-
The Vendor Logistics Coordinator is responsible for managing all aspects of logistics operations related to the Outside Supplier Process (OSP).
This role ensures the accurate, timely shipping, receiving, and tracking of OSP items and supports seamless coordination between internal teams and external vendors.
Who are we?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 100 years! We specialize in manufacturing aluminum and magnesium products for commercial, regional, corporate and military aircraft and engines.
What will you do?
* Oversee and coordinate logistics activities for all OSP shipments, including scheduling, tracking, and documentation.
* Serve as the main point of contact for OSP vendors to ensure clear communication, efficient processing, and issue resolution.
* Assist in the physical handling of materials, including unpacking, packaging, labeling, and preparing items for shipment.
* Ensure shipping and receiving documentation is complete, accurate, and compliant with internal procedures.
* Monitor vendor performance and maintain strong relationships to support on-time delivery and high-quality service.
* Work cross-functionally with internal departments (e.g., Procurement, Quality, Production, and Production) to ensure alignment of OSP requirements.
* Maintain accurate records of shipments, inventory movements, and vendor communications
* Support continuous improvement initiatives to enhance the efficiency and reliability of OSP logistics processes.
What do we have to offer?
* $26.00-28.00 per hour
* 7-4 pm or 9-6 pm M-F
* 5% quarterly bonus potential
* Upward mobility and advancement opportunities
* Annual holiday party and company picnics
* Paid training
* Educational Assistance up to $5,000 per year
* 401K, up to 3% company match
* 15 days of accrued paid time off/ ESST
* Paid holidays
What will make you the ideal candidate?
* High school diploma.
* 3+ years of experience in logistics, shipping/receiving, or supply chain operations
* Strong organizational skills with attention to detail and accuracy
* Computer literate, Microsoft suites, Excel experience wanted
* Oracle experience helpful but not required
* Ability to work independently and collaboratively within a team
*
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/.
Sponsorship is not available for this role.
Candidates must...
....Read more...
Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:05
-
Metals Operator - Aerospace Parts Manufacturing - Swing Shift
If you would love to be part of a company that is poised for substantial growth with opportunities for advancement, then working for CPP and its subsidiaries may be the right fit for you! We have multiple facilities in Albany, OR and are a world class supplier of titanium castings and components for the aerospace industry.
If you are selected to join our team you will enjoy benefits such as quarterly bonus, medical, dental, vision, 401(k), company paid life insurance, and other great benefits!
Primary Purpose:
A Titanium Metals Operator will be responsible for identifying, separating, cleaning, cutting, sorting, and delivering metal.
Duties and Responsibilities:
* Identify and separate metal.
* Responsible for production and quality of metal.
* Assist with production duties in the Ingot and Casting departments.
* Report any issues with metal and/or equipment.
* Monitor cleaning equipment and transport metal to and from Chem Mill area.
* Requires individual to be organized and efficient with tasks and duties and requires an attention to details and ability to work as a team member.
Minimum Qualifications and Experience:
* The physical effort applied in this job includes lifting, pulling, reaching, manipulating, carrying, pushing, and shoveling.
* Must be able to lift up to 50 lbs.
with or without reasonable accommodations.
* Good attendance record required.
* Able to read, understand, and follow written and verbal instructions.
* Must be able to withstand long periods of standing and walking.
* HS diploma or equivalent GED required, but candidates not meeting this requirement who possesses relevant experience will be considered.
* Solid job history including more than 1 year at previous or recent employer.
* Must be at least 18 years of age.
* Must be willing to participate in pre-employment and periodic drug screening.
* Must take a base line hearing test prior to starting.
Working Conditions:
* The job is performed under reasonably good working conditions with some exposure to noise, temperature, and machinery.
Schedule:
* Swing Shift - Monday- Thursday 3:30pm-2:00am
* OT available on voluntary basis and business need
Relocation assistance may be available to qualified candidates.
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly-engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
U.S.
person status is required for this position in order to comply with the Arms Export Control and Export A...
....Read more...
Type: Permanent Location: Albany, US-OR
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:05
-
Ashland Specialty Ingredients, GP
Are you the kind of person who is always thinking, sketching, seeking, and adjusting? Who needs to understand how things work and then figure out how they can work better? Are you a passionate, tenacious solver who loves to work with others who share your drive? Are you positive, constructive, and ingenious? Are you always solving? Then we'd like to meet you, and we bet you'd like to meet us.
Ashland has an exciting opportunity for a Process Engineer to join our Ashland Specialty Ingredients G.P.
business at our Hopewell, VA, manufacturing facility.
This is a visible, significant role within the Company and the Engineering function.
