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RN - Care Coordinator - Evernorth Direct Health
EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines:Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.
Evernorth is built on the recognition that health makes progress possible.
Our health services are designed to redefine healthcare as we know it.
But we can't do it alone.
True change takes all of us, united in a shared vision.
Health is what drives us.
But it's just the start.
Together, we can solve the problems others don't, won't or can't.
Sound like you? Great! Here's more on how you'll make a difference :
* Identify and refer appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.
* Support Care Coordination of the individual customer.
Coordinate the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner.
Refer to appropriate clinical partners (i.e.
complex case management and/or Specialty Case management).
* Partner and function as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources.
* Provide onsite face-to-face customer coaching and support.
* Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna clinical programs or client specific programs as clinically appropriate.
* Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
* Empower customers to become an active participant in their own health outcomes.
* Assist customer in overcoming barriers to better health.
* Lead and support a variety of health and wellness promotional activities, such as group coaching, wellness challenges and health-related seminars.
* May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
* Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
* Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
* Partner and coordinate with health management matrix partners for additional engagement and promotion opportunities.
* Support established process and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.
* Assure and maintain timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population.
* Communicate clearly with all matrix partners an...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:32
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The State Government Principal, reporting to the State Government Affairs Senior Director in the North Region will be a key contributor to the Government Affairs team supporting the success of The Cigna Group.
The ideal candidate will have a mix of experience, including legislative, regulatory and direct lobbying experience.
Knowledge of the healthcare industry including insurance and pharmacy benefit management or another highly regulated industry is critical.
The preferred candidate will demonstrate the ability to operate at a highly changeable, strategic, and collaborative level.
This is both an external and internal role.
Primary Responsibilities:
* Analyze and monitor critical state government trends, proposed legislation, regulations and industry issues in order to support a favorable business environment for the enterprise.
* Analyze and recommend company positions on various state legislative and regulatory proposals and other administrative action and emerging issues.
* Represent The Cigna Group's interests with state elected officials and regulators at all levels, including Governors, senior administration and agency staff, Commissioners of Insurance, Attorneys General, and state legislators.
* Provide information related to current legislative, regulatory, and other government activities to senior staff as appropriate and communicate effectively with appropriate enterprise partners.
* Working with enterprise partners by leading regulatory inquiries, ensuring timely, thorough, and well-documented responses to regulatory inquiries.
* Act as a resource to enterprise partners in compliance and regulatory initiatives and activities.
* Collaborate with sales and account teams to support clients by providing government relations expertise and oversight related to securing and retaining business.
* Represent The Cigna Group in state and national industry associations and business organizations.
Manage relationships to facilitate and strengthen company influence.
* Manage special projects, developing action plans and managing completion.
Minimum Qualifications:
* Bachelors degree.
* 5+ years of experience in legislative analysis, lobbying, and/or direct regulatory interaction or equivalent experience.
* Excellent communication, interpersonal and negotiation skills, including the ability to effectively interact with and influence a variety of enterprise management, market, account teams, retained counsel, state legislators, state regulators, and trade and business associations.
* Demonstrated ability to manage retained counsel and trade and business association relationships.
* Knowledge of client products, ability to analyze legislative and regulatory proposals, recognize potential impact of legislation and communicate with business partners of affected areas.
* Strong analytical and problem-solving skills.
* Ability to work independently, exercise judgment, an...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:30
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Health Coach - Behavioral Health - Bilingual Spanish - Dallas TX
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 demon...
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Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:29
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JOB SUMMARY
The Business Analytics Senior Advisor will be responsible for the business and financial support for Express Scripts Pharmacy Drug Sourcing.
Through technical expertise and cross-functional partnership, they will provide counsel and make recommendations on significant Drug Sourcing and broader Supply Chain matters.
This role also requires a continuous-improvement mindset which will be demonstrated through implementation of new technical products, processes, standards, and operational plans that will have an impact on the achievement of functional results.
ESSENTIAL FUNCTIONS
* Act as SME for Strategic Drug Sourcing data and analysis components by translating business needs into enhanced or automated solutions.
* Create cross-functional partnerships across Supply Chain and ESI/Cigna that further the goals of Supply Chain and Drug Sourcing.
* Conceptualize, model, and maintain in-depth analysis supporting various functions across multiple Drug Sourcing teams.
* Prepare and present analysis to support problem-solving; supplement leadership with rapid insights in support of strategic business decisions.
* Execute ad hoc requests to support business initiatives and various "what if" scenarios.
QUALIFICATIONS
* Bachelor's Degree highly desired, Master's degree preferred
* At least 5 years of related work experience with experience in PBM, Pharmaceutical, or Healthcare industry preferred
* Demonstrated ability to influence, persuade, and collaborate with audiences at various levels of experience and responsibility
* Proficient in Teradata SQL, Excel, PowerPoint, and Tableau; experience in Alteryx highly desired
* Strong data management and technical skills with experience in finance data and forecasting preferred.
* Analytical, highly organized, able to work with some direct supervision, and motivated to meet deadlines
* Excellent communication skills; both oral and written.
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 109,500 - 182,500 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, 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 program...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:28
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Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel to patients' homes within a large geographic region
* Ability to work 40 hours a week (can include days, evenings, and weekends, per business need)
* Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 76,900 - 128,100 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 why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on...
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Type: Permanent Location: Rochester, US-NY
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:27
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Role Summary
Partner with Sales Representatives to drive and coordinate aspects of new business and existing business (retention/growth) opportunities for the O500 Buyer Group.
