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Your Job
The Koch CFO organization's investment team is seeking an Investment Accounting Analyst to join the group supporting Koch Real Estate Investments (KREI).
In this role, you will create value for the organization as a primary business partner supporting the respective investment team in all finance, accounting, and financial reporting matters.
The position will interact with business leaders and the investment manager to ensure investments are appropriately recorded under US GAAP and in-line with underlying economic performance.
We are seeking economic thinkers and highly motivated, self-driven individuals.
The ideal candidate will also have investment accounting experience and a trading mentality with a focus on continuous transformation; demonstrated ability to communicate effectively with all levels of management across capabilities; and an aptitude and desire for problem solving, adopting, and promoting the use of new technologies, learning new systems, and improving processes through automation.
Our Team
We support Koch's investment companies, which are comprised of Koch Disruptive Technologies, Koch Equity Development, Koch Investment Management and Koch Real Estate Investments.
From investing to acquisitions, Koch's investment companies seek out opportunities across a broad spectrum of industries.
They bring a diverse set of capabilities to the table beyond being a capital solutions provider, including a principled, flexible approach to invest where our involvement can create the greatest value.
Our goal is to be a preferred partner and make meaningful contributions to each investment company as they pursue Koch's vision.
* What You Will Do
* Perform certain month-end closing activities, monitoring close checks, ensuring compliance with company policies and meeting closing deadlines
* Analytically review, comprehend, and be able to communicate any known or expected risks, significant transactions, or anomalies
* Collaborate with the investment groups to understand the investment strategies and validate that they are being accounted for accurately
* Provide ad hoc information and analysis to other departments (business finance, treasury, tax, legal, etc.)
* Perform balance sheet reconciliations to adequately support transactions and account balances, and investigate and resolve any corrective action required
* Work with external auditors and support annual audit process as needed
* Aid in researching technical accounting treatment and economic reporting of new investment strategies, in collaboration with Business leaders
* Seek and share knowledge, identify opportunities for process improvements and/or automation, challenge the status quo, and propose solutions
* Advance the Principle-Based Management® culture within the team by applying and reinforcing the company's Guiding Principles
Who You Are (Basic Qualifications)
* Experience in a professional Accounting, Audit, ...
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Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2025-02-22 08:00:22
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Your Job
The Koch CFO organization's Investment team is seeking a Senior Investment Accounting Analyst to join the team in a new growth role! In this role, you will create value for the organization as a business partner supporting our investment teams in all finance, accounting, and financial reporting matters.
The position will interact with the accounting leaders and business team members to ensure investments are appropriately recorded under US GAAP and in line with underlying economic performance.
We are seeking economic thinkers and highly motivated, self-driven individuals.
The ideal candidate will also have investment accounting experience and a trading mentality with a focus on continuous transformation; demonstrated ability to communicate effectively with all levels of management across capabilities; and an aptitude and desire for problem solving, adopting, and promoting the use of new technologies, learning new systems, and improving processes through automation.
Our Team
We support Koch's investment companies, which are comprised of Koch Disruptive Technologies, Koch Equity Development, Koch Investment Management and Koch Real Estate Investments.
From investing to acquisitions, Koch's investment companies seek out opportunities across a broad spectrum of industries.
They bring a diverse set of capabilities to the table beyond being a capital solutions provider, including a principled, flexible approach to invest where our involvement can create the greatest value.
Our goal is to be a preferred partner and make meaningful contributions to each investment company as they pursue Koch's vision.
* What You Will Do
* Perform certain month-end closing activities, monitoring close checks, ensuring compliance with company policies and meeting closing deadlines
* Analytically review, comprehend, and be able to communicate any known or expected risks, significant transactions, or anomalies
* Collaborate with the investment groups to understand the investment strategies and validate that they are being accounted for accurately
* Provide ad hoc information and analysis to other departments (business finance, treasury, tax, legal, etc.)