This position will report to the Engineering Manager
The responsibilities of the position include, but are not limited to, the following:
* Develop and lead initiatives associated with tracking and reporting utility and energy greenhouse gas emissions (GHG), optimizing energy performance and usage, and setting cost savings goals for the site.
* Lead facility audits to identify energy conservation management.
This includes field verification to identify and document Potential energy conservation measures (ECMs), the facility's Operational and usage characteristics, and low-cost/no-cost behavior-based opportunities.
* Develop models and tools to track utility usage and associated materials across individual units.
* Recommend energy-efficient design solutions and technology upgrades supported by accurate descriptions, measured and logged energy data, savings calculations, and cost estimates.
* Ability to provide technical leadership and project management to develop and implement integrated energy efficiency programs.
* A general knowledge of the financial, technical, and political aspects driving the energy industries
* Support manufacturing processes as needed.
In order to be qualified for this role, you must possess the following:
* Bachelor's degree in engineering or equivalent discipline with 3-5+ years of experience in a utility or energy improvement role.
* Experience in a plant manufacturing environment (chemical preferred).
* Passion in the areas of energy efficiency, alternative energy, and sustainability
* Engineering, analytical, and technical writing skills, including spreadsheet analyses
* Excellent written and oral communication skills
* Must be well organized and a self-starter with the ability to work with minimal supervision.
* Must be flexible and able to adjust to rapid changes in work priorities and prioritize work according to those changes.
The following skill sets are preferred by the business unit:
* 8+ years of experience in a utility or energy improvement role at a multi-unit manufacturing facility.
* Experience implementing energy conservation and performance contracts.
* CEM certification
Must be authorized to work in the US.
Third-party recruiters and agencies ("A...
....Read more...
Type: Permanent Location: Hopewell, US-VA
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:04
-
If you are an RN and looking for a Telephonic role, this opportunity is for you! Read on to learn more.
How you'll make a difference:
Take ownership of patient experience via telephone: Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers.
Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention.
Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients.
Work with the patient's treating physician to inform them of any new symptoms and health-related matters with an entire network of nurses that you can lean on.
At Accredo, you are a part of an eco-system that will support you and advocate for you.
Grow alongside your peers in a patient-centered environment.
Aid our clinical departments with new hire training and mentoring as well as conduct peer-to-peer quality documentation checks to provide feedback to management.
Full time work from home - you MUST reside in a compact state.
Start Date: Monday, October 20, 2025
Shift for this role: 10:30 am to 7:00 pm CST Monday - Friday
Please note, the first 6 weeks of training will be varied and may start between 8am-11:30am EST depending on the week.
The primary responsibility of this role is to provide telephonic education to patients and caregivers following Clinical Protocols and working within the nursing scope of practice and guidelines.
This opportunity allows you to improve the health and well-being of others, while giving them a sense of security
Minimum Qualifications:
Registered Nurse (RN) compact license required
MUST reside in a compact state
2 years or more of relevant experience with an RN License:
Requirements:
* The RN must have an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam.
* The RN will be required to apply for or have a compact license as well as the ability, with no restrictions, to apply for additional single state licenses
* Maintaining all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment.
* Must have taken Microbiology in order to obtain California licensure
* Knowledge and experience in the areas of Neurology / Multiple sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics.
* Proficient in using microsoft applications
* Minimum Internet speed: 5MBPS upload/2 MBPS download - Cable broadband or Fiber Optic.
* Excellent phone etiquette
Your Benefits as an Accredo Telephonic Registered Nurse (RN):
Internal Career Training Resources
Tuition Assistance
Medical, Prescription Drug, Dental, Vision and Life Insurance
401K with Company Match
Paid Time Off and Paid Holid...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:03
-
Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a 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 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 do multiple patient visits per 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.
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.
Quali...
....Read more...
Type: Permanent Location: Key West, US-FL
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:02
-
Position Overview:
CuraScript SD, a wholesale pharmaceutical distributor and wholly owned subsidiary of Evernorth - a Cigna Company, is seeking a highly motivated Agile Technical Product Owner Advisor to join its technology team.
This strategic role will support the SAP S4/HANA Cloud ERP implementation with a focus on O rder T o C ash (OTC) contracts and chargebacks leveraging Vistex.
The advisor will lead Agile product ownership efforts, drive contract and chargeback strategy, and ensure alignment with business goals.
Responsibilities:
* Serve as Technical Product Owner for SAP Order To Cash (OTC) Vistex contracts and chargebacks, managing product backlog and prioritization.
* Collaborate with cross-functional teams including business stakeholders, developers, and SAP functional experts to define and deliver product increments.
* Translate business requirements into clear user stories and acceptance criteria for SAP S4/HANA Cloud ERP enhancements.