Integral in driving membership and revenue growth by establishing plan design solutions, including benefit interpretation, identification of non-standards to Cigna benefit administration, proposing alternatives, and adhering to legislative compliance.
Must thrive in a fast-paced, dynamic and evolving environment that relies heavily on strong team work within the core and extended enterprise.
Using independent judgment and discretion, recommends changes in processes related to support of new and existing business.
Mastery level of proficiencies in the following:
Role Components
• Analytical review of data to determine viability of a prospect
• Effectively communicate with brokers to obtain critical data elements and negotiate timing
• Strategize with Sales partner on funding and benefit solutions specific to client needs.
Make recommendations based on industry, benefits and product knowledge.
• Determine benefit intent and partner with underwriting in the development of a quote
• Creation and maintenance of Opportunities in SFDC, including sculpting benefits in the Benefit Sculpting Tool, applying Legislation/Compliance and coordinating all Performance Guarantees
• Support development of financials, including review of translation factors, benefit/plan design solutions, network solutions, understanding financial risks and caveats
• Initiation of all SFDC activities, participation in Strategy/LCR calls, and collaboration with the Sales Team, Proposal Unit, and other enterprise partners.
Involvement will ensure accuracy, thoroughness, and high quality proposals, best positioning Cigna to win.
• Initiate and coordinate with respective business units for other lines of coverage (Alliance, Allegiance, Behavioral, Group, International, Payer Solutions, Voluntary, Seniors, Wellness, etc.)
• Project Manage RFP process as the Primary Contact for all engaged business units
• Review & coordinate all deliverables (Financials, Questionnaires, Benefit Summaries/Plan Designs, Performance/Discount Guarantees, Repricings, Disruptions, Geos, exhibits, etc.) meeting all internal/external deadlines
• Stays abreast of new product initiatives (Sales Wire) as they are introduced as well as a lens on health care industry-specific impacts as a result of ongoing changes to PPACA, including but not limited to potential changes to related sales processes.
• Act as a SME (Subject Matter Expert) to help identify gaps and incorporate changes into the Presale process.
Qualifications
• BA/BS highly preferred or equivalent experience
• 2+ Years of Presale experience preferred.
• Background in Insurance, Healthcare, Employee Benefits, Sales, Finance, Underwriting & Risk, Account Management, Project Management, Consulting Services
• Advanced knowledge of ...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:27
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Does your DREAM JOB involve WORKING FROM HOME and HELPING OTHERS? Join CIGNA! We want to change health care to make it more affordable, personalized, and focused on helping the whole person.
In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from health care professionals and assist them with the medication prior authorization process, by delivering straight forward administrative and/or other basic business services in Pharmacy Operations
A successful candidate will be able to interact effectively and efficiently with health care professionals using excellent interpersonal and listening skills, critical thinking, and problem-solving skills.
The ability to multitask and use computer-based resources effectively is essential.
Confidently able to educate and provide accurate responses to inquiries is crucial for success.
As a Prior Authorization Representative, you will be part of a dedicated team which provides information regarding pharmacy benefits and drug coverage.
This crucial role is on the front lines with healthcare professionals, responding and addressing each phone inquiry with care, detail, and most importantly, empathy.
Primary Responsibilities
* Collection of structured clinical data for prior authorization and non-formulary exception requests following the guidance provided in our online prior authorization tools and corresponding forms.
* Initial screening of requests based on guidance given by online prior authorization tools.
* Approves prior authorization requests if the data collected meets the approval specifications.
* Refers prior authorization requests that do not meet the approval specifications to a clinician for review.
* Independently responds to contacts ranging from routine to moderate complexity.
May seek assistance with health care professionals for service issues of substantial complexity.
* Performs research to respond to inquiries and interprets policy provisions to determine the most effective response using established departmental procedures, HIPAA regulations, and corporate policies
Qualifications
* High School Diploma / GED
* 1+ years of call center experience
* Prior work from home experience
* Prior medical or pharmacy knowledge
* Reliable high-speed broadband internet, hard-wired connection.
10 Mbps for download / 5 MBPS for upload
* Quiet and private space designated for work without interruption.
* Excellent Customer Service
* Excellent interpersonal communication, attention to detail, and critical thinking skills are essential.
* Excellent computer skills, with familiarity of Microsoft office and have a working knowledge of Windows operating system.
* Tech savvy, with the ability to easily navigate across multiple screens and applications.
* Must work any schedule between 8:00am - 9:00pm EST.
* Training Schedule is 9:00 am - 5:30 pm EST, Monday through Friday for 4 ...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:26
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The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities-
Be part of an Agile team of software engineers developing and maintaining payment applications used to pay member balances, manage user payment methods, and place orders.
Gather requirements, design, develop, and test all phases of the software development lifecycle, develop web pages using HTML5, CSS3, JavaScript, and React JS, and utilize redux for state management.
Implement responsive design and develop responsive applications that can be transferred to desktops, tablets, and mobile users.
Use React final form to build forms and JOI library to validate input fields, implement micro front ends to improve performance, and bundle and deploy static applications to serve the static content.
Involved in the development and implementation of applications using Spring and J2EE framework.
Implement REST-based Micro Services using Spring Boot and utilize various core Java concepts such as Multi-Threading, Exception Handling, and Collection APIs to implement various features and enhancements.
Use Log4J to capture logs, implement Log4j to maintain the system logs, and build applications and manage dependencies using MAVEN.
