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POSITION SUMMARY
We are seeking a highly organized and proactive Executive Administrative Assistant to provide comprehensive administrative support to the Customer Service Operations leadership team.
The ideal candidate will be a self-starter with exceptional communication skills, attention to detail, and the ability to manage multiple priorities across multiple leaders in a fast-paced environment.
Key Responsibilities:
* Calendar Management:Coordinate and manage complex calendars, including scheduling meetings, appointments, and travel arrangements.
* Meeting Coordination:Organize and prepare for virtual meetings, including drafting agendas, taking minutes, and following up on action items.
Key point of contact for planning/coordinating details of in-person events such as meetings or conferences.
* Travel Arrangements:Arrange domestic and international travel, including flights, accommodations, transportation, and itineraries.
* Document Management:Prepare, edit, and distribute documents, presentations, and reports.
* Expense Reporting:Process and track expense reports, ensuring timely submission and adherence to company policies.
* Project Support:Assist with special projects and initiatives as needed (i.e.
event planning)
* Confidentiality:Handle sensitive information with the utmost discretion and maintain confidentiality at all times.
Qualifications:
* High school diploma or GED
* Minimum of 5 years of experience in an executive administrative support role, preferably in a fast-paced, highly matrixed corporate environment.
* Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
* Excellent verbal and written communication skills
* Strong organizational and time management abilities
* Ability to work independently and collaboratively
* High level of professionalism and discretion
* Detail-oriented with strong problem-solving skills
Additional Requirements:
* Flexibility to work outside standard business hours as needed.
* Ability to handle multiple tasks and prioritize effectively.
* Strong interpersonal skills and the ability to build relationships with stakeholders at all levels.
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 33 - 49 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 wel...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:15
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The responsibilities of an Operations Lead Analyst include monitoring daily request execution, reporting, and issue triaging for one or more owned client(s) upon request.
Identifying operational or productivity enhancements, barriers, and opportunities for configuration and workflows.
The Operations Lead Analyst will provide project and administrative support to leadership teams or Operations Advisors through escalation of issues, risks, and concerns as needed.
Provides support to assigned projects by responding to inquiries or resolving complex issues using independent judgment, discretion, and general client knowledge.
Routine communication of risk and status of owned clients and processes to leadership teams.
Functions:
* Execution of client's requests and inquiries in aligned to SLAs and other contractual terms.
* Monitoring and triaging of client issues aligned to SLAs and other contractual terms.
* Routine communication directly with client
* Adherence to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPs
* Assist with operation input related to new process development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources.
* Comply with ESI document and retention requirements.
Scope of Job:
* Provide exceptional service to clients.
* Cross-functional collaboration & communication with necessary internal partners
* Clear and timely communication of issues and status to leadership teams
Working Relationships
* Account Management - As needed - Requirements intake and resolution of issues
* Clients - As needed - Requirements intake and resolution of issues
* IT - As needed - Systems issues, setup, and testing
* Product Teams - As needed - Coordinate set-up, resolution of issues
* Quality Teams - As needed - Issue resolution and documentation
* Leadership Team - As needed - Initiative engagements and client health updates
Minimum Qualifications:
* High School Diploma required Bachelor's degree preferred.
* Years of Experience:
+ 3 or more years of experience preferred in pharmacy benefits management industry with benefits set up knowledge .
* Computer Skills:
+ Microsoft Excel/PowerPoint/Word required
+ Outlook required
* Excellent verbal and written communication and presentation skills highly desirable
* Strong analytical problem solving skills preferred
Knowledge and Abilities:
* Knowledge of the health care and PBM industry and its products and services
* Detailed oriented with strong analytical and problem solving skills
* Ability to manage timelines and meeting tight deadlines
* Ability to adapt in a dynamic work environment and make independent decisions
* Good organizational, prioritizing skills and ability to...
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Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:14
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This production role delivers professional activities in the Provider Contracting job family.
The position is responsible for dental provider recruitment.
Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks (DHMO and DPPO).
Assists with new provider or location credentialing, contracting and recredentialing requests.
Respond to status requests and other non-routine contract questions.
Assists with preparation or modification of provider compensation or contracts.
Completes output in specific work area to appropriate time and quality targets.
Works under own initiative, prioritizes own work, and meets agreed timescales.
Work is subject to frequent review by more experienced professionals in Provider Contracting.
Responsibilities include, but not limited to:
* Identifying, recruiting, and contracting, qualified health care professionals in geographic area within established guidelines to meet health plan needs
* Handle incoming calls from dental providers, reroute misdirected calls
* Takes ownership of issues and works to resolve them over the phone with a "one and done philosophy".
* Perform research and interpret guidelines to respond to inquiries, complaints or disputes, ensuring compliance
* Outreach to providers to obtain missing or additional information to ensure applications and contracts meet compliance
* Collaborate with internal departments as needed
* Maintain positive relationships with health care professionals and their office staff extending high quality service
Qualifications:
* High School Diploma or GED Required
* Minimum of 3 months experience in dental office negotiations, relations or contracting
* Ability to multi-task and priorities workload
* Strong verbal and written communication skills
* Must be a current Cigna or Express Scripts contractor
* Basic to intermediate proficiency in Microsoft Office products
* Demonstrates ability to manage multiple tasks simultaneously while maintaining quality service
* Candidates must have a hard-wired internet connection to plug into the equipment - Wi-Fi will not suffice.