* Lead Agile ceremonies including sprint planning, backlog grooming, and product demos.
* Define and communicate product vision, roadmap, and success metrics for Vistex contract and chargeback capabilities.
* Configure and test end-to-end Vistex scenarios including vendor/customer rebates, chargebacks, pricing catalogs, and pharma billing.
* Coordinate testing and validation of system changes including WRICEF developments and configuration updates.
* Monitor and resolve system issues, ensuring timely delivery of solutions and enhancements.
* Maintain up-to-date functional knowledge of SAP Vistex and associated OTC processes.
* Ensure system changes are properly tested and documented using best-practice engineering principles.
Qualifications:
* 7+ years of hands-on experience with SAP Vistex including paybacks, chargebacks, billing, pricing catalogs, and pharma billing.
* 3+ years of experience with Vistex V4
* 2+ years of configuration experience in S/4 HANA Cloud.
* 7+ years of configuration experience in SAP ECC.
* 7+ years of experience in documenting and managing business, functional, and nonfunctional requirements.
* Experience with Vistex reporting via VIZI and EDI/IDOC processing.
* Strong integration knowledge across SD, MM, FI, SC, LO, and FICO modules.
* Experience with master data and external system integrations.
* Strong understanding of Agile frameworks (Scrum, SAFe ) and tools (JIRA, Confluence).
* Familiarity with CPI, SAP Activate methodology , and Solution Manager.
* Bachelor's Degree in Computer Science or related field (or equivalent work experience).
Preferred Qualifications:
* Strong communication skills and ability to work independently and collaboratively.
* Proven ability to manage multiple priorities and deliver results in Agile environments.
* Experience in pharmaceutical distribution and supply chain management.
* Prior i...
....Read more...
Type: Permanent Location: Lake Mary, US-FL
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:02
-
Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place.
Cigna's Summer Internship Program is designed to assign you projects that have a lasting impact on our business - which touches millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry.
Program activities, including an executive speaker series, volunteer events, and career development workshops, give you the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work
This Internship will be working with the Product Analytics Department with a focus on providing reporting and analytical support for the clinical, digital, and provider focused solutions.
This team utilizes pharmacy, medical, and lab data to gather insights on population health, product performance, and the value they create for our clients.
The intern will support departmental tasks and will be exposed to integrated data analytics to identify top drivers or trends that lead to strategy ideation.
During the summer internship, you will have the opportunity to collaborate within your department and across the business while learning from some of our brightest and most innovative employees in your area of focus.
What You'll Do
Real work: Over the course of your internship, you'll be assigned real business problems that challenge your analytical and technical skills while helping you build industry knowledge.
Your work will also allow you to make direct contributions to our mission and company goals.
* Gain valuable knowledge on top health industry trends and integrated data analytics
* Conduct research and present findings
* Perform data analysis and reporting
* Lead 2-3 key projects as assigned by department
* Collaborate cross-functionally to support product analytics department
Example projects:
* Analyze health services utilization trends among population with specific conditions
* Develop a dashboard that provides strategic insights for internal stakeholders
* Research an emerging hot topic to support ideation and brainstorming
* Analyze drivers of medical spend using statistical techniques and recommend actions we could take to mitigate cost increases
Qualifications
* Rising senior working towards a bachelor's degree
* Preferred majors include Biomedical Informatics, Health Information, Business, Analytics, Public Health or related field
* Experience with prior database skills is preferred
* Proficiency with SQL and SAS.
Microsoft Office Suite (i.e.
Excel)
* Strong attention to detail and ability to think analytically
* Excellent verbal and written communication skills
* Strong business aptitude and problem solving skills
* Ability to work independently and as part of a team
* Self-...
....Read more...
Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:01
-
Billing Configuration and Operations Leader
Responsibilities:
* Manage the distribution and parameter setup for PBM client billing of over 92 billion in yearly revenue
* Manage manual billing and adjustments
* Manage group mailboxes, processing an average of 600 requests per month, with a turnaround time of one day or less.
* Monitor for automation methods that provide efficiency within the team
* Create and maintain all team Policies, SOP, and work instructions
* Directly supervise 4-6 direct reports and manage team processes and structure, while managing quality of work and committed SLA turnaround times
* Manage all training, cross training and job growth of team
* Partner across functionally with Account Management, Implementation, Information Technology, Accounting, Client Accounts Receivable, and Clients to resolve billing issues
* Drive opportunities for change and improvements to assist in job quality and satisfaction
Qualifications:
* 3+ years' experience in healthcare/pharmacy billing, finance and/or IT/Project management preferred
* 2+ years' previous people leader experience strongly preferred
* Bachelor's degree or equivalent work experience preferred
* Previous experience in the PBM industry a plus
* Experience using Microsoft Office applications (Word, Excel, PowerPoint, etc)
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 76,700 - 127,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About 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 in...