Deploy Spring Boot applications, be involved in technical mentoring, production system support, customizing solutions, and monitor application performance and troubleshooting issues.
Create synthetic monitors in Splunk, NewRelic, Dynatrace, and Kibana for React and Spring applications, collaborate with cross-functional teams to ensure the smooth integration and delivery of applications, and be involved in sprint planning, refining stories and retrospectives, and helping the team with requirements.
Participate in meetings to determine requirements, develop strategies, and implement various security auditing processes and PCI auditing.
Hybrid work schedule.
The salary for this position is $189,592.00 per year and this role is eligible for standard company benefits.
Qualifications-
Requires Bachelor's degree or foreign equivalent in Computers or Engineering and 5 years of experience as a Software Developer or related position (or Master's degree or foreign equivalent in Computers or Engineering and 3 years of experience as a Software Developer or related position).
Must have experience with or knowledge of: healthcare interface standards; JavaScript; Node technologies; ES6; Spring Boot; React JS; RESTful services; AWS; Docker; Maven; agile methodology; APIs; and Babel.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 127,400 - 212,300 USD / yearly, depending on relevant factors, including experience and geogra...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:25
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As part of Cigna's Risk Management and Underwriting (RMUW) organization, the Client Strategy, Consulting and Analytics organization is committed to providing our external clients with analytical reporting and consultation that is relevant and actionable.
The Client Strategy, Consulting and Analytics organization provides insights that enable employers to make strategic decisions regarding Cigna's products and services.
Our ability to present findings and suggest service offerings to our clients will be critical to the achievement of our enterprise growth goals.
As a National Health & Benefits consulting Senior Advisor, you will have a highly visible role, both internally and externally, as your primary responsibility is to conduct research for client, articulate findings and work with them in a consultative manner.
You will be responsible for advising a book of National accounts.
Through the use of internal analytical tools, you will be expected to work with our Sales teams to set up customized analytical presentations to be delivered to the client (typically in person), on mutually agreed times throughout the year (typically quarterly).
The goal of these presentations is to provide our clients clear insight as to what is driving their results and create insights-driven recommendations to help mitigate their trend and improve the wellbeing of the client population.
In this role you will be expected to be the external face of Cigna's analytic capabilities and consultation to the client.
Client meetings typically consist of customized presentations for the desired time period where you will be the primary presenter to a larger group consisting of internal sales and team management, external consultants and the client.
Your goal is to be a trusted analytic partner by combining your expertise in the business of healthcare with your data skills.
This position will allow you to blend creativity, analytical, and technical competencies, relentless problem solving, and business acumen to positively influence the health of a large sized client's population, demonstrate Cigna's value proposition, and become a trusted analytic partner.
Additional ad hoc and special projects for the clients you manage are also common.
Knowledge of analytical tools such as SAS, SQL and experience with CCW system, Tableau, and PowerBI is beneficial.
What we need from you:
Consultative analysis of client data:
* Prepare clear, concise and actionable client-specific reporting that will be presented to external audience.
The goal is to not only explain client performance, but provide meaningful consultation aimed to deflect future spending.
* Combine large volumes of data into meaningful conclusions by utilizing a variety of business intelligence tools and data sources.
* Conduct analyses across various data domains such as medical claims, pharmacy claims, eligibility, etc.
* Create analyses that drive overall strategy and demonstrate Cigna's value prop...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:24
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The Cigna Group's Investment Management (CIM) team manages assets exclusively for The Cigna Group's employee benefits and shareholder portfolios by leveraging expertise in public securities, private placements, commercial mortgages, equity real estate, capital markets products and alternative asset-class investing to deliver superior investment returns.
The Investment Management group develops well-rounded investment professionals by offering assignments that expose individuals to a variety of disciplines and opportunities throughout our business segments.
The Investment Management Summer Experience offers interns :
* The availability of on-the-job training and exposure to the investment management business, clients, products and strategy
* Challenging assignments provided across a wide range of investment products and groups
* The opportunity for visibility with senior management
* One-on-one learning with investment professionals, who will share their knowledge, experience, and assume roles as Individual coaches and mentors
* Community Service outreach opportunities
Potential Areas of Summer Internship Focus Include
* Alternative Investments
* Fixed Income
* Portfolio Management
* Public Securities and Trading
* Real Estate
Preferred Qualifications
* Progressing towards a degree in Business, Economics, Finance, or other quantitative discipline
* Excellent academic credentials (3.3+ CUM GPA)
* Demonstrated leadership capabilities
* Outstanding problem-solving, analytical and interpersonal skills
* Superior written and oral communication skills
* A strong desire to pursue a challenging career in investments or finance
Additional Information:
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 temporary internship is open only to individuals who are eligible for employment in the United States and who would not require visa sponsorship now or in the future.
Location: Bloomfield, Connecticut
Schedule: 40 hours a week (8AM - 5 PM), Monday - Friday during the summer months (late-May until early-August.
Hybrid: In office Monday - Wednesday and work from home Thursday and Friday
Market Range : For this position, we anticipate offering an hourly rate between $25.00-$28.00 / hr depending on relevant factors, including experience.
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 t...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:23
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The Product Strategy Senior Advisor will be focused on Emerging Solutions as new program opportunities and will have responsibility for product strategy development and refinement of new product solutions for Express Scripts/Evernorth while also driving strategy and innovation tied to existing products.
This may include clinical solutions, affordability solutions, and alternative value solutions.
The Sr.