* Perform balance sheet reconciliations to adequately support transactions and account balances, and investigate and resolve any corrective action required
* Work with external auditors and support annual audit process as needed
* Aid in researching technical accounting treatment and economic reporting of new investment strategies, in collaboration with Business leaders
* Seek and share knowledge, identify opportunities for process improvements and/or automation, challenge the status quo, and propose solutions
* Advance the Principle-Based Management® culture within the team by applying and reinforcing the company's Guiding Principles
Who You Are (Basic Qualifications)
* Experience in a professional Accounting, Audit, Financial Analysis, Investments, T...
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Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:55
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Your Job
INVISTA is looking for a driven Senior Financial Analyst to join our business finance team in Wichita, KS or Dallas, TX to support our financial reporting for the business, capabilities, and management.
A successful candidate will build relationships with key partners, work to identify and drive opportunities and strategic initiatives, and possess an entrepreneurial mindset that can influence without direct authority while driving transformation and respectfully challenging the status quo.
This position is ideal for a candidate who thinks economically, critically, and enjoys working with a broad range of individuals and capabilities.
Our Team
Join Koch and experience the best of both worlds in our exceptional office locations! Our Wichita office is conveniently located in the northeast part of the city, one of the largest in Kansas with a vibrant population nearing 400,000.
Wichita is renowned for its diverse downtown district, brimming with top-notch restaurants, shopping, museums, entertainment venues, and beautiful parks.
With easy access to major highways and interstates, you have the flexibility to live almost anywhere within the greater Wichita area without enduring a grueling commute.
Our beautiful campus boasts walking trails, coffee shops, and numerous on-site amenities like a post office and dry-cleaning services, making your work-life balance a breeze.
Alternatively, our North Dallas office is situated in the bustling Legacy Town Center in Plano on Dallas Parkway.
This prime location offers a plethora of on-site amenities and is just a short stroll away from a variety of restaurants and The Shops at Legacy.
Whether you choose Wichita or Plano, you'll find a dynamic and supportive environment designed to help you thrive both personally and professionally.
Come join us and see what makes Koch a great place to advance your career!
What You Will Do
* Own business financial reporting: Manage monthly, quarterly, and annual financial analysis and forecasting processes.
* Deliver transformative base financial analysis: Drive accountability and profitable action through detailed financial analysis and strategic insights to support daily and long-term decision making for our businesses and supporting capabilities.
* Effective communication and storytelling: Communicate complex financial insights effectively and tell compelling stories with appropriate detail to a wide range of audiences, including leadership.
* Build preferred partnerships with business leaders and capabilities: Work closely with business team members to provide insights into business performance and develop measures around strategies and key performance drivers.
* Participate in the financial revamp project: Contribute to our financial revamp project aimed at transforming business measures and improving financial reporting processes.
Who You Are (Basic Qualifications)
* Bachelor's degree in Finance, Accounting, Economics, or a rela...
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Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:51
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Your Job
INVISTA is looking for a driven Senior Financial Analyst to join our business finance team in Wichita, KS or Dallas, TX to support our financial reporting for the business, capabilities, and management.
A successful candidate will build relationships with key partners, work to identify and drive opportunities and strategic initiatives, and possess an entrepreneurial mindset that can influence without direct authority while driving transformation and respectfully challenging the status quo.
This position is ideal for a candidate who thinks economically, critically, and enjoys working with a broad range of individuals and capabilities.
Our Team
Join Koch and experience the best of both worlds in our exceptional office locations! Our Wichita office is conveniently located in the northeast part of the city, one of the largest in Kansas with a vibrant population nearing 400,000.
Wichita is renowned for its diverse downtown district, brimming with top-notch restaurants, shopping, museums, entertainment venues, and beautiful parks.
With easy access to major highways and interstates, you have the flexibility to live almost anywhere within the greater Wichita area without enduring a grueling commute.
Our beautiful campus boasts walking trails, coffee shops, and numerous on-site amenities like a post office and dry-cleaning services, making your work-life balance a breeze.
Alternatively, our North Dallas office is situated in the bustling Legacy Town Center in Plano on Dallas Parkway.
This prime location offers a plethora of on-site amenities and is just a short stroll away from a variety of restaurants and The Shops at Legacy.