....Read more...
Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:01
-
The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality.
We seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives.
The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.
RESPONSIBILITIES
* Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Services(PBS) benefits, mail-order pharmacies, or Medicare.
* Take calls back-to-back while toggling through several applications on multiple screens.
* Attend 100% of trainings and the first 90 days of employment.
* Update conversion requests and provide shipment status to members
* Facilitate transition of requested medications to home delivery
* Advocate for the member patient by placing phone calls, fax or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment
* Obtain new prescriptions from physician's office and record approval status
* Service incoming calls from doctors' offices
* Ensure accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concerns
* Resolve questions and/or issues that may be preventing shipment of an order
* Uphold quality and productivity standards on all transactions
* The customer service representatives must ensure complete and accurate documentation into the appropriate systems to maintain quality and to meet regulatory requirements.
* Use active listening skills when the members express concerns about medication coverage or costs and offer the members options for a starting coverage review to meet regulatory requirements
* Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service
* You will learn and need to demonstrate understanding of call handling which includes compliance expectations and system navigation through several applications
* Enjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers.
Here's a little more on how you'll make a difference:
* Help patients understand their pharmacy benefits better.
Use the knowledge you gain from training, your problem-solving skills and support from your team answer patient calls effectively.
* Help us keep track of our patient interactions.
While on calls, use your expert listening skills to get to the heart of a patient's question quickly and document all interactions in real-time.
* Ensure patients are equipped with the best advice.
Identify and empathetically address patient concerns and, if necessary, escalate appropriately
QUALIFICA...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-09-18 08:44:00
-
The Pharmacy Production Clerk Associate is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to, Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
This role is Worksite dependent and can only be performed onsite.
Must be available late afternoons or evenings.
ESSENTIAL FUNCTIONS
* Ensure each package receives the correct paperwork, envelopes, medications, packing and / or shipping labels before sealing and sending packages to patients.
* Consistently work on only one order at a time at their workstation at all times.
* Ensure that the address prints correctly on each package.
* All bags are correctly sealed; Printers are accurately loaded with the correct paper.
* Accurately package prescriptions requiring special handling according to specific process and policy requirements.
* Work collaboratively with all coworkers to ensure that best practices are shared while maintaining productivity and quality standards.
* Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
* Bulk up medications from manufacturer bottles, including visual inspection and labeling of large containers.
* Visual inspection of patient bound medications.
* Orientation of packages for sortation system.
* Preparation of mail sacks or bulk containers for shipment.
* Manual material handling, storage, and stocking of shelves, workstations, and/or channels.
* Sorting and distribution of literature packs to CADS / Averts stations.
* Keep workstation clean at all times.
* Other duties assigned as needed.
* QUALIFICATIONS
* 1+ years of relevant experience.
* General PC knowledge is required.
* Excellent verbal and written communication skills.
* Good visual acuity.
* Ability to read and compare and differentiate data.
* Ability to stare/review small medications or bottles for extended periods of time.
* Ability to be on feet walking and standing for extended periods of time.
* Demonstrate flexibility and adaptability to perform different roles during a shift.
* Ability to lift up to 40 pounds.
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...
....Read more...
Type: Permanent Location: Newark, US-DE
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:59
-
At Cigna, we listen to , advocate for , and collaborate with our customers to empower them to identify their health goals and own their solutions.
Sound like you? Great! Here's more on how you'll make a difference :
• Provide onsite face-to-face customer coaching and support.
• Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna clinical programs or client specific programs as clinically appropriate
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health.
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
• Collaborate with our matrix partners to support the overall health and wellness strategy your aligned client.
What we expect from you :
• Active and unrestricted RN license in respective state, with ability to maintain active licensure is required.
• Strong Clinical skills with at least 3 or more years of experience in health and wellness field.
• At least 1 or more years of health coaching/health education experience
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
• Proven administrative abilities, with strong computer and software application skills.
• 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:
* Customer Strong - Make a WOW difference for our customers
* Me to We - Take accountability to trust, collaborate and partner
* Own It! See a need and act
* Be Bold: Challenge the status quo
* Listen to Advocate: What matters to you, matters to us
* Think it Through: Proactively deliver solutions focused on doing the right thing
Bonus points for :
• Chronic Diseas...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:59
-
Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Clinical Genetics Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certification in Clinical Genetics recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 3 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router.