Advisor will optimize product performance, grow product sales, develop new solutions, collaborate with marketing on creation of market facing materials, and coordinate with product operations, finance, data, technology, and operations teams.
This role reports to the Product Strategy Director of Affordability and Emerging Solutions, an integral part of the PBM and Supply Chain Product organization of Express Scripts, with responsibility to drive connected solutions across our Evernorth platform (medical, behavioral, pharmacy, care solutions and care delivery).
The Senior Advisor will collaborate and influence product teams and other product leaders to ensure we deliver high value solutions to the market for our clients and patients while helping the company achieve growth and financial objectives.
Responsibilities also include vendor-related contract management, business case development and presenting our solutions and strategies to all levels of leadership, and collaboration with account management and external clients and vendors.
ESSENTIAL FUNCTIONS:
* Evaluate market trends, needs, and value drivers that present opportunities for Express Scripts/Evernorth to deliver improved affordability, value, clinical outcomes, and engagement for our customers
* Strategy and business case development: Evaluate opportunities, design and pitch product strategy and solutions that will drive market value and ROI
* Monitor product performance: Define and measure key performance metrics and conduct growth opportunity analyses in partnership with product operations, finance, customer experience, insights, and analytics teams
* Go-to-market planning: Collaborate with sales enablement, marketing and customer experience teams to create robust launch plans and supporting materials
* Solution Innovation: Work with key matrix partners to determine the next generation of product solutions
* P&L Approach: Share accountability for solution penetration and overall earnings contribution
* Ability to work and influence cross-functional partners to achieve key initiatives and corporate goals
* Responsible for tracking financial and program outcomes; understand levers that exist to update product strategy accordingly
* Understand and ensure compliance with vendor contracts
* Present product solution offerings to internal client facing teams
* Drive go-to-market strategy to ensure consistent and accurate messaging
DESIRED COMPETENCIES:
* Customer Focus - Is dedicated to meeting the expectations and requirements ...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:22
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RN Health Coach- Evernorth-Durham, NC
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.
Here's more on how you'll make a difference:
* Provide onsite face-to-face customer coaching and support, with a focus on stress, anxiety, depression and other challenges.
* Perform Stress, anxiety and depression screening
* Identify customer health education needs through targeted health assessment activities.
* 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.
What we expect from you:
* Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
* RN required
* Current ACLS/BLS/CPR/AED Certification
* High energy level, with dynamic presentation skills is required.
* Positive role model in demonstrating healthy behaviors
* Passion for health improvement
* Ability to work independently
* Customer-centric focus
* Ability to proactively collaborate professionally with the client and other matrix partners.
* Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
* Proven administrative abilities, with strong computer and software application skills.
Bonus points for:
* Behavioral Health experience including stress reduction
* Masters degree in psychology or related field is preferred
* CHES (Certified Health Education Specialist)
* Motivational interviewing training/experience.
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 mak...
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Type: Permanent Location: Durham, US-NC
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:22
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Role Summary:
The Dedicated Well-Being Coordinator is responsible for developing short- and long-term well-being strategies to support a culture of health for a Government and Education client, utilizing Cigna and third-party resources to influence and support the implementation and growth of well-being programs.
The Dedicated Well-being Coordinator works closely with their client, organizational leaders, and their matrix partners, the Cigna Organization Strategy/Health Engagement team, the Cigna account team, and internal matrix partners to support and implement a total population well-being solution.
This is a hybrid role, but you will be expected to be at client sites up to three days per week.
General Responsibilities:
* Partner and collaborate with Cigna account team, the Client, and vendor partners to develop, communicate, and execute a well-being strategy that supports healthy behaviors and drives healthy outcomes.
* Conduct regular assessments of key analytics, track impact, and evaluate strategy to determine progress and evolution toward a culture of well-being; communicate findings to internal leaders and external stakeholders.
* Develop an intimate understanding of the client's culture and identify opportunities to embed well-being into diverse client environments.
* Identify opportunities and partner with the Client Benefits and Wellness team to implement systemic and sustainable well-being integration into the broader organization.
* Partner with the client to provide well-being support, programs, and decisions.
* Identify opportunities for health awareness and engagement, and to drive utilization of the client's suite of health, benefits, and well-being offerings.
* Leverage community partnerships to support client goals, including initiatives related to social determinants of health, diversity and inclusion, health, and holistic well-being.
* Support developing and deploying well-being communications, campaigns, challenges, and activities.
* Understand organizational trends and opportunities and leverage available data sets to drive innovative population health strategies.
* Coordinate well-being events, challenges, campaigns, and well-being seminars/webinars
* Support well-being events/fairs, biometric events, etc.
* Partner with Cigna peers to share best practices and opportunities to drive best-in-class services to our clients.
Skills and Characteristics:
* High energy, innovative, and naturally curious.
* Skilled in strategic thinking and strategic planning.
* Excellent marketing, written, and interpersonal communication skills.
* Highly skilled in making presentations and influencing others.
* Team player and active listener.
* Self-starter; able to work independently and successfully.
* Excellent organizational skills with the ability to identify processes and organize resources to coordinate and execute multiple projects simu...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:21
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The State Government Affairs Principal, reporting to the State Government Affairs Senior Director in the West Region will be a key contributor to the Government Affairs team supporting the success of The Cigna Group.
The ideal candidate will have a mix of experience, including legislative, regulatory and direct lobbying experience.
Knowledge of the healthcare industry including insurance and pharmacy benefit management or another highly regulated industry is critical.