Whether you choose Wichita or Plano, you'll find a dynamic and supportive environment designed to help you thrive both personally and professionally.
Come join us and see what makes Koch a great place to advance your career!
What You Will Do
* Own business financial reporting: Manage monthly, quarterly, and annual financial analysis and forecasting processes.
* Deliver transformative base financial analysis: Drive accountability and profitable action through detailed financial analysis and strategic insights to support daily and long-term decision making for our businesses and supporting capabilities.
* Effective communication and storytelling: Communicate complex financial insights effectively and tell compelling stories with appropriate detail to a wide range of audiences, including leadership.
* Build preferred partnerships with business leaders and capabilities: Work closely with business team members to provide insights into business performance and develop measures around strategies and key performance drivers.
* Participate in the financial revamp project: Contribute to our financial revamp project aimed at transforming business measures and improving financial reporting processes.
Who You Are (Basic Qualifications)
* Bachelor's degree in Finance, Accounting, Economics, or a rela...
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Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:50
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Your Job
Guardian Industries is looking for an Accounting Analyst to join our team in Auburn Hills, MI!
We are looking for a motivated and self-driven candidates that can manage multiple responsibilities, set priorities for themselves, meet deadlines, and who seek to improve processes along the way.
If you are still growing in your Accounting career, we have meaningful work to do and opportunities to contribute! This position will work across the organization in a competitive atmosphere.
Working effectively with cross-functional teams, embracing change, and being adaptable is crucial for success.
Our Team
You will be part of a diverse contribution motivated team, working within a culture that encourages entrepreneurship and challenge with respect and humility to deliver superior results for our internal and external customers.
What You Will Do
* Perform financial closing procedures, variance analysis, Balance Sheet account analysis & reconciliation
* Support the month-end close and partner with the finance teams across Koch
* Act as a subject matter expert on offshore processes, review and approve desktop procedures
* Analyze the financial statements for discrepancies and provide commentary for forecast vs actual, standard vs actual & month over month change in account balances
* Provide ad hoc information support and analysis to other departments (Tax, Audit, HR, etc.)
* Seek and share knowledge, create value by identifying opportunities for process improvement and standardization; challenge the status quo
* Work with external auditors and support annual audit process; investigate and resolve audit findings, account discrepancies, and issues of noncompliance
* Work across regions and capabilities to understand local regulations to help improve their processes
* Collaborate with finance sub-capabilities to ensure information, reporting and procedures remain clear & consistent
Who You Are (Basic Qualifications)
* Experience as an Accountant including General Ledger - Journal Entries, Intercompany Transactions, Account Reconciliations, Variance Analysis and supporting Month-End close
* Experience with Microsoft Office 365 with advanced MS Excel skills (spreadsheet creation/editing, pivot tables, data manipulation/analysis and formula creation)
What Will Put You Ahead
* Bachelor's degree in Accounting or Finance
* Customer service, client engagement, or business support experience
* Experience evaluating large data sets from multiple sources and providing analysis
* Hands-on experience with ERP & accounting sub-systems
* Experience in Microsoft Power Apps & PowerBI
At Koch companies, we are entrepreneurs.
This means we openly challenge the status quo, find new ways to create value and get rewarded for our individual contributions.
Any compensation range provided for a role is an estimate determined by available market data.
The actual amount may be higher or l...
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Type: Permanent Location: Auburn Hills, US-MI
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:46
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Your Job
The Product Manager will be the focal point driving commercialization, sales, and product development efforts with broad responsibilities to lead activity across internal and external clients including customers, suppliers, engineering, manufacturing, quality, channel partners and strategic marketing.
Focus product and markets include fiber optic broadband access market products including optical cable, drop cable assemblies, enclosures and a wide array of connectivity products.
Molex is expanding its Optical Solutions Business Unit into new market segments and is looking for a growth minded person to join our team as a Product Manager.
If you are looking for a way to accelerate your career and be part of a great company, this may be the opportunity for you.