* Satellite internet is not compatible with the equipment and internet speeds must be at least 25Mbps Download/5Mbps Upload.
* Candidates MUST be available/focused consistently during working hours unless otherwise agreed upon with minimal distractions.
Computer knowledge should include being able to set up equipment and troubleshoot with IT regarding any issues as they will be responsible for the set up.
* Please indicate location on resume and confirm internet requirements are met.
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/5Mbp...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:13
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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.
Responsibilities:
* 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 (Georgia metro area) 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 you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join u...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:12
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POSITION SUMMARY
The Pharmacy Benefit Services (PBS), Operations Business Product Owner (BPO) serves as the key interface and liaison between the business sponsor, or client and technology counterparts to advance high ROI/efficiency, division-wide and enterprise-wide initiatives.
This individual would have responsibility for the accuracy and comprehensiveness of business requirements of new and modified business applications and/or products.
They are recognized internally as "the go-to person" for the most complex, cross-functional BPO assignments.
The Business Product Owner serves as the interface to the Technical Product Owners (TPO) for business applications, product or client requests to contribute to business requirements for new and existing systems from ideation through production and project oversight.
They will participate heavily in:
o the extraction of requirements from business sources
o discussions with technical resources on business intent and requirements
o skills to discuss, if not influence, technical design of associated applications
o the ability to guide technical support
PRIMARY FUNCTIONS
• Participate in defining business requirements with business sponsors, TPO and System Engineering teams for new and modified business applications, product, or client requests
• Apply new technical tools and techniques to support business within the digital and communication BPO space.
• Apply Express Scripts project tools and methodologies to advance business applications, products, or client requests.
• Provide input and insight into technical design of new and existing business applications.
• Owns the creation of epics to support analytic needs
• Participates in essential meetings, ceremonies, and release planning conversations to ensure training or documentation resources support a successful adoption
• Communicate and report on progress regularly with stakeholders
• Prioritize and manage workload and meet project deadlines.
• Business, technical and financial acumen applied to projects and portfolio
KEY QUALIFICATIONS
• High school diploma or GED required
• Bachelor's degree preferred
• 5 years experience with program management or product owner preferred
• Knowledge of agile methodology preferred
• Proficiency in Jira preferred
• Business, technical and financial acumen preferred
• Ability to operate within a fast paced work environment a plus
• Excellent communication (oral and written), facilitation, presentation, and organization skills required
• Excellent organization skills preferred
• Proven ability to manage multiple projects simultaneously required
• Demonstrated problem solving and organization capabilities preferred
• Proven ability to manage multiple project simultaneously and work well within an ambiguous environment preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable bro...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:12
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Position Summary:
US Employer is committed to delivering strong growth and financial contributions to Cigna's bottom line.
We are looking for a technically strong, financially minded individual to oversee and continuously enhance the US Employer quarterly projection process.
The results of this process support the quarterly BFO package and monthly MBR package, and drive business decisions to achieve our growth goals.
The role partners with US Employer Accounting, Segment BFOs, Product BFOs, Specialty Finance leads, Enterprise FP&A, and the Hyperion IT team.
In addition, this role will prepare and maintain the Capital Plan process for Cigna Healthcare.
This is an exciting opportunity that provides great exposure across US Employer, and an opportunity to work with Finance, Accounting and business leadership.
Responsibilities:
* Consolidate US Employer's projection and actual results within Hyperion, ensuring accuracy and reconciliation by product.
* Serve as the primary finance partner for Hyperion support during quarterly projections, assisting finance partners on input or system related issues.
* Support development of monthly and quarterly reporting packages, including BFO and MBR packages, supplemental exhibits and segment BFO scorecards for senior leadership.
* Support identification of key drivers of variances across product projections and ensure narrative is consistent with projection.
* Understand US Employer business fundamentals to be able to review and challenge projections to ensure forecasts are 'closest to the pin'.
* Collaborate with Accounting, Product Finance and segment BFOs to inform earnings forecasts for US Employer.
* Partner with FP&A counterparts in other Cigna Healthcare platforms to support timely delivery of key deliverables and ensure alignment.
* Identify and implement changes to processes or models to improve efficiency and provide enhanced insights.
* Lead the Capital Plan process through effective partnership with key stakeholders and analysis of legal entity results and projections.
Ensure that the capital requirements are met for the HMOs including preparing dividends, infusions and state requests.
* Support ad-hoc financial and accounting requests and key projects for senior leadership.
Requirements:
* Bachelor's degree in Finance, Accounting or related field
* Minimum of 5 years' experience in financial analysis, financial modeling, accounting or related
* Experience working with financial database reporting systems, with a strong preference for Hyperion
* Strong organizational skills with ability to track changes, manage version control and ensure financial data reconciles
* Ability to manage projections and deliver accurate and time sensitive results
* Strong financial background with ability to analyze and interpret complex financial data
* Comfortable working in a matrix environment with diverse objectives
* Techn...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:10
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Position Description
The position is full-time and 40 hours a week.