The preferred candidate will demonstrate the ability to operate at a highly changeable, strategic, and collaborative level.
This is both an external and internal role.
Primary Responsibilities:
* Analyze and monitor critical state government trends, proposed legislation, regulations and industry issues in order to support a favorable business environment for the enterprise.
* Analyze and recommend company positions on various state legislative and regulatory proposals and other administrative action and emerging issues.
* Represent The Cigna Group's interests with state elected officials and regulators at all levels, including Governors, senior administration and agency staff, Commissioners of Insurance, Attorneys General, and state legislators.
* Provide information related to current legislative, regulatory, and other government activities to senior staff as appropriate and communicate effectively with appropriate enterprise partners.
* Working with enterprise partners by leading regulatory inquiries, ensuring timely, thorough, and well-documented responses to regulatory inquiries.
* Act as a resource to enterprise partners in compliance and regulatory initiatives and activities.
* Collaborate with sales and account teams to support clients by providing government relations expertise and oversight related to securing and retaining business.
* Represent The Cigna Group in state and national industry associations and business organizations.
Manage relationships to facilitate and strengthen company influence.
* Manage special projects, developing action plans and managing completion.
Minimum Qualifications:
* Bachelors Degree
* 5+ years of experience in legislative analysis, lobbying, and/or direct regulatory interaction or equivalent experience.
* Excellent communication, interpersonal and negotiation skills, including the ability to effectively interact with and influence a variety of enterprise management, market, account teams, retained counsel, state legislators, state regulators, and trade and business associations.
* Demonstrated ability to manage retained counsel and trade and business association relationships.
* Knowledge of client products, ability to analyze legislative and regulatory proposals, recognize potential impact of legislation and communicate with business partners of affected areas.
* Strong analytical and problem-solving skills.
* Ability to work independently, exercise judgme...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:20
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Job Description: Senior Director, Quality & Testing - PBS Operations
Reports To: Vice President, Client Services Operations
Position Summary:
The Senior Director of Quality & Testing provides strategic leadership and operational oversight for the Quality & Testing function within PBM Operations.
This role is responsible for shaping and executing a comprehensive testing strategy that supports the Commercial Division, Health Plan Division, Cigna, and Centene lines of business.
The ideal candidate will bring deep expertise in quality assurance and testing, a strong executive presence, and the ability to influence both internal and external stakeholders.
Key Responsibilities:
Strategic Planning and Execution
* Develop and implement long-term , forward-thinking strategic plans for the Quality & Testing function.
* Align testing strategies with organizational goals and evolving business needs.
* Monitor industry trends and integrate best practices into strategic initiatives.
Leadership and Management
* Provide visionary leadership to a large, diverse team of quality and testing professionals.
* Make strategic decisions using expert knowledge and authority.
* Foster a culture of accountability, innovation, and continuous improvement.
* Mentor and develop team members to build leadership capacity and technical expertise.
Client and Stakeholder Engagement
* Serve as a key liaison with internal and external stakeholders to ensure alignment on quality and testing objectives.
* Build and maintain strong relationships with clients to understand their needs and deliver exceptional service.
* Communicate effectively with executive leadership and cross-functional teams to drive collaboration.
* Serve as point of escalation for the team and internal partners on issues of concern.
Business Operations
* Oversee benefit validation testing, claims compare testing, functional testing, and end-to-end (E2E) testing strategy.
* Oversee operational efficiency and resource allocation within the Quality & Testing function.
* Ensure compliance with regulatory requirements and internal policies.
* Utilize data-driven insights to optimize processes and improve service delivery.
* Manage a team of approximately ~70 FTE and up to 600 contractors, depending on seasonal needs.
Scope & Influence:
High-impact role with significant influence on organizational success.
Strong executive presence with the ability to influence internal and external partners.
Accountable for driving strategic initiatives across multiple lines of business.
Acts as a thought leader and trusted advisor in Quality & Testing across the PBM.
Qualifications:
* At least 10+ years progressive management experience including proven experience in leading large-scale Quality & Testing and/or operations functions, preferably within PBM or healthcare.
* Bachelor's degree or equivalent experience is required.
* D...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:19
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The Payer Solutions Operations billing team is seeking an Enrollment/Billing Senior Representative.
Incumbent will be responsible for providing billing and collections support to new and existing accounts and will manage a book of TPA business with responsibility for tasks such as: reconciling group accounts, creating special charge invoices, researching payment and census issues, requesting refunds, and tracking and resolving delinquency issues.
Works with internal/external customers, banks, vendors, and/or partners to resolve matters.
May create, analyze and respond to standard and/or non-standard reports.
Must have experience working in Excel and be proficient with 10-key in both speed and accuracy.
In addition, incumbent will be dual trained to provide support for the cash team.
Duties may include cash and census application, mailings, filing, electronic invoicing and general support.
May work with internal/external customers, banks, vendors, and/or partners to resolve matters.
May create, analyze and respond to standard and/or non-standard reports.
Responsibilities:
* Manage assigned portfolio of complex client accounts
* Perform tasks related to collections processes and procedures
* Research/respond to billing or payment inquiries within established turnaround times.
Escalate issues as needed.
* Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
* Facilitates conference calls or meetings with internal and external parties
* Extensive research related to member eligibility and rate variances
* Analyze client data utilizing various reports and resources
* Process group renewals, new business, terms and revisions
* Account reconciliation on a periodic basis
* Calculate and create special charge bills as needed
* Monitor delinquency reports and send communication to TPA partners
* Peer audit process to ensure quality and mitigate financial risk or exposure
* Responsible for achieving or exceeding daily goals, quality goals, and individual development
* Ensures appropriate use of tools to track and monitor the financial performance of customers
* Work with matrix partners to resolve customer disputes and rate issues
* Partners with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements
* Understand and use accounting concepts
* Prepare monthly and other requested ad hoc reporting
* Provide both internal and external customer service
* Process, review and understand multiple systems inputs
* Special project support as needed
* Electronic Invoicing
* Application of financial payments to accounting systems
* Filing and other general administrative duties
* Account reconciliation on a periodic basis
* Knowledge/understanding of the interrelationships between CIGNA HealthCare matrix partners.
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:19
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This position serves as an integral member of the Nonpar Provider Contracting Team and reports to the AVP, National Contracting & Nonpar Network Management.
Supporting our evolved enterprise strategy, this role is one of the primary department contact(s) for non-par single case agreements.
Summary : Primarily responsible for the department's Daily Trucare report case assignment, claims review and adjustment reporting assistance, and back-up to the department's Intake email and voicemail box, on an as needed basis.
Provides high quality service to internal and external partners.
Specific responsibilities include, but are not limited to: ability to partner with various groups in resolving complaints and disputes, and ensures compliance with policies and procedures.
Assists providers with inquiries into the boxes, on an as needed basis.
Facilitates and manages daily TruCare Report and negotiation assignment.
Co-manages claims review and adjustments as directed by Provider Relations Sr.
Auditor & Analysis Manager.
Proven communication skills.
Ability to move quickly and navigate a high paced environment.
Highly proficient with balancing multiple priorities.
DUTIES AND RESPONSIBILITIES
* Complete daily TruCare report.
* Review and prioritize daily work assignments to the department Provider Network Managers for timely single case agreement negotiation.
* Assist providers with inquiries (email and voicemail), on an as needed basis.
* Single Case Agreement Claims review and adjustment reconciliation.
* Familiarity with Oneview, FACETS, PMHS, ProClaim.
* Supports department-based goals which contribute to the success of the organization.
* Communicate, collaborate, and cooperate with internal and external business partners.
* Adheres to all Compliance/Program Integrity requirements and complies with HIPAA Regulations.
* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.
POSITION REQUIREMENTS
* Healthcare claims, customer/provider relations experience, required.
* Bachelor's degree, preferably in the areas of Finance, Healthcare or Business.
* Team subject matter expert (SME) for all Claims platforms and processing procedures.
* Familiarity with key concepts around the prior authorization process, in-network versus out of network providers, medical service components (i.e.
procedure/service codes, modifiers).
* Strong experience in Trucare, ProviderLink, OneView, ICMS, ProClaim, FACETS, and PMHS.
* Proficient in Microsoft Office Tools (Outlook, Access, Excel, Word, Powerpoint, Sharepoint).
* Supports department-based goals which contribute to the success of the organization.
* Communicate, collaborate, and cooperates with internal and external business partners
* Adheres to all Compliance/Program Integrity requirements and complies with HIPAA Regulations.
* Fosters an en...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:18
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As a Sr.
Strategic Account Executive, you are the face of Cigna to the client.
Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship.
You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges.
Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals.
Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management.
If you're driven by client success and want to work for an organization ...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:17
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Job Description
Nurse Practitioner - Evernorth Workplace Care
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
Position Summary:
* Provide Primary Care treatment in a Workplace-based setting
* Episodic care (low acuity Urgent Care)
* Extended Episodic Acute Care which can include 4-5 visits for an illness or injury that is limited in its chronicity
* Chronic condition education and co-management with outside primary care if EWC is not the PCP
* Ability to oversee and perform CLIA waived tests, dispense Rx medications, and oversee a specimen collection lab
* Collaboration with onsite employees to provide biometric screening and health and wellness education
* Potential for Travel Medicine recommendation and immunizations or administration of allergen immunotherapy (with proper training)
* Direct one on one health coaching to employees along with referring patients into wellness programs
* Partner with local HR/Benefits team to improve employee health
* Partner closely with, and potentially oversee, members of the health care team (MA, LPN, etc.)
Clinical Requirements:
* Graduate of Certified NP program
* Active and unrestricted NP license required in respective state, and ability to maintain
* Minimum of2or more years of NP experience, working independentlyin an internal medicine or family practice setting
* Ability to practice independently in respective state
* May be asked to obtain licensure in additional states
* DEA licensure and prescriptive authority and ability to maintain
* Strong primary care experience including women's health
* Chronic Disease Management experience is preferred
* Electronic Health Recordexperience; EPIC experience is a plus
* BLS certification and ability to maintain current certification
* Phlebotomy experience is a plus
Non-Clinical Qualifications:
* Excellent interpersonal skills including internal and external customers and group settings
* Passionate about overall health and wellness and patient education
* High energy and strong customer-centric focus
* Ability to work clinic hours
* Solid attendance record
* Strong time management skills
* Ad...
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Type: Permanent Location: Greensboro, US-NC
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:16
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A great opportunity to help military members and their families!
This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family.
Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources.
Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term.
Non-medical Counseling topics are varied but often include the following issues:
* Stress
* Transition/Relocation
* Grief and loss
* Employment issues
* Marital/couple conflict or communication
* Parent-Child Relational Problems
* Academic or Educational problems
* Problems related to Primary Support
The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation.
The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments.