In this role you will have the opportunity to work with highly dedicated professionals at Molex and bring your experience and knowledge to be recognized as an Product Manager within the Fiber Optic Connectivity Product Management Group.
This role will include engagement with distribution and channel partners, pricing and cost analysis, supporting marketing efforts and driving commercialization of a product to market.
Our Team
Molex creates connections for life by enabling technologies that transform the future and improve lives.
With a presence in more than 40 countries, Molex offers a complete range of connectivity products, services and solutions for the data communications, medical, industrial, automotive and consumer electronics industries.
What You Will Do
General
* Develop strategy to capture current market/revenue growth opportunities as well as a 5-10 year strategic vision.
* Define product roadmaps, functional requirements, documentation and market development opportunities, prioritizing guidance to the development organization.
* Develop sound points of view on technologies, product, customer, competitors, and convert market trends into actionable product line strategies.
* Define, execute, and manage pricing strategy, P&L, and manufacturing footprint for product portfolio, including compilation of competitive price points to manage future price erosion.
* Responsible for directing product line transactional activities through daily collaboration with support staff, channel partners, representative firms, engineering, and the manufacturing facilities.
* Manage product lifecycle and portfolio management activities.
* Interact with manufacturing plants to lead cost reduction efforts, capacity planning, and quality improvement initiatives.
Sales & Marketing
* Lead customer segmentation and value chain activities to identify key decision makers and design opportunities.
* Drive creation and implementation of data sheets, brochures, web content and marketing collateral within various Molex content management systems.
* Engage with customers in the development of new products, specifications and technical requirements w...
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Type: Permanent Location: Lisle, US-IL
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:30
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Aerospace Metals Finisher - Titanium Aerospace Parts Production - Swing Shift, Weekend Day 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 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:
The Finisher I removes imperfections and defects from titanium castings using various grinding tools and techniques.
Duties and Responsibilities:
* Operate a pneumatic hand grinder to remove imperfections from castings and grind into position or dimension.
* Inspect your work using appropriate measuring tools provided to ensure requirements are met.
* Operate a belt grinding machine to surface grind and blend welds on castings.
* Measure parts and visually inspects castings for defects and mark in appropriate manner.
* Work with casting fixtures from dimensional department.
* Make sure appropriate paperwork remains with castings before and after process.
* Maintain workstation in a clean and safe manner.
* Responsible for training or assisting in the training of Finisher I personnel.
* Other duties as assigned.
Minimum Qualifications and Experience:
* Must be capable of correctly and interpreting dimensional tools such as UT, calipers, dyers, etc...
* Able to follow written instructions such as per tech cards, routers, blueprints, and other approved written instructions.
* Requires continuous mental and/or visual attention to detail.
* Good attendance record required.
* Must be able to maintain quantity requirements while maintaining quality requirements.
* Able to work as a team player and be self-motivated.
* Able to understand and follow verbal instructions from trainer or supervisor.
* HS diploma or equivalent GED required, but candidates not meeting this requirement who possesses relevant experience will be considered.
* Must be at least 18 years of age.
* Solid job history including more than 1 year at previous or recent employer.
* Must be able to lift up to 50 lbs with or without reasonable accommodations.
* Must be willing to undergo a pre-employment background check.
* Must be willing to participate in pre-employment and periodic drug screening.
Environment:
* The job is performed under reasonably good working conditions with some exposure to noise, temperature, and machinery.
Schedule:
* Swing Shift (Monday-Thursday 4:00pm-2:30am) - $1.00/hr.
shift differential
* Weekend Day Shift (Friday-Sunday 5:00am-5:30pm) - $1.25/hr.
shift differential
Consolidated Precision Products (CPP) is an industry-leading manufacturer of ...
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Type: Permanent Location: Albany, US-OR
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:26
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Consolidated Precision Products (CPP) in City of Industry is currently looking for an Assembler to join our team! This role will be reporting to our Operation Supervisor on 2nd Shift (1:30 PM - 10:00 PM) at our Aerospace Manufactory in City of Industry, CA.
This is a great opportunity to join a growing company that has been in business for over 30 years! CPP offers a competitive compensation with heavy overtime opportunities, comprehensive benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, and 401k with employer match, paid vacation, sick time, and holidays.