The shift will be a 10-hour shift between 9AM -9PM EST.
Scheduled weekdays vary and must be able to do rotating weekends (Sat.- Sun.).
Schedules are subject to change based on coverage needs.
The RN Clinical Staff Member is part of the telehealth clinical team, which is devoted to the delivery care services in an online and fast-paced setting.
The RN supports MDLIVE providers and clinical operations.
Strong telephone triage, assessment, communication skills, and computer skills required.
Essential Job Functions
* Utilize current evidence-based nursing practices and guidelines.
* Apply the ANA Code of Ethics for Nurses to professional practice.
* Support the clinical and administrative operations of telehealth across practice settings.
* Utilize MDLIVE technology and platforms in the delivery of patient care.
* Triage and assess patient for telehealth appropriateness.
* Serve as a liaison between patient and provider.
Address any questions or concerns post-consultation.
* Resolve any pharmacy and/or medication issues in conjunction with provider order.
* Document, update, and maintain the patient medical record.
* Identify and report patient safety and quality issues.
* Act as an advocate for the patient.
* Support the promotion of optimal health outcomes.
* Patient education and support.
* Deescalate calls to a reasonable outcome for all parties.
* Other duties as assigned.
Required Knowledge/Skills/Abilities
* Critical thinking and data synthesis.
* Empathetic
* Triage and assessment skills.
* Knowledge of Primary Care, Urgent Care, and ER settings.
* Effective communication skills over various mediums.
* Multi-tasking in a fast-paced environment.
* Strong interpersonal skills with that encompass cultural, ethical, economic and access to health care resource understanding when interacting with the patient.
* Knowledge of electronic medical records and e-prescribe.
* Maintain competencies for telehealth nursing.
* Demonstrates proficiency with the following software: Microsoft Word, Excel, PowerPoint, and Outlook.
* Must be able to obtain a RN license in all 50 U.S.
states and territories.
Education and Experience
* Must have a Compact Registered Nursing license with the ability to obtain licensure in all US states and territories.
* RN Licensure with two years of experience working in Urgent Care, Primary Care, or ER setting.
I year of experience may be substituted with call center experience.
* Telehealth experience preferred.
Work Environment
Remote position.
Employee is expected to have a quiet and professional setting in which to work and secured high-speed internet
Security Roles and Responsibilities
MDLIVE employees may have access to Protected Health Information and/or Personally Identifiable Information that is subject to ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:09
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The Agile Product Owners Advisor drives the execution of the multi-year roadmap for underwriting tools/processes by leading an Agile Scrum team as part of the Intake and Medical Quote Optimization (I&Q) program.
This includes representing Risk Management and Underwriting (RMUW) by defining business requirements, enhancing business processes, and prioritizing work to be delivered by the scrum team.
The successful Agile product owner is a trusted advisor for both business and technology partners, independently driving change, challenging peers and partners, and innovating the user experience to accelerate growth and improve the user experience.
Responsibilities:
Represent line underwriters and key business partners to optimize Contour Quote and transform the future underwriting toolset
* Build relationships with underwriters and presale partners to identify efficiency opportunities throughout the presale and renewal process.
* Participate in discussions with UW enablement, IT and Pricing partners at various levels within the organization to articulate business needs.
* Drive for short-term solutions consistent with long term vision as established by the operational strategy team.
Decompose Jira features and detailed user stories in support of I&Q program
* Leverage agile best practices to document build requirements and define success criteria.
* Partner with UWIT to deconstruct larger capabilities into incremental building blocks and write features and user stories.
* Maximize value delivery by prioritizing features into incremental steps to improve our tools and business processes.
* Document detailed acceptance criteria to enable multiple teams to develop test scenarios and validate successful completion of each business capability
Manage delivery of incremental building blocks for the I&Q program:
* Establish project plan to achieve delivery of features using an Agile delivery framework.
* Assess impact of proposed changes on process and organization
* Recommend process changes to accommodate proposed new capabilities or solutions
* Coordinate with peers in UW training and communications to build change management / communication plans related to proposed changes.
Qualifications
* Bachelor degree in business or related field or equivalent related business experience.
* Agile certification required (i.e.
Product owner, scrum master, SAFE, etc.)
* Proven track record of delivering high quality process transformation across presale and underwriting applications
* 3+ years of experience building or testing new capabilities across Contour Intake and Quote
* Strong understanding of medical quoting workflow for new business and renewals
* Proven ability to foster collaboration across multiple stakeholders and business teams
* Demonstrated ability to define business and technical requirements (user stories) and plan/prioritize work for at least one agile s...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:08
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ABOUT THE DEPARTMENT
Our Specialty Distribution Group, Cura Script SD by Evernorth, offers healthcare providers access to a complete portfolio of specialty pharmaceuticals and ancillary supplies, ensuring patients' continuity of care.