Wireless connectio...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:58
-
Want to work at home? Are you passionate about helping people? Do you reside in Tennessee? Accredo Specialty Pharmacy is changing health care to make it more; affordable, personalized, and focused on helping the whole person achieve better health.
As a Pharmacy Technician, residing in Tennessee, you will Work from home, assisting patients in receiving life sustaining medications to help manage rare and/or chronic diseases.
You'll be empowered to engage patients, insurance companies, and multiple departments to process Prescription orders and ensure timely shipment of medications.
This role is very detail oriented and you'll spend the majority of your day working on our computer system entering data and/or talking on the phone.
How you'll make a difference:
* Ensure prescriptions are accurately entered into system.
* Investigate issues with pharmacist, doctors & other healthcare providers.
* Juggle multiple tasks without sacrificing attention to detail.
What you need to do the job:
* High School Diploma or GED
* 1+ year(s) relevant experience
* Must reside in Tennessee
* Customer Service experience required, phone experience, a plus
* Valid Pharmacy Technician license & national certification
* Tech Savvy- Strong computer / data entry ability with Microsoft Office products
* High speed internet with wired ethernet connection.
* Private & quiet work space
What you'll love about working at Cigna:
* Fun, friendly, and unique culture - Bring your whole self to work every day!
* Medical Dental & Vision start 1st day
* 18 days Paid Time Off & 8 Paid Holidays
* Employer Contributions for HRA and HSA accounts
* 401K with Company Match
* Tuition Assistance
NOTE : You will be required to have reliable internet connectivity provided through a wired ethernet connection .A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
This is a front end position where you will assist patients through multiple roles within this team including outbound calls/faxes to providers and doctors offices, data entry, adverse event reporting, indexing prescriptions and other responsibilities.
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 17.88 - 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 me...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:57
-
Position Scope
Hours for the Position: Must be able to work an 8-hour-shift between the business hours of 9a-7p EST.
Flexibility is required to meet business needs.
Must be open to work evenings.
Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system .
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system .
* Utilizes motivational interviewing, behavior change , and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention , as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements
* Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
* Minimum of two years full-time direct patient care setting in Oncology as an RN is required.
* Must be f...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:57
-
Position Scope
Hours for the Position: Must be able to work an 8-hour-shift between the business hours of 9a-7p EST.
Flexibility is required to meet business needs.
Must be open to work evenings.
Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system .
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system .
* Utilizes motivational interviewing, behavior change , and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention , as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements
* Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
* Minimum of two years full-time direct patient care setting in Oncology as an RN is required.
* Must be f...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:56
-
Position Title:
Agile Technical Product Owner Advisor - SAP OTC Vistex Contracts & Chargebacks
Position Overview:
CuraScript SD, a wholesale pharmaceutical distributor and wholly owned subsidiary of Evernorth - a Cigna Company, is seeking a highly motivated Agile Technical Product Owner Advisor to join its technology team.
This strategic role will support the SAP S4/HANA Cloud ERP implementation with a focus on O rder T o C ash (OTC) contracts and chargebacks leveraging Vistex.
The advisor will lead Agile product ownership efforts, drive contract and chargeback strategy, and ensure alignment with business goals.
Responsibilities:
* Serve as Technical Product Owner for SAP Order To Cash (OTC) Vistex contracts and chargebacks, managing product backlog and prioritization.
* Collaborate with cross-functional teams including business stakeholders, developers, and SAP functional experts to define and deliver product increments.
* Translate business requirements into clear user stories and acceptance criteria for SAP S4/HANA Cloud ERP enhancements.
* Lead Agile ceremonies including sprint planning, backlog grooming, and product demos.
* Define and communicate product vision, roadmap, and success metrics for Vistex contract and chargeback capabilities.
* Configure and test end-to-end Vistex scenarios including vendor/customer rebates, chargebacks, pricing catalogs, and pharma billing.
* Coordinate testing and validation of system changes including WRICEF developments and configuration updates.
* Monitor and resolve system issues, ensuring timely delivery of solutions and enhancements.
* Maintain up-to-date functional knowledge of SAP Vistex and associated OTC processes.
* Ensure system changes are properly tested and documented using best-practice engineering principles.
Functional SAP Experience:
* 7+ years of hands-on experience with SAP Vistex including paybacks, chargebacks, billing, pricing catalogs, and pharma billing.
* 3+ years of experience with Vistex V4
* 2+ years of configuration experience in S/4 HANA Cloud.
* 7+ years of configuration experience in SAP ECC.
* 7+ years of experience in documenting and managing business, functional, and nonfunctional requirements.
* Experience with Vistex reporting via VIZI and EDI/IDOC processing.
* Strong integration knowledge across SD, MM, FI, SC, LO, and FICO modules.