Hourly Rate: $19 - $20 DOE + Shift Differential (Overtime Available)
ESSENTIAL JOB FUNCTIONS/DUTIES
* Trained to assemble a variety of wax patterns to conform with work instructions.
In specific, roll wax on palms to attach to gates and runners.
* Trained to clean and repair all different defects, such as flush, bubbles, sinks.
* Train to inspect Quality of Wax Pattern Assembly to conform with MIS instructions 100%.
* Train to prepare material for Assembly.
* Ability to cooperate and work effectively with others.
* Ability to Overtime
QUALIFICATIONS
* Education: High school diploma or general education degree (GED) Preferred
* Experience: Not Required, On Job Training
* Certifications/Licenses: None
* Other Required Knowledge, Skills & Abilities: Ability To Read/understand English
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 be legally authorized to work in the U.S.
on a permanent and consistent basis without company sponsorship now and in the future.
This position requires use of information or access to hardware which is subject to the International Traffic in Arms Regulations (ITAR).
All applicants must be U.S.
persons within the meaning of ITAR.
ITAR defines a U.S.
person as a U.S.
Citizen, U.S.
Permanent Resident (i.e.
'Green Card Holder'), Political Asylee, or Refugee.
CPP Corporation is an Equal Opportunity Employer that recruits, hires, trains, and promotes employees in all job classifications without regard to race, color, religion, age, sex, sexual orientation, gender identity, marital status, national origin, disability, veteran's status, or other legally protected status.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
This is a n...
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Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:25
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POSITION SUMMARY
The Recruiter will play a critical role in identifying, attracting, and hiring exceptional candidates to meet TRDIâs needs.
This role requires a proactive individual who can manage the end-to-end recruitment process, build strong relationships with hiring managers, and ensure a positive candidate experience.
The ideal candidate will have a keen eye for talent, strong organizational skills, and the ability to thrive in a fast-paced environment.
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PRIMARY DUTIES AND RESPONSIBILITIES
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·       Fill all positions within 30 days of opening position.
Manage the full recruitment cycle, including job posting, candidate sourcing, screening, interviewing, and hiring.
·       Develop and implement effective sourcing strategies to attract high-quality candidates.
·       Partner with hiring managers and department heads to understand their staffing needs and provide guidance on job descriptions, candidate profiles, and recruitment strategies.
·       Ensure a positive experience for all candidates by maintaining clear communication, providing timely feedback, and managing the interview process efficiently.
·       Maintain and update the applicant tracking system (ATS) to track candidate progress, manage job requisitions, and generate reports.
·       Stay informed about industry trends, labor market conditions, and competitor hiring practices to effectively position TRDI in the talent market.
·       Promote TRDI as an employer of choice through networking, social media, and industry events.
Represent the company positively at career fairs and networking events.
·       Ensure that all recruitment practices comply with relevant employment laws and regulations.
Maintain confidentiality and handle sensitive information with discretion.
·       Conducts or acquires background checks and employee eligibility verifications.
·       Implements new hire onboarding.
·       Develop and foster relationship(s) with social service agencies serving people with disabilities and participate in job fairs associated with same agencies.
·       Travel to assigned areas to establish/nurture networks and facilitate assigned compliance components with employees.
·       Identify needs, partake in the development of and provide training components to assist job site management, as assigned.
·       Create and generate various reports. Collect and disaggregate data, accordingly, for appropriate decision-making process.
·       Perform other duties as directed by HR Manager
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The above statements describe the general nature and level of work being performed by individuals assigned to this classification.
This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.Â
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 QUALIFICATIONS AND REQUIREMENTS
   Â...
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Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:24
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As a Senior Analyst, Business Product Owner at Express Scripts, you will play a critical role in bridging the gap between business needs and technical solutions.
You will work closely with cross-functional teams, including business stakeholders, product owners, and technical teams, to define and implement product solutions that enhance our claim adjudication services.