We ship to all 50 states as well as Puerto Rico and Guam, with three distribution centers: a main facility in Grove City, Ohio, and secondary locations in Arizona and Tennessee.
ABOUT THE TEAM
The Data Integrity team is responsible for managing the data integrity of master data within core ERP to ensure accurate reporting and system functionality.
This group will act as key liaison in master data entry using both manual and automated solutions to enforce quality control and approval requirements.
The group interfaces with all business, operational and technology areas to develop and execute data integrity plans and changes and will share data ownership regarding master data maintenance.This group facilitates the process and decisions from the Data Decision-Making Operation Model, ensuring all Data Management teams are engaged and informed of these decisions.
ABOUT THE POSITION
The SAP Master Data Lead Analyst is accountable for the design and operational execution of the Data Quality framework, as well as coordination across all technical resources throughout the lifecycle of information investigation and data management.
Additionally, the Lead Analyst will be central to ensuring data accuracy, consistency and accessibility to the organization as it relates to the material and vendor master data domains.
Responsibilities include executing changes in an accurate and timely manner to master data (material & vendor) in collaboration with the business.
This includes coordination of material and vendor master data setup, validation and periodic maintenance.
This position is in-office aligned and will require the flexibility to perform onsite 3 days a week at the Cura Script SD facility in Lake Mary, FL.
RESPONSIBILITIES:
* Manage master data (material & vendor) creation, updates and deletions within SAP
* Troubleshoot master data management issues and identify opportunities for process improvement
* Ensure data quality, compliance and consistency of master data across business systems
* Analyze, cleanse and enrich master data elements ensuring efficient and consistent data flow between users and stakeholders
* Collaborate with cross-functional teams to ensure consistent use of data, manage master data reports and projects
* Assist business process experts in defining standard operating procedures, process flows and related documentation
* Conduct periodic data audits to ensure compliance and accuracy
* Participate in projects and initiatives across multiple functional areas
* Collaborate with Master Data Governance team to ensure alignment around change requests and data standards
* Central to maximizing reporting accuracy, and master data quality
Additional Sk...
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Type: Permanent Location: Lake Mary, US-FL
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:07
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Position Title: Operations Analyst
Location: Grove City, OH.
, Tempe, AZ., Newark, DE.
Hours: 8 Hour shift 7-9pm
CuraScript is committed to making pharmacy simpler and better - from our industry-leading supply chain team to our specialized clinical experts, we're focused on making sure patients get and can stay on the medications they need at prices they can afford.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on patient's lives.
Subject matter expert in handling serialization data within the Operations environment.
Does not include advanced technical knowledge of data flow.
How you'll improve the lives of others:
• Cross-Checking inbound shipments to ensure serialization data is present and accurate in TraceLink prior to deconsolidation
• Trouble shoot missing data and/or inaccurate data
• Works closely with MDM and Manufacturer's to obtain and resolve incomplete data
• Escalation point for data issues pertaining to Outbound shipments
• Utilize appropriate tools (Excel, SCWM, ect.) to log exception handling scenarios and track/monitor.
Ensures timely resolution by either collecting and/or fixing data discrepancies.
• Works with P2P to setup return to vendor on product(s) with missing data or incomplete data.
• Ensures proper storage for quarantined product(s) with data issues
• Works cross-functionally with various departments depending on the need of the issue
• Works with others in the same role to ensure issues that impact multiple sites are documented and communicated with the appropriate parties.
• Works with Master Data Management team on new products that are arriving at the warehouses to ensure set up is complete for all location.
Requirements:
* High School diploma, GED or equivalent work experience.
* 2 - 3 years of experience in data analysis
* Intermediate computer skills including Microsoft office: word, outlook, excel.
* Knowledge of SAP preferred.
* Must be detail oriented and pay close attention to accuracy.
* Ability to understand mathematical conversions.
* Ability to effectively establish rapport, present information and respond to questions related to inventory.
* Excellent verbal and written communication skills.
* Ability to quickly resolve problems and develop favorable solutions.
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
* Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
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 rat...
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Type: Permanent Location: Grove City, US-OH
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:06
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Position Summary
This role will be work at home and will support our National Dental Networks, our Client Account Management teams and our Dental Sales teams.
Provides advanced professional input to complex Provider Network Strategy assignments/projects for existing and prospective clients.
Analyzes and reviews reporting and projects impact of network recruitment and retention strategies.
Develops and monitors dental and vision network performance guarantees.
Coordinates with Provider Contracting, Provider Relations and Provider Service areas to drive execution on performance guarantees.
Monitor and track progress of PGs, including report outs to account and sales teams.
Prepares responses for Network RFP questions.
Prepare materials and make presentations to existing and prospective clients and or market sales teams.
Responds to the complex service issues and inquiries, identifying resources for resolution of client network issues.
Handle non-routine problems ensuring client satisfaction with products and service.
Support provider recruitment or retention nationally via field work as needed.
Mentor, train, support and provide direction to more junior professionals.
Works autonomously, only requiring "expert" level technical support from others.
Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.