* Experience with master data and external system integrations.
* Strong understanding of Agile frameworks (Scrum, SAFe ) and tools (JIRA, Confluence).
* Familiarity with CPI, SAP Activate methodology , and Solution Manager.
Preferred Qualifications:
* Strong communication skills and ability to work independently and collaboratively.
* Proven ability to manage multiple priorities and deliver results in Agile environments.
* Experience in pharmaceutical distribution and supply chain management.
...
....Read more...
Type: Permanent Location: Austin, US-TX
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:56
-
Pharmacy Clinical Consulting Advisor
Internal Job Title - Clinical Account Manager (CAM)
Area of Operation - Colorado, Utah, Pacific Northwest
As part of Cigna Pharmacy Management, the Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting Cigna Integrated Pharmacy clients within an assigned geographical market(s) and client size band.
The Pharmacy Sales Advisor position will be responsible for developing and maintaining relationships with internal stakeholders including the medical sales teams and pharmacy underwriting organization as well as external brokers and consultants.
The primary objective of this position is supporting long-term client retention and growth, while achieving Cigna's corporate strategic goals.
The Pharmacy Clinical Consulting Advisor also provides pharmacy product and clinical expertise in support of the Medical Sales teams as well as the Pharmacy Implementation organization.
This position is responsible for working with the Cigna Medical teams to support the Pharmacy component of an integrated benefit, which typically includes Medical, Pharmacy, and Behavioral.
This includes service support, reporting, pricing, and/or other performance guarantees - while working with multiple internal stakeholders at Cigna and Evernorth, as well as external influencers (e.g.
consultants, producers and decision makers in the benefits organization or financial and/or C-Suite of our clients).
The primary roles of the Pharmacy Clinical Consulting Advisor are:
* Retain the assigned book of business through proactive portfolio management, including an understanding of available performance guarantees and pricing strategies in order to renew clients and preserve earnings.
* Participate in client meetings and presentations to review client performance and sell in the suite of pharmacy management programs and solutions that align to Cigna's overall value proposition of lowering total healthcare costs.
* Act as Pharmacy Sales support for renewals involving consultants.
* Cultivate meaningful, productive, mutually beneficial relationships internally and externally by gaining the confidence and trust of key stakeholders through honesty, integrity and reliability.
* Educate and consistently advance the knowledge of pharmacy within the Cigna Medical sales organization.
This includes deep dives on our products and services, as well as championing an understanding of the clinical integration points across benefits.
* Communicate effectively, delivering multi-modal messages that convey a clear understanding of the unique needs of the different audiences requiring interaction.
Proactively anticipates communication needs in order to remove ambiguity.
* Actively participate in finalist meetings for existing business where necessary.
* Gather and share relevant competitive intelligence in support of retention and new sales efforts.
* Acts...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:55
-
Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a 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 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 do multiple patient visits per 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.
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.
Quali...
....Read more...
Type: Permanent Location: Grand Rapids, US-MI
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:54
-
The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality.
Our Pharmacy Benefit Management (PBM) team seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives.
The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.
RESPONSIBILITIES
• Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits and mail-order pharmacies.
• An average of 70-80 calls are expected daily.
• Take calls back-to-back while toggling through several applications on multiple screens.
• Attend 100% of trainings, and the first 90 days of employment.
•Regular and predictable attendance.
• Resolve customer complaints through independent problem-solving skills and one-call resolution.
• Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service.
QUALIFICATIONS
• High School diploma or equivalent
• 1 year of call center experience is required
• A dedicated workspace with no distractions is required
• Intermediate proficiency in Microsoft Outlook
• Strong organization skills, written, and verbal communication skills
• Ability to remain calm and helpful even when dealing with difficult situations
• Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience
• Computer literacy and ability to manage multiple applications simultaneously.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.c...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:54
-
The Cigna Group Sales and Contracting Development Program
Network Contracting Analyst
Start Date July 13, 2026
Hiring Cigna Network Offices:Bloomfield, CT; Franklin, TN; Walnut Creek, CA; Overland Park, KS; Charlotte, NC; Glendale, CA; Denver, CO
Work Style:Hybrid (3 days in-office/week)
Join a Team That Believes in What We Do
We're seeking curious, driven individuals who are eager to learn, grow, and lead.
This is a great opportunity for those early in their careers who are excited to apply their academic knowledge in a real-world setting with a Fortune 500 health services leader.
This role is designed to support your transition from academia to industry.
At The Cigna Group, we're passionate about delivering customer-focused healthcare solutions.
Our Sales and Contracting Development Program (SCDP) is an onboarding and training program for early-career professionals.
Network Track Experience
Associates of SCDP's Network Track will build the skills needed to succeed in provider contracting and healthcare network development.