This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
Duties and Responsibilities:
* Provide participants with confidential, non-medical counseling services
* Assess the participant's immediate risk and biopsychosocial needs
* Provide appropriate referrals for resources and treatment
* Use clinical expertise, professional judgment and best practices
* Execute duty to warn/mandated reporting processes
* Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
* Demonstrate the ability to be agile and flexible in work process.
* Deliver excellent clinical judgment and interpersonal communication skills
* Understand confidentiality and privacy regulations
* Demonstrate excellent verbal and written communication
* Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.
Qualifications:
* Current, valid, unrestricted counseling license/certification from the state of California that grants the authority to provide counseling services as an independent practitioner in their respective fields
* Multiple state current/valid, unrestricted counseling license/certification highly preferred
* Must be a U.S.
Citizen
* Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling
* Ability to meet the e...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:15
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Job Description
Job Description
Bilingual Licensed Practical Nurse - Evernorth
The experienced Licensed Practical Nurse / Licensed Vocational Nurse is responsible for assisting physicians with the evaluation and management of all members presenti ng to the Health Center , and is a critical partner in our Health Centers .
Sound like you? Great! Here's more on how you'll make a difference :
* C onduct assessments
* A ssist in development of care plans and coordination of care.
* Assist in implementing physician orders and order follow-up, medication refills, patient/family education, identifying opportunities for preventative screening, notification of member's test results.
* Where applicable, c oordinate with front office team to schedule appointments, meetings.
* Communicate effectively to providers and all departments to resolve issues.
* Set up all members for procedures, exams and obtains vital signs.
* Utilize EMR (Electronic Medical Records)
* M aintain supplies in exam room
* Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs.
Be a role model for the six cultural beliefs to drive personal accountability and organizational results.
What we expect from you :
* Graduate of approved LPN/LVN program
* Bilingual in Spanish required
* Current licensure as a Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN) in respective state
* At least one year experience in a Clinic or Physician's office.
* Current BCLS required
* Phlebotomy skills
* Solid Computer skills including Electronic Health Records
* Excellent customer service skills required
* Team oriented
* Strong time management skills
* Responsible and reliable
* Ability to work health center hours
Bonus points for :
* At least 1 or more years of front and back office experience
* Customer-centric Focus
* Dynamic personality
Hours for this role are:
Monday-Thursday 8am-6pm
Friday- 8am-12pm
Cigna is committed to a healthy work force.
New hires must complete a background check, drug and nicotine screen to be employed in this role.
This role is based in the health center .
Remote work is not an option.
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 rela...
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Type: Permanent Location: Midland, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:15
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Provides professional input to Business Analytics/Business Intelligence assignments.
The role requires collecting, analyzing, and interpreting business data to identify trends and provide actionable insights that help organizations make better decisions and improve performance.They use technical skills to query and visualize data with tools like SQL and Tableau/Thoughtspot and soft skills to communicate complex findings clearly to non-technical stakeholders.
Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.
Utilizes in-depth healthcare professional knowledge and acumen to develop self-service reports/dashboards and procedures, and monitor trends..
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions.
If you think the open position, you see is right for you, we encourage you to apply! Our people make all the difference in our success.
About the Role:
We are seeking adetail-oriented and strategic Business Intelligence Analystto join our team.
In this critical role, you'll help ensure the integrity, consistency, and quality of healthcare data across the organization.
You'll work cross-functionally to implement Dashboards, Self-service solutions and KPI reports to inform quick and accurate insights tostakeholders and partners.
Responsibilities:
* Collaborate with business stakeholders to gather, analyze, and document requirements for data and reporting needs.
* Analyze business processes and identify opportunities for data-driven improvements
* Extract, manipulate and analyze data from various sources using SQL and other data querying tools
* Translate business requirements into BI solution designs, including wireframes and mockups
* Build and maintain interactive dashboards and reports using Tableau or Thoughtspot.
* Identify and track key performance indicators (KPIs) and trends to support strategic planning and operational efficiency
* Perform data validation and quality assurance testing to ensure accuracy of BI deliverables
* Query and analyze large-scale healthcare datasets (e.g., claims, pharmacy, patient data) using SQL and other tools.
* Work with big data platforms and toolsto manage, process, and analyze high-volume, high-velocity healthcare data efficiently.
* Manage multiple projects simultaneously, ensuring timely delivery and alignment with stakeholder expectations.
* Maintain clear, comprehensive documentation of data definitions, validation processes, analytic methodologies, and project deliverables.
Qualifications:
* Bachelor's degree in Data Science, Information Systems, Business Analytics, or a related field.
* 3+ years of experience in Business Analytics or Business Intelligence roles.
* 3+ years of experience working with healthcare data, includi...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:14
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Role Summary:
The Engagement Consultant works with employers and brokers to develop and execute health engagement strategies based on client-specific needs.
The Engagement Consultant coordinates awareness and education activities geared towards helping clients and customers become better consumers of healthcare and maximize the value of the solutions they purchase from Cigna Healthcare.
Essential Functions & Scope of Role:
• Partner with Client Manager or Client Service Consultant to understand client needs and objectives and deliver on client strategy.
• Consult with Client on effective wellness program framework- virtually or in-person based on client needs/preferences.
• Maintain in-depth knowledge of Cigna products/solutions/services across all product lines (including but not limited to Medical, Pharmacy, Dental, Behavioral, Clinical, inclusive of Well-being incentives).
• Advise on Client Wellness Funds utilization for assigned book of business and facilitate payments through the funds.