Job Responsibilities
* Manage a territory acting as a liaison between client account management teams, dental sales teams and provider network teams.
* Prepare materials for and attend finalist meetings to present the value of Cigna Dental's network, virtually or in-person.
* Prepare materials for and attend client meetings virtually or in-person as needed to communicate current network strengths, with a goal of client/membership growth and retention.
* Ability to gather critical information, swiftly assess type of inquiry and the level of complexity and determine to process or direct the work to the appropriate teams for resolution for escalated issues.
* Interact professionally with clear, effective communication and set the appropriate expectations on timeline of deliverables.
Provide updates to clients, matrix partners, and/or contracted providers on status and resolution.
* Leverage internal resources and use independent judgement and discretion to resolve complex client inquiries and solve non-routine problems, which ensure client satisfaction with products and services.
* Develop and maintain strong relationships with client account management and sales teams.
* Coordinate with internal business partners to ensure provider and member needs are met and potential problems are averted.
* Effectively drive teams for improved client & member experience.
* Support dental network targets through whatever means to meet overall dental earnings targets.
* Recruit provider to the dental network as needed.
* Ability t...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:06
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Nurse Practitioner - Per Diem - Evernorth - Washington DC
This Nurse Practitioner will provide per diem support for our worksite-based health center.
The NP will be the sole provider in the health center.
* Provide Primary Care treatment in an Employer-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 we are 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
* Demonstrated ability to work well with and manage members of the health care team (MA, LPN)
* Excellent interpersonal skills including internal and external customers and group settings
* Ability to partner with local HR/Benefits team to improve employee health
Qualifications :
* Graduate of Certified NP program
* Active and unrestricted NP license required in Washington DC, with ability to maintain NP license
* Active and unrestricted NP license in VA (preferred), or ability to obtain and maintain
* Minimum of3or more years of NP experience, working independentlyin an internal medicine or family practice setting
* Ability to practice independently in respective state
* DEA licensure and prescriptive authority
* Electronic Health Record experience
* BLS certification
* Ability to work clinic hours: Monday - Thursday 7:30 am 3:30 pm; 30 min lunch
Bonus points for :
* Chronic Disease Management experience
* Passionate about overall health and wellness and patient education
* High energy and strong customer-centric focus
This role is located in our workplace health center in Washington DC; 1/2 mile from Union Station.
Parking is provided.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions incl...
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Type: Permanent Location: Washington, US-DC
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:05
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The Cigna Group is looking for a proactive, detail-oriented individual to join our organization.
The Executive Assistant will provide administrative support for the SVP & Chief Counsel and other leaders, acting as a trusted resource and professional problem solver.
In addition to foundational administrative tasks, this role will be responsible for running point on cross team initiatives to support senior leaders and ad hoc requests.
The ideal candidate will exhibit high degree of discretion, confidentially and sound judgement.
Responsibilities:
* Perform diversified and confidential administrative duties for department head and senior leadership as assigned, utilizing broad and comprehensive experience, skill and knowledge of organization policies and practices.
* Executes on complex scheduling requests that will include varying leadership levels across the enterprise.
This includes our Enterprise Leadership team as well as various senior leadership forums.
Will act with speed, accuracy, and efficiency to complete requests.
* Coordinate and project manage visits to Cigna offices for C-suite leaders.
Project management tasks include: planning the visit agenda, working with local teams on logistical, technology and food & beverage needs, working with travel and meeting services, sending out invites, etc.
* Build effective relationships and work closely with internal partners to perform key task.
This includes peer administrative and executive assistants, Executive IT support, corporate internal communications, corporate travel/aviation etc.
* Administrative lead for department meetings.
Includes scheduling and logistics and technology needs.
* Handle travel arrangements for leaders and prepare and settle expense accounts.
Ensure that all plans are managed seamlessly and coordinate related arrangements.
* Manage an effective calendaring system and look for opportunities to enhance efficiencies.
Make last minute calendaring decisions based on priority and business needs using sound judgment.
* Schedule and organize meetings including Webex and conference calls to be hosted by principal, and/or direct reports (i.e., booking training rooms, posting materials to Sharepoint, send pre-reads to participants) as required.
* Plan and coordinate on-boarding activities as needed.
* Maintain and coordinate department distribution lists and sharepoint/file systems.
* Order equipment and supplies using the portal supply system.
* Manage department vendor payment activities, track and approve invoices, assume delegate responsibilities for travel and expense entry for department head using Concur.
Qualifications:
* 8+ years of progressively responsible administrative, executive assistant experience.
* Can work independently, exhibit sound judgement, and maintain confidential information.
* Impeccable organizational skills with the ability to work in a very high-paced environment and man...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:04
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Pick Packer
Location: Work on site
Address: AZ, Tempe, 2040 West Rio Salado Pkwy
Hours: Mon-Fri 8 Hour Shift between 7:30am -6:30pm mst
Pick Packer is responsible for pulling, packing, and shipping of pharmaceuticals (both refrigerated and non-refrigerated) and medical supplies.
Uses various warehouse equipment, RF units, pallet jacks.
