one-size-fits-all model.
Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience.
Evernorth Workplace Care - Personalized Care Where You Are
RN Bilingual Onsite Health Coach - Evernorth - Miami FL
Here's how you will help our patients:
• Provide onsite face-to-face customer coaching and support.
• Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna/Evernorth 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.
Expected Credentials to best serve our patients:
• Active and unrestricted RN license in Florida, 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
• Bilingual Spanish
• 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 a...
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Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:48
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* Delivers basic technical, administrative, or operative Pharmacy tasks.
Assists pharmacists in filling orders and preparing labels.
Obtains new prescriptions and prescription refill information from customers.
Tracks utilization/inventory and may provide standardized summaries and reports.
Understands simple instructions and procedures.
Performs Pharmacy Technician duties under direct instruction and close supervision.
Work is allocated on a day-to-day or task-by-task basis with clear instructions.
Entry point into professional roles.
Remote position that must reside in Indiana.
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help patients? We're looking for Certified Pharmacy Technicians to join our pharmacy team.
If you've worked in Pharmacy Operations before, this role is different - you'll take your knowledge and expand it beyond your belief.
Take a break from a retail environment, enjoy a set schedule, and enjoy the satisfaction of helping others!
The Front-End Pharmacy Technician functions involve responsibility to perform data entry or other pharmacy queue work, typical of a registered pharmacy technician.
What you'll do:
Be a superstar in the eyes of providers and patients.
Pay attention to detail: Translate prescriptions from the prescriber and enter information in the patient's profile in accordance with state regulations.
Be a team player: Work with pharmacists per work instructions, policy and procedures, management direction or any national or state regulations.
You'll start with training, but you're not doing it alone.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
You'll ensure quality assurance, report adverse events, and assist with prescriber and patient outreach.
What you need to do the job:
High School Diploma or GED required.
1 year of relevant pharmacy knowledge as well as prescription order entry experience.
1 year of pharmacy technician experience.
Current State Pharmacy Technician license required
Basic math and computer skills including Windows navigation, Microsoft applications, internet, and email required.
Strong verbal and written communications skills
Ability to learn internal systems, processes and programs as needed.
Work Schedule:
Monday through Friday - 8:30 AM to 5 PM EST 4 days a week with 1 assigned late shift at 11:30 AM to 8 PM during the week.
Start Date:
April 14th, 2025
Why you should join our team:
Benefits that start on day 1
18 PTO days accrued + 8 holidays off/year
Tuition reimbursement
401K match
Consistent 40-hour work week, Monday - Friday
Voluntary Overtime
Real clinical focus on pharmacy skills (i.e.
not just using the cash reg...
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Type: Permanent Location: Indianapolis, US-IN
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:48
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Strategic Account Executive Job Description
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 succ...
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Type: Permanent Location: Baltimore, US-MD
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:47
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POSITION SUMMARY
Our Health Services Organization is comprised of a national network of wholly-owned home delivery pharmacies and patient care contact centers.
The Resource Management team helps the contact center team achieve its business goals by optimizing operational performance.
This is accomplished using a shared service model with specialized advisors who provide business data insights and analytics support in order to ensure exceptional service outcomes for our members and clients.
Accurate demand forecasts are essential for managing the cost and quality of the service we provide to our customers.
As the Resource Planning Advisor, you are responsible for long range forecasting, project analysis, consolidation of actual volume and cost information and ad hoc analytical support.
The Resource Planning Advisor collaborates with finance, operations partners and others to ensure the accuracy of our financial results, variance drivers, and risk mitigation plan.
This is a high visibility role that works across the contact center leadership team.
The position requires good forecasting skills, the ability to develop effective partnerships within the team and across the organization, and the analytical expertise to deliver forecasting models that are both statistically sound and easily explained.
Candidates who reside within 50 miles of the following locations will require the flexibility to perform onsite 3 days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ.
What you will do
* Developing and managing long range volume and expense forecasting models and monitoring operational performance.
* Analyze customer data such as contact volume, communications, and client or internal business changes, maintain and improve inbound member call forecasting models.
* Partner with teams across the broader enterprise to understand operational processes and requirements, and to identify continuous improvement strategies.
* Leverage data and predictive analysis to clearly articulate problems and influence decisions that support the strategic direction.
* Advise senior management of potential budgetary risks and coordinate with appropriate departments to resolve gaps, output issues, or other problems.
* Ensure that month end financial close is accurate and timely, working with workstream leaders, accounting, and finance.
* Consolidate data from numerous systems into a single source of truth.
* Communicate key information across the enterprise to build awareness of volume, metrics and significant variations in performance.
* Identify and implement technology to automate and improve the forecasting process.
What you will need
* BA/BS in Finance, Accounting, Economics or related field preferred
* 5+ years progressive workforce planning experience in contact center environment preferred- long/mid/short range forecasting, RTA, capacity planning, scheduling, etc.