As a Network Contractor you will help shape the future of healthcare delivery through provider partnerships and strategic contracting.
Associates will engage in a mix of virtual and in-person learning, including training sessions, fieldwork, mentoring, and coaching.
The curriculum covers The Cigna Group and Cigna Healthcare, the insurance industry, and role-specific training.
You'll participate in interactive sessions led by facilitators and subject matter experts, with potential for in-person collaboration and coaching.
Field experiences will be hosted virtually or in your assigned market, allowing you to apply program concepts in real-world settings alongside your local team.
Post-Program Career Path
After completing the program, Network Track Associates begin their careers as Network Contractors, supporting their assigned markets.
In this role, you'll work directly with local healthcare providers-physicians, hospitals, clinics, and other healthcare facilities-to help deliver high-quality, cost-effective healthcare.
You'll review and negotiate contracts, initiate new agreements, and contribute to building strong healthcare provider networks.
As a Network Contracting Analyst, you will:
* Establish, develop, and maintain relationships with healthcare providers (physicians, hospitals, clinics, and other facilities) to support local market strategy
* Understand the competitive landscape and interrelationships of providers in your geographic area
* Support strategic network development, including identifying opportunities for greater value-orientation
* Participate in contract negotiations with current and prospective providers
* Collaborate cross-functionally with teams such as Claims Operations, Medical Management, Legal, Medical Economics, Compliance, Sales, Marketing, and Provider Relations
Minimum Program Qualifications
* Currently enrolled as a senior or a recent graduate fro...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:53
-
Overview
A career within Forsyth Health's Data & Analytics team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and market insights.
At Forsyth Health, we focus on a collection of data management, business intelligence and advanced analytics capabilities to support various functions within these organizations to meet their business needs around market access and patient support programs.
How you'll make a difference:
The Real World Data Advisor position is a key role to the enterprise and will be supporting a highly complex and growing area within the health care data and analytics services space.
As a strong individual contributor, the role will support Pre-Sales and Post-Sales efforts to define, develop and communicate insights critical to Commercial, Market Access, HEOR and Evidence Generation functions at Pharma/Life Science.
Responsibilities include supporting Outcomes Research studies, Advanced Analytics, ML model development and general analytic support for all stakeholders.
This role will work closely with the internal Sales and Technology teams.
This person will need to be able to understand the needs within the Commercial Pharma Analytics space and translate those into actionable insights.
Role Summary:
The Real World Data Advisor position is an opportunity for an analytics professional to provide leadership on complex analytics projects and initiatives.
This role will work with an innovative team on setting and executing the vision for how advanced embedded analytics can lead Forsyth Health to achieving our growth goals.
This role will work collaboratively with internal and external stakeholders to provide partnership in analytics, developing RWD analytics solutions to inform Commercial & Market Access Analytics, leveraging advanced analytic and technologic capabilities and embedding analytics driven processes.
Job Responsibilities
The job responsibilities include, but are not limited to the following:
* Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) using SQL to identify populations of interest in HVM data and assess using univariate analysis and data investigations
* Empower clients to generate RWD insights utilizing best-in-class observational research by conducting pre-sale feasibility analyses of varying breadth and depth
* Help develop insights and play the role of data evangelist with RWD training, analytics guidance, and use case support in the post sale phase.
* Develop and communicate technical, clinical, operational, and business specifications to internal and external teams
* Work cross-functionally to support operational processes to deliver data licensing projects on time and with accuracy
* Develop, automate and build visualization tools (Tableau, Thoughtspot, R or Databricks ) for new reports and analytic solutions with innovative ways to present data internally and externally in order to s...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:52
-
What you'll be working on
Join the dynamic EviCore inQbator team, where you'll have the opportunity to leverage state-of-the-art EMR connectivity to improve healthcare.
Our focus is on tackling challenges in the realm of prior authorization.
This role is to lead EviCore's EMR health plan connectivity team that is focused on making utilization management seamless for the providers and patients we work with.