Your focus will be on improving business processes, optimizing product features, and ensuring the delivery of high-quality solutions that align with the company's strategic objectives.
Key Responsibilities:
* Product Ownership & Strategy:
+ Act as the business product owner for key NCPDP (Nation Council of Prescription Drug Program) standards-related initiatives, managing the product lifecycle from concept to delivery.
+ Collaborate with stakeholders to gather, document, and prioritize business requirements.
+ Define product vision and strategy, ensuring alignment with business goals and objectives.
+ Develop user stories, use cases, and acceptance criteria for product features and enhancements.
* Cross-Functional Collaboration:
+ Partner with technical stakeholders (engineering, QA, etc.) to ensure clear understanding and delivery of requirements.
+ Work with business stakeholders to identify, validate, and prioritize product opportunities based on business needs and market trends.
+ Engage in agile development processes, participating in sprint planning, reviews, and retrospectives.
* Effective Communication
+ Communicates clearly and concisely in written and verbal forms, tailoring messages to their audience.
+ Asks clarifying questions to ensure understanding and minimize miscommunications.
Required Qualifications:
* High School Diploma or GED.
* Proficiency in Microsoft Office Suite (i.e.
Word, PowerPoint, Excel).
* Excellent communication, collaboration, and interpersonal skills.
Preferred Qualifications:
* Experience with Express Scripts' systems, products, or services.
* Knowledge of the healthcare or pharmacy benefit management industry.
* Familiarity with Agile methodologies and product management frameworks.
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 61,300 - 102,100 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:23
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The VFP Pharmacy Group Lead Patient Care Pharmacy Technician works under the direction of our Operations Manager to compassionately and efficiently assist patients, provider offices and clients via the telephone.
They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture.
Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed).
The PCC works closely with our Call Center and Data Entry technicians, and operates under the supervision of Operations Manager and Pharmacists.
Essential Functions
* Deliverssuperior customer service and can work professionally in pharmacy environment.
* Interact professionally with pharmacists, medical providers, consultants, and other staff while providing guidance about medication coverage.
* Ability to deescalate complex claims or customer service issues with appropriate action.
* Exercise good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved.
* Assist and support training of new employees and help identify retraining opportunities.
* Commit to improvement of self, team site and company.
* Cross train and collaborate with members of health disciplines in the interest of the patient's health care.
* Prioritize and juggle multiple tasks without sacrificing attention to detail.
* Other duties as assigned
Requirements
* High School Diploma or equivalent
* Pharmacy Technician License
* Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays & with working 2 Saturdays a month from 9 AM to 1:30 PM.
* Minimum 1 year + of call center experience, preferably in healthcare, insurance or specialty pharmacy setting
* Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care
* Strong technical knowledge of pharmacy processing system and phone systems, preference for mechanical knowledge of NewLeaf, ScriptMed, Dialpad
* Basic math skills and strong experience with MS Office, especially Outlook, Excel
* Ability to problem solve, think critically, and improve workflow procedures with minimal supervision.
* Proven track record for handling large volume of inbound and outbound calls in a quality, compliant, and patient-centric fashion
* Next-level compassion and empathy required to assist sensitive patient population
* Excellent verbal and written communication skills required
* Strong organizational skills, attention to detail and problem-solving skills
* Ability to multi-task
* Strong interpersonal, communication, and organizational skills required
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic i...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:23
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Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We're looking for a Medical Assistant to join our fast-paced, customer-focused primary care/adult medicine departments for Evernorth Care Group across the Phoenix Valley.
If you've always wanted to work in the outpatient healthcare setting and enjoy a friendly work environment, we're sure you'll love this position.
Work hours: Typically, Monday-Friday 7 a.m.- 4 p.m.(onsite)
Responsibilities:
* Ensure day-to-day operations run smoothly in the clinic, use your organizational skills to help manage the health care needs of our varied patent populations.
* Room patients and complete vital signs, enter data in patient charts, assist with in-office procedures, review medications and outreach to patients and providers for the purpose of continuing care.
* Accurately follow all policies and procedures, practice in alignment with the scope of your certification.