Performs other warehouse functions including but not limited to: stocking pack stations with packing supplies.
How you'll improve the lives of others:
* Pulls order accurately, according to RF unit and order ticket.
* Verifies orders before sending to pack station.
* Manifest cartons using carrier manifest stations and verifying the carton label to the pick-ticket.
* Stack and shrink wrap cartons to specific skids by carrier ship level.
* Packs orders according to order ticket paying attention to items needing extra dunnage, ice, and special instructions.
* Use warehouse equipment, RF units, manifest machines, cherry picker and computer system.
* General housekeeping of warehouse and pack stations.
* Restocking pack stations with shipping supplies (boxes, bubble wrap, paper, air pillows, etc.) return totes and carts to proper areas.
* Ability to speak English is required for this position due to the need to communicate safety rules on the shop floor
Requirements:
* No Experience required but 1+ years of relevant experience highly preferred.
* Basic computer skills required
* Ability to read, write and type English required
* Attention to detail to ensure accuracy required
* Ability to lift 50 lbs required
* Prior experience using handheld RF units preferred
* Prior experience using material handling equipment preferred
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
* Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
Apply now to embark on a rewarding career journey with us!
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,...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:02
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Provides advanced professional input to complex Case Management assignments/projects.
Handles more complex, high acuity cases and/or account sensitive cases.
Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services.
Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
Evaluates, recommends, and maintains close relationship with inpatient and outpatient counseling/treatment facilities.
Evaluates employee counseling and treatment needs and makes recommendation on changes or additions to appropriate programs.
May assist with designing and conducting training and educational seminars.
Manages own caseload and coordinates all assigned cases.
Performs leadership role on team when implementing new tools or case management programs/initiatives.
Supports and provides direction to more junior professionals.
Works autonomously, only requiring "expert" level technical support from others.
Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.
Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Case Management.
May require a Master's Degree in a health care related field with current licensure.
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.
• 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.
• 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:
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and ...
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Type: Permanent Location: Falls Church, US-VA
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:01
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Our mission is to provide immediate, personalized clinical support-whether it's a moment of crisis, clinical consultation, or a step towards lasting change.
Our mission is to be responsive, collaborative, and impactful with each connection.
As a Behavioral Licensed Clinician on our 24/7 Clinical Support Team, you will deliver expert, compassionate care across a wide spectrum of behavioral health needs.
This team is designed to ensure continuity-each Behavioral Licensed Clinician remains with the customer throughout their journey, becoming a trusted clinical partner.
While every team member supports various clinical populations and needs, we value and will leverage subject matter expertise in the development of training, curriculum, and clinical consultation.
You'll be called on to bring depth into your areas of specialization while remaining flexible and responsive across all cases.
The successful candidate will have demonstrated clinical excellence with mental health, substance use disorders, crisis call work, and case management with a passion to deliver a service experience that exceeds the member's or provider's expectation.
The team works in a fast-paced environment, on a queue, taking telephonic calls in the moment, balanced with scheduled calendar appointments.
The team operates 24/7/365 in support of the full organization.
Duties and Responsibilities
* Serve as a consistent clinical point of contact for each member from first engagement through every stage of their wellness journey
* Assess members' immediate risk and clinical needs using evidence-based models and clinical acumen
* Provide real-time crisis de-escalation, safety planning, and risk management
* Identify biopsychosocial needs and collaborate with the member to determine solutions and next steps
* Develop SMART goals that empower members to lead and maintain a healthy lifestyle
* Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals
* Sheppard members to appropriate clinical care, treatment programs, and community resources
* Incorporate a variety of modalities to educate members about benefit plans, coverage, and care navigation
* Leveraging an evidence-based specialized curriculum in a wide range of clinical areas that support our members' unique needs
* Perform research and provide relevant educational or support resources tailored to the member's situation
* Partner with internal colleagues to ensure timely follow-up, case collaboration, and seamless care transitions
* Demonstrate agility in balancing real-time queue work with out-of-queue case management responsibilities
* Exhibit diplomacy, empathy, and professionalism-even in difficult conversations or with resistant participants
* Comply with HIPAA and uphold strict confidentiality and compliance standards while demonstrating sound clinical documentation practices
* A...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:09:00
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WORK LOCATION: Must live in Connecticut
The Manager, Healthcare Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting.
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.
* 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 healthcare provider 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
* Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a bachelor's degree.
MBA or MHA preferred.
* 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
* Experience in...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:59
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Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Durable Medical Equipment (DME) 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.
* Serve as a subject matter expert for medical necessity requests for durable medical equipment (DME), Home Health (HH) and other specialty-matched cases as indicated.
* Testify at ALJ Hearings when your cases are being appealed
* Document all actions related to clinical review sessions and attest to review qualifications as required.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified in Physical Medicine & Rehabilitation recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Provide intermittent weekend ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:59
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Primary Care Physician - Outpatient Practice - Internal or Family Medicine
Positions available, onsite:
Downtown Phoenix, AZ 1300 N.
12th St.
Phoenix , AZ 85006
Scottsdale, AZ 1355 N Scottsdale Rd.