As a Product Manager, you'll have the opportunity to:
* Develop, operationalize, and scale solutions that enable faster patient care by connecting provider EMRs to EviCore
* Lead and energize team members through scrum meetings such as daily stand-ups and backlog grooming, fostering a collaborative and high-performing work environment
* Collaborate with the product team to uncover business needs, design targeted experiments, and validate potential solutions or features, ensuring we deliver exceptional value to our customers and stakeholders
* Partner with EviCore clients, technology and business teams to outline business workflows and client specifications
* Make a lasting impact on the health and well-being of countless individuals by solving problems that truly matter and transform the healthcare landscape
What You Should Have
* A bachelor's degree, preferably in a technical field, with a Master's degree / MBA being a valuable asset
* 3+ years of experience in a product management role such as product management, project management, or project lead, highlighting your ability to guide and inspire teams
* Exhibit exceptional communication skills, adept at articulating complex concepts in both written and verbal forms, and engaging with diverse audiences
* Possess a keen interest in honing your leadership skills, striving for continuous growth and development
* Familiarity with agile development methodologies, showcasing your adaptability and commitment to embracing agile philosophies in a lean product development environment
* Experience with the following subjects would be helpful in this role (FHIR, EMR connectivity, Healthcare Utilization Management, Machine Learning & Natural Language Processing)
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 110,700 - 184,500 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, 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 hea...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:52
-
CANDIDATE MUST RESIDE IN NEW YORK CITY OR MORRISTOWN, NJ AND WILLING TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS
The Provider Contracting Advisor serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
* May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
* Bachelor Degree required, preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be co...
....Read more...
Type: Permanent Location: New York, US-NY
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:51
-
SUMMARY
The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality.
Our Coverage Review Department (CRD) team seek dedicated, compassionate, and empathetic Prior Authorization Representatives to join our team.
We seek individuals who are genuinely interested in helping people at some critical points of their lives.
You represent the company, and our people make all the difference in our success .
TRAINING HOURS
9am - 5:30pm EST, Monday - Friday for 4 to 5 weeks.
POST TRAINING HOURS
8-hour shift that will be between the hours of 12:30p-9p EST Monday - Friday only.
(Please DO NOT apply if you are unable to work a permanent 8 hour shift that will fall anywhere between these listed hours)
RESPONSIBILITIES
• Answer inbound calls from patients , providers, and pharmacies
• An average of 50 - calls are expected daily.
• Take calls back-to-back while toggling through several applications on multiple screens.
• Attend 100% of trainings and the first 90 days of employment.
• Resolve patients' inquiry and complaints through independent problem-solving skills and one-call resolution.
• Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service.
• Some Administrative duties
QUALIFICATIONS
• High School diploma or equivalent
• 1 year of customer service experience is required
• A dedicated workspace with no distractions is required
• Intermediate proficiency in Microsoft Outlook
• Strong organization skills, written, and verbal communication skills
• Ability to remain calm and helpful even when dealing with difficult situations
• Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience
• Medical Terminology Experience
• Computer literacy and ability to manage multiple applications simultaneously.
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 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Gr...
....Read more...
Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:50
-
As part of Cigna's Risk Management and Underwriting (RMUW) organization, Client Informatics is committed to providing clients with reporting, analytics, and consultation that is relevant, simple, and actionable.
The Client Informatics organization supports Cigna's strategy by utilizing insights which enable employers to make strategic decisions regarding products and services.
A key enabler of our success is our consultative approach along with industry leading analytical capabilities.
As a Business Analytics Advisor, you will be responsible for advising the strategic direction of a commercial book of business for National Account clients using analytical tools to create insight-driven recommendations.
You will be responsible for client-facing utilization strategy and program value presentations.
You will also support internal and external stakeholder requests with deep utilization data analysis at both the client and industry level.
Your goal will be to improve health outcomes, identify business opportunities, and uncover areas for plan performance improvement.
This highly visible role plays a critical part in maintaining client relationships and ensuring that Client Informatics delivers the value expected by our most prominent clients.
Highly detailed analysis of client data:
* Manage the synthesis of large datasets into meaningful information used to drive informed client decisions.
* Prepare client specific cost, trend and utilization analysis on an account book of business.
* Conduct ad hoc analyses by synthesizing large volumes of data into meaningful conclusions.
* Evaluate client specific (when available) return of Cigna's clinical and health engagement tools and programs.
* Identify and quantify benefit program opportunities that enhance Cigna's relationship with each client.
* Build and deliver client-facing utilization presentations.
Drive product and service solutions:
* Deliver client-specific information to drive/validate overall engagement strategy.
* Establish direct client relationships on key accounts with client influencers/buyers.
* Educate account team so that they better understand medical cost drivers and manage client needs/demands.
* Demonstrate product opportunity during client result presentations.
* Identify emerging risks and opportunities to distribution leadership.
* Influence business partners in a way that drives profitable growth.
Communication to key partners:
* Prepare account teams for client interactions by ensuring a clear understanding of informatics capabilities.
* Lead client discussions and effectively represent subject expertise.
* Act as an internal analytical consultant for external requests (consultant, client, account team).
* Establish partnership with sales executives in defining client engagement strategy, as well as health promotion managers and onsite clinic medical staff.
* Demonstrate passion for and ...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-09-18 08:43:50