*...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:46
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Role Summary
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
* 5+ 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 u...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:45
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The Warehouse Associate Representative is responsible for performing tasks related to receiving products, stocking and replenishment, and inventory control.
This includes safely unloading trucks and unpacking received product, comparing the purchase order to the product received for accuracy, counting quantities of product received and ensuring the quality of the product is at an acceptable level, and removing damaged or non-conforming product using data entry and retrieval devices to record receipt transaction.
Shift available:
* Monday - Friday 1:00 PM - 10:00 PM
What you'll do:
* Unpack safely and evaluate incoming products for correct count and condition in comparison to purchase orders
* Operate material handling equipment and hand tools such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc.
Safely to unload trucks and stock the warehouse/pharmacy
* Transfer material safely from the receiving area to warehouse or dispensing locations and ensure proper stock rotation-utilizing PDAs to update the inventory system
* Enter data accurately and retrieve using computers, and scanners (PDA)
* Bin and shelf inventory maintenance and stock rotation-including shelf counts, short shelf life and expired product audits
* Communicate discrepancies or issues as they occur to the appropriate personnel
* Maintain organization and cleanliness of assigned workstations and areas
* Basic Computer knowledge, Microsoft Office: Excel, WORD, Outlook, Share Drive
* Other duties as assigned.
What you need to do the job:
* 0-1 years relevant work experience
* Ability to accurately compare two sets of data.
* Basic math, organization, computer, and communication skills
* Ability to do repetitive bending, squatting, standing, walking, pushing, pulling and hand motions.
* Willingness to work a flexible schedule to accommodate heavy work volumes.
* Ability to walk/stand for full shift
* Bend, stoop, and lift up to 50 lbs
* Ability to read and differentiate small print
* Should have a strong background in warehouse clerical work.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identi...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:44
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POSITION SUMMARY
Delivers straightforward administrative and/or other basic business services in Enrollment/Billing.
Provides financial related support for banking and/or billing related functions to new and/or existing accounts.
Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts.
Works with internal/external customers, banks, vendors, and/or partners to resolve issues.
May create, analyze and respond to standard and/or non-standard reports.
Bills and/or collects outstanding/delinquent payments or issues payments.
Audits accounts for compliance.
Supports mid to large markets.
Issues tend to be routine in nature.
Good knowledge and understanding of Enrollment/Billing and business/operating processes and procedures.
Works to clearly defined procedures under close supervision.
ESSENTIAL FUNCTIONS
* Prepares and reviews claims to ensure billing accuracy.
* Pursues collection activities to obtain reimbursement from payers and/or patients.
* Frequent follow up with payers and/or patients on outstanding accounts.
* Escalates delinquent and/or complex claims to Sr.
Billing & Reimbursement Specialists for appropriate action.
QUALIFICATIONS
* High School Diploma or GED Required.
* 2 + years Call Center and Medical Billing & Collections experience preferred.
* PC Skills including Microsoft Outlook, Excel, Word and Internet .
* Detail oriented and strong organizational skills.
* Focus on quality and service.
* Demonstrated ability to meet multiple deadlines and manage a heavy workload.
* Integrity to handle sensitive or confidential information is critical.
ABOUT THE DEPARTMENT
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.
In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.
NOTE : We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired connection.
A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
Training Hours: 8:00am - 4:30pm M/F
Working Hours: Flex start 7:00am - 9:00am M/F
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, ...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:44
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Pharmacy Underwriting Development Program (PUDP) 2026 Class
Please note: This position will not start until January 26th, 2026.
Are you looking for a career that will directly impact business outcomes and earning results?
If you're looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within Evernorth's PBM Finance Underwriting team at The Cigna Group will allow you to do all this and more.
As part of our Underwriting team, you will directly impact our business on a daily basis , protecting The Cigna Group' s sound financial position which enables us to meet our financial commitments to our customers.
The Risk & Underwriting Senior Analyst role will be responsible for all underwriting activities in supporting Sales and Account Management (SAM) for renewing and new sales clients.The Risk & Underwriting Senior Analyst will develop client-specific pricing strategies with competitive offers in the marketplace for all requests.
These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks.The associate will also provide underwriting support for all ad hoc analyses ( i.e.
evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact .
Our training program will allow you to gain in-depth knowledge of the Pharmacy Benefits Management (PBM) Industry and our specific underwriting methods.
What you'll do:
* Provide underwriting support to Sales and Account Management (SAM) for renewing and new sales clients by developing client-specific pricing strategies with competitive offers in the marketplace for Request for Proposals (RFP), Direct Renewal and Market Checks.
* Provide underwriting support to SAM for all ad hoc analyses which have a potential financial impact .
* Provide support related to contracting process and install process for renewing and new sales clients.
* Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with Pricing Guidelines.
* Ensure consistent approach to market and Benefit Advisors
* Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin
Qualifications:
* Bachelor's degree required .