Scottsdale , AZ 85257
Who We Are:
Evernorth Care Group continues to build on its foundation as a trusted leader in integrated primary care.
For more than 50 years, we've been delivering high-quality, affordable, and accessible care for our patients and the community.
The physician will provide primary care for Evernorth Care Group patients deemed to fall within the scope of practice of Internal Medicine or Family Medicine.
Diagnoses and treats patients for disorders on a general level, without restriction to special systems or regions of the body; serves as the general practitioner to patients for general diagnostic and therapeutic medical care.
Our Patient-First Care Model:
* Team Approach - Quality-driven patient care model
* Low daily patient census - to allow our physicians to provide the "gold standard" in patient care
* Dedicated clinical staff to help alleviate the administrative requirements
What you'll enjoy about working here:
* Compensation package includes competitive base salary and bonuses
* Benefits start on day one
* Predictable work schedules, no nights, weekends or holidays
* 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
Responsibilities:
* This position is responsible for providing excellent care to patients in an outpatient clinical setting.
* This is specifically for adult medicine and geriatric medicine.
* The incumbent must be effective in unifying the business, operational, support and clinical arms into a cohesive team.
Qualifications:
* MD or DO Degree
* Board Certification in Family Medicine or Internal Medicine (new grads who are board eligible are welcome to apply)
* Active and unrestricted AZ medical license, or ability to obtain
* Outpatient practice experience, preferred
* Proficient computer skills - MS Office Products (Word/Excel) and Electronic Health Records systems
* Demonstrates flexibility
* Displays excellent/compassionate communication skills with staff and patients
* Epic experience, a plus - not required
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 enhanc...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:58
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*$10,000 Sign-on Bonus for external hires (in 3 installments)
*
The shift for this position is Monday-Friday 1:00pm-9:30pm.
Portions of this shift are eligible for a shift differential.
POSITION SUMMARY
Accredo, the specialty pharmacy division of Evernorth Health Services, is looking for fulltime staff pharmacists to join their Whitestown, IN team.
As a Staff Pharmacist at Accredo Specialty Pharmacy, you'll be responsible for verifying and dispensing medications within corporate and regulatory guidelines.
The Staff Pharmacist will track order status.
The Staff Pharmacist may also train less experienced pharmacists.
This position will require product verification and the ability to be flexible.
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:
* Provide oversight and quality assurance to pharmacy technicians.
* Interpret physicians' or prescribers' prescriptions.
* Verify and confirm validity of controlled substances.
* Verify prescription information entered in the system by data entry or order entry.
* Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
Requirements:
* Current resident pharmacist license in good standing.
* Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues.
* Good oral and written communication skills.
* Ability to read and interpret prescriptions.
* Strong focus on customer service, quality and accuracy.
* Ability to manage timelines and meet tight client deadlines.
* Ability to adapt in a changing environment.
* Ability to work a flexible schedule for peak volume times.
This position is work site dependent and can only be performed onsite at our Whitestown, IN location.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, nationa...
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Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:57
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Spend your career making an impact.
The Cigna Group's Actuarial Executive Development Program (AEDP) offers a premier pathway that prepares actuaries to become business leaders.Through 18-24 month rotation(s), you'll gain meaningful experience across core actuarial functions and business areas, while developing a broad understanding of the healthcare industry.
You'll be supported by a collaborative actuarial community and mentors throughout your FSA credentialing - all designed to help you succeed.
Over time, you'll build the skills, insight, and confidence to take on leadership roles across our global organization.
At The Cigna Group, your work will contribute to improving access, affordability, and quality of care for the millions of people we serve - making a real difference through your actuarial expertise.
Why Chose the AEDP:
* Rotations - Rotational assignment(s) 18-24 months in duration, aligned to your personal development and business need.
* Career Development - Core curriculum of executive based competencies including functional, business acumen, interpersonal, and leadership skills.
* Exam Support - Paid exam fees, study materials, study time, and exam raises to help you achieve your FSA.
* Compensation - Highly competitive compensation and benefit packages that reward both work performance and exams.
* Business Impact: Work on initiatives that influence real-time business decisions across the enterprise driving healthcare forward.
* Community & Culture - Large community of actuarial members and program alumni committed to your success through mentorship, networking, and inclusion-based initiatives.
Where You'll Work:
Rotational opportunities span key functions-including pricing, reserving, analytics, forecasting, and risk management-across diverse business areas such as employer healthcare, individual and family plans (IFP), pharmacy, stop loss, and dental.
Potential rotations for program associates could be within:
* Healthcare Pricing
* Healthcare Reserving
* Pharmacy Economics
* Financial Planning & Analysis
* Data & Analytics
* Underwriting
* Investment Management
* Medical Management
Qualifications:
* At least 4 years professional work experience in an actuarial or related field
* Completed and passed at least 6 actuarial exams, preferably SOA
* Analytical skills: Ability to think critically, problem solve and drive business impact
* Effective interpersonal, written and verbal communication skills
* Strong demonstrated ability to lead paired with initiative and curiosity
* Outstanding technical skills: Excel proficiency preferred, coding experience in Python, R, SQL, a plus
* A bachelor's degree in actuarial science, mathematics, statistics, finance economics, data analytics or related major
* Commitment to professional development and learning the business of healthcare
Hybrid workplace: A collaborative on-s...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:55
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As a Sr.