• Participate in finalist, midyear, cross-sell, broker and analytics opportunities to provide insights on Cigna's health and well-being capabilities.
• Supports Healthy Workforce Designation opportunities for clients.
• Present Cigna employee benefits for new or renewing clients.
• Effectively leverages Expert Advisors (e.g.
Client Service Consultants, Platinum or Gold Service team, Implementation Managers, Well-Being Strategists, and others) to deliver on client expectations.
Qualifications:
• Bachelor's degree (preferred) or equivalent experience in health-related industry • Experience in corporate health promotion program design is preferred
• Excellent oral and written communication skills
• Experience in developing and managing key relationships (internally and externally)
• Team player with proven ability to prioritize and manage multiple tasks simultaneously and meet timelines within a fast-paced environment
• Strong skills in Outlook, Webex, CRM (Salesforce), and other Microsoft 365 suite of programs.
• Must be willing to travel to local and remote clients/customers and trainings/meetings as needed (30-35%); overnight travel may be required; markets may vary
• Must reside in local market with ability to commute to local Cigna office and meet in-person commitments 2-3 days per week (either in-office or in-market with clients/customers)
• If working in WVA, FL, TX: Ability to obtain Health & Life Insurance license
Competencies:
• Plans and Aligns - Planning and prioritizing work to meet commitments aligned with organizational goals.
• Balances Stakeholders - Anticipating the needs of multiple stakeholders.
• Communicates Effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
• Interpersonal Savvy - Relating openly and comfortably with diverse groups of people.
• Customer Focus - Building strong...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:13
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hance life opportunities for people with barriers and disabilities"
JOB TITLE:
Accountant
JOB DETAILS:
Full Time Salaried Position
WORK REMOTELY:
No
JOB TYPE:
Full-time
POSITION SUMMARY:
The Accountant performs monthly and weekly processing of all company accounts receivable transactions to ensure that all revenue is reporting and recorded accurately and timely. Duties include invoicing, processing, and monitoring customer accounts and securing revenue by verifying and posting payments. Additional responsibilities include preparing and submitting equitable wage adjustments in accordance with Federal Acquisition Regulations (FAR), Service Contract Act and Department of Labor; also process and maintain government contract files, and ensure timely submission of applicable contract documents and deliverables.
QUALIFICATIONS:
* Bachelor's degree in Business, Accounting or related field.
* 3+ years relevant work and leadership experience in a multi-location environment, and/or 5 additional years of related experience in lieu of a degree.
* Advanced knowledge of applicable accounting software (SAGE 100 or Sage Intact).
* Extensive working knowledge of Microsoft Office Package (i.e.
Excel, PowerPoint, Word, etc.).
* Strong interpersonal skills for interacting with other company employees at all levels.
* Excellent communication skills both orally and in writing.
* Strong analytical and problem solving skills.
* Ability to work independently, take initiative, set priorities, and see projects through completion.
DUTIES:
* Process recurring contract monthly and weekly invoices using Wide Are Work Flow (WAWF), GSA, or other methods as specified in contract language and financial policies and procedures.
* Generate revenue aging reports; analyze and report on revenue variations on a monthly or as requested.
* Reconcile reimbursable costs as applicable.
* Continually updates job knowledge and evaluates internal operational processes to determine how competitive and current the organization is with the latest trends in the industry.
* Submit copy of billings to POC and DODACC in accordance with contract specifications
* Maintain Master Contract abstract sheet current and track contract CLINs for funding, payments, and amounts remaining.
* Assists operations in maintaining fixed assets service records and issue service work orders for major equipment in Manager Plus.
* Record revenue on accrual basis using company accounting software (Sage Intacct)
* Follow up, investigate, and resolve outstanding invoices using DFAS, MyInvoice links, and/or coordination with the Contract Administrator or Contracting Officer.
* Record payments received to customer accounts; ensure physical checks are deposited to the appropriate business bank account.
* Prepare monthly payment requests for SourceAmerica program fees and submit to accounts payable.
...
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Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:12
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This is a hybrid position (3 days per week in-office + 2 days work at home).
The incumbent candidate can be based out of any US Cigna Healthcare office.
This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.
POSITION SUMMARY
The Senior Advisor, Strategy & Financial Analysis will provide consultation to custom formulary clients thorough contract interpretation and rebate financial modeling.
As a Sr.
Advisor, you will have the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations.
Works collaboratively with cross functional teams and may lead interdepartmental teams or projects to drive process improvements.
Internally recognizedand trusted as the formulary rebate modeling subject matter expert.
ESSENTIAL FUNCTIONS
* Provide consultation through rebate contract interpretation and strategic opportunity identification
* Mentor Advisors and Lead Analysts to help support department training needs
* Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e.
Pharmacy Directors, VP's, etc.).
* Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives that drive value to both clients and ESI.
* Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
* In collaboration with Clinical Account Executives discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
* Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
* Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
* Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Pricing, Product, and Finance.
* Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
* Effectively document and communicate formulary analysis projects.
(i.e., model maintenance and QC).
* Ensures optimization of work processes for formulary modeling strategies and achievement of department goals
QUALIFICATIONS
* Bachelor's Degree in Finance strongly preferred
* Healthcare or related area/MBA a plus
* 3+ years' relevant work experience
* Strong Leadership, Detail Oriented Organizational, and Analytical skills
* Excellent PC skills - including Excel, PowerPoint and MS Access
* Financial modelin...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2025-09-16 08:54:11