Preference for the following major and/or minors are preferred: Risk Management, Economics, Statistics, Mathematics, or Finance
* Preferred GPA of 3.0 or higher
* 0-3 y ears of relevant work experience
* Relevant internship in related field preferred (Risk Management, Economics, or Finance or similar)
* Ability to make good and timely decisions by interpreting and applying understanding of key financial indicators
* Excellent verbal and written communication skills
* Ability to learn through experimentation when tackling new problems
...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:43
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The job profile for this position is Infrastructure Engineering Senior Advisor which is a Band 4 Career Track Role with eviCore healthcare MSI, Inc.
Responsibilities:
* Design and enhance DevOps tools and practices.
* Interact with various functional groups such as engineering, Quality Assurance, Client Services, and Product Owners to ensure efficient configuration management, build, release, and deployment of tools.
* Continuously improve processes, enhance security, and automate day-to-day DevOps activities, including intake, managing priorities, and deliverables.
* Work with Development, IT, Operations, and Infrastructure teams to support ongoing development efforts and new initiatives.
* Review and enhance existing security practices related to code management, access management, and release/deployment practices.
* Administer tools such as Gitlab or Git Actions, Azure DevOps, Nexus, Dynatrace or other monitoring tools.
* Create projects and automated builds in tools such as Gitlab, Git Actions, or Microsoft Azure DevOps.
* Troubleshoot and resolve Kubernetes deployment and configuration issues in various cloud environments.
* Maintain the health of resources in Azure cloud.
Collaborate with Cloud Architects to design and build High Availability and Disaster Recovery (HA/DR) and scalable infrastructure.
* Research new state-of-the-art tools and ideas for possible adoption to enhance DevOps.
Design and enhance Continuous Integration (CI) and Continuous Delivery (CD) frameworks.
* Design and maintain Terraform templates to provision resources and pipelines in Azure.
Enhance CI/CD tools and processes to enable easy and rapid adoption of new projects and teams.
* Partner with cross-Enterprise DevOps teams to enhance CI/CD tools and processes and to standardize the processes when possible.
* Virtual/Work from home benefit (hybrid schedule) available.
Qualifications:
* Master's or foreign equivalent degree in computers or engineering plus three years of experience in software development or systems analysis or a bachelor's or foreign equivalent degree in computers or engineering plus five years of experience in software development or systems analysis.
* Must have experience with: Designing and implementing container-based API's using Docker and Kubernetes; Partnering with DevOps teams to enhance CI/CD tools and processes; Implementing High Availability between data centers; Disaster recovery planning and implementation; Design and implementation of CI/CD on Kubernetes / Azure cloud platforms using Git-Actions or Azure DevOps; Identifying and troubleshooting application performance issues using Dynatrace monitoring tool; Provisioning Cloud and AKS Infrastructure; Configuration management and application-deployment using Terraform or Ansible playbooks; Deploying applications to environments and providing production and application support for Java SpringBoot or TBICO ap...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:42
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Please note: This hybrid role will require the incumbent candidate to come into the Sunrise, Florida Cigna office 3 days per week.
The Sales Client Account Support Senior Analyst role provides professional input to Client Services assignments and projects for a designated book of business.
This role delivers specific delegated tasks in managing a moderately complex book of business as assigned by the manager.
Accountable to proactively manage, respond and address client and broker inquiries through service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth.
The ideal candidate will have demonstrated experience and ability to manage all services aspects of Client Account service delivery, product offerings, funding types and platforms for assigned accounts within a market/region.
This includes managing business relationships, delivery of moderately complex client and broker requests, using independent judgment and discretion, proactive service support and management of sensitive cases.
Key responsibilities will also include facilitating root cause analysts and issuing resolution across matrix lines.
Responsibilities:
* Serve as primary point of contact for a designated book of business and responsible to service excellence for clients and broker partners that include handling day-to- day service related needs, proactive issue identification, resolution and root cause analysis.
* Coordinates with manager and/or account manager to meet clients' needs and ensure potential problems are averted.
Keeps account manager informed of account status and opportunities for expanded business.
* Attend geographically assigned local market client/broker meetings
* Completes day-to-day Client Account Support tasks without immediate supervision, but has ready access to advice from more experienced team members.
Tasks involve a degree of forward planning and anticipation of needs/issues.
Resolves non-routine issues escalated from more junior team members.
* Builds strong relationships with the client/broker, proactively identifying the needs of the customer and satisfying the customer in a timely manner.
Makes on-site presentations to existing and prospective clients to educate and inform on products as required and in support of client retention.
* Exhibits expert knowledge and understanding of moderately complex processes, compliance and regulatory requirements and can effectively apply in a fast- paced environment.
Understands multi-product and benefit options for dual systems, platforms, funding types.
* Provide support for designated Client Service Operations Lead team on all issues and initiatives related to resolving issues or delegating to matrix business partners as needed.
* Accountable to collaborate with the Sales team to understand the products, benefits and services for sold cases.
Make independent decisions and present proac...
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Type: Permanent Location: Sunrise, US-FL
Salary / Rate: Not Specified
Posted: 2025-04-03 08:59:41