S trategic 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 clien t issues, selling annual renewal rate increase s in addition to new products and services to expand the relationship .
Y ou 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...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:54
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Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system.
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system.
* Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention, as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements:
Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
Minimum of two years full-time direct patient care as an RN required.
Preferred requirements:
* Nursing experience in Transplant strongly preferred
* Must have an active and unencumbered RN License
* Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:53
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Position Description
The Product Business Lead Analyst at MDLIVE collaborates with cross-functional teams to analyze and write business requirements, support the product strategy, and ensure the alignment of product goals with user needs and market demands.
The Business Analyst is a detail-oriented individual who proactively supports product management through market research, user feedback analysis, and competitive landscape evaluation.
Essential Job Functions
* Gather and synthesize user feedback, market research, and competitive analysis to inform product decisions.
* Support strategic alignment by analyzing business requirements and assessing their feasibility.
* Provide insights and recommendations to the product and project teams based on data analysis.
* Work closely with stakeholders across departments (e.g., engineering, marketing, operations) to gather requirements and prioritize work activities.
* Collaborate with product managers to translate business needs into technical requirements.
* Conduct market and user research to understand trends, needs, and preferences.
* Regularly analyze product performance metrics and provide actionable insights.
* Identify and resolve business process issues impacting product development.
* Assist in the preparation and maintenance of detailed product requirements documentation.
* Support QA testing by defining functional scenarios and validating feature implementations.
* Assist in managing the product lifecycle for individual products, from ideation to launch.
* Continuously monitor and analyze the impact of product changes on business processes.
Desired Knowledge/Skills/Abilities
* Bachelor's degree or equivalent experience.
* 3 to 5+ years of experience of developing solutions in a technology-based organization.
* Healthcare industry knowledge a plus
* Strong ability to interpret data, identify patterns, and extract actionable insights.
* Intellectual curiosity and a relentless push for understanding the "why" behind complex situations.
* Excellent written and oral communication skills.
* Proven ability to collaborate effectively with cross-functional teams and manage complex projects
* Proficient in MS Office applications; experience with Jira and Confluence is a plus.
* Familiarity with agile methodologies and product management tools.
* Ability to jump into new projects, quickly understand them, and determine the appropriate course of action.
* Strong structured thinking and problem-solving skills.
* Experience in gathering and synthesizing user feedback, market research, and competitive analysis.
* Understanding of mobile development lifecycles, UI/UX principles, and integration with backend services.
* Knowledge of APIs and familiarity with mobile and web development frameworks and tools.
* Understanding of web and mobile development lifecycles, UI/UX pr...
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Type: Permanent Location: Miramar, US-FL
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:52
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This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space.This actuarial strategy role is designed to provide a designated full time support to Express-Script's external client's Medicare Part D business.
This role will matrix with internal leadership within trend, formulary, clinical, knowledge solutions, sales & account management, and supply teams.
The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs, drug expense analyses and projections, financial forecasts, actuarial modeling, pharmacy network optimization strategies, manufacturer rebates optimization, regulatory impact assessment, and ad hoc actuarial analyses as needed.
The position requires an experienced strategic viewpoint in wide variety of actuarial prescription drug subjects within the enterprise, industry, and regulatory environments.
The Essential Responsibilities of the Role include:
Product Support / Development
* Co-lead development of Actuarial analytics products for Express Scripts existing Part D Plans
* Perform financial analyses of proposed regulatory changes, demonstration programs, and other special programs by CMS to determine financial impact on various entities within the drug supply chain
* Develop actuarial models to aid in prospective projections of Medicare Part D Plan client's plan liability and premium impact sensitivities
* Build actuarial models and project management functions to accelerate and safeguard improvements in the development of analytics tools to identify gaps in the Medicare Part D market
* Lead studies to aid in identification of gaps in the Medicare Part D Prescription Drug Health market to aid in development of strategies to help close identified gaps
Analytics Support to Part D Plans
* Drive strategic discussion to develop analytics road map to optimize Part-D revenue optimization and cost-reduction strategies for Medicare Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs)
* Review Medicare Part D Plan bid assumptions for Regulated Medicare Part D Health Plans
* Create analytics for Medicare Part D Bids substantiation for Desk Review and Medicare Part D audits
* Utilize independent judgement and discretion to perform complex customized actuarial analyses for Part D Health Plans
Cross-Functional Financial Support
* Collaborate with internal Express-Scripts business partners and external vendors to determine operation feasibility and financial ramifications of special programs
* Apply distinct Part D subject matter expertise (SME) to facilitate analytics capabilities, measure performance and aid in problem solving, and creation of actionable insights for technical teams within Express-Scripts enterprise
* Cross-functional collaboration within Express-Scripts enterprise Medicare Part D fi...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-07-09 09:08:51