* Provide excellent and friendly customer service through all avenues of communication.
* Document your efforts of all the care and information provided to our patients.
* Return patient calls, complete referrals, chart prep and forms management.
* Help answer questions, concerns, and requests, either in person, through our electronic health record system EPIC and patient portal, or by phone.
* Partner with the clinicians, your peers and the patients to meet the needs of the practice.
* Appropriately manage ambiguity, recognize appropriate ways to deal with conflict management.
* Cross train in the Front Office
* All other duties as assigned.
Minimum qualifications Required:
* Graduate of an approved Medical Assistant program or
* Graduate of an unapproved program with successful completion of state certification examination or
* Graduate of a US Armed Forces medical services program.
* Previous experience working in a healthcare environment
* BCLS certification
Preferred qualifications:
* 1+ year experience in the outpatient setting
* Bilingual (English/Spanish) skills
* Front office experience.
* Experience working with Microsoft Office and comfortable with data entry into our electronic health record system EPIC
* Excellent customer skills, and care deeply about providing empathetic, quality care to 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 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 cli...
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Type: Permanent Location: Surprise, US-AZ
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:22
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Our Team
Enterprise Data Governance (EDG) is responsible for understanding, analyzing, measurement and improvement plans for assigned data assets.
The group interfaces with all business, operational and technology area's to develop and execute data improvement plans using automated solutions with use of manual intervention when necessary.
EDG drives implementation of end-to-end data management and governance capabilities to improve the quality and usability of enterprise data critical to improving the health, well-being, and security of Evernorth's and Cigna's customers.
EDG team leads enterprise-wide data governance, data standards & policies, data capabilities, reference data management, and groupers data management functions.
Position Summary
The Practitioner Data Steward works in partnership with business stakeholders and technical partners to execute our enterprise-wide data governance strategy for the organization.
Understanding and enhancing current data governance strategy, refreshing data guidance documentation, establishing data standards, executing data governance operating model, and consistently applying data governance best practices for Practitioner data domain will be the key initial expectations.
Ability to work in a complex and large organization, ability to influence both business and Technology partners, ability to articulate data concepts to business communities, and ability to articulate business justifications of data governance will be keys to success.
For this requisition, we are looking for individuals with extensive expertise in defining, implementing and executing a data stewardship function in a large and complex organization.
Job Responsibilities
* Working across stakeholders from all business units of Evernorth, define and rollout enterprise data guidance and standards for Express Scripts Pharmacy/Practitioner data domain.
* Partner with legal, compliance, proposal and audit teams to ensure data stewardship meets privacy, regulatory and internal audit requirements
* Support execution of organization's data governance operating model
* Set data stewardship priorities based on business needs, regulatory demands and data best practices
* Be resident expert in data governance best practices, methodologies, processes for Express Scripts Pharmacy/Practitioner data domain
* Closely work with business and technology partners to implement data governance requirements
* Continuously improve and enhance data governance practices for Express Scripts Pharmacy/Practitioner data domain
* Actively reach out and work with Evernorth Product teams to collaborate in efforts to implement consistent data governance practices.
* Participate in various regulatory compliance efforts to define and implement data governance requirements
* Actively manage Evernorth's contractual obligations in using and sharing Practitioner data assets with external parties
* Direct line of knowle...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:21
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Position Summary
The Sales Effectiveness Advisor supports sales and account management teams in their buyer-focused conversations by creating engaging materials and tailored messaging to win and retain specific clients across Cigna and Evernorth.
The individual executes internal processes, provides strategic recommendations, and coaches presentation teams for a coordinated and differentiated experience.
The role also involves maintaining team content and processes as well as handling ad hoc projects as requested by leadership.
Effective communication, proactivity, multitasking, and managing tight deadlines are essential.
Essential Functions
* Manages sales and retention support for assigned prospect and client opportunities at various sales stages (i.e., prospecting efforts, pre-RFP/capabilities sessions, finalist meetings, demos, site visits, etc.) in both in-person and virtual formats
* Builds opportunity-specific presentations to demonstrate organizational capabilities, value, and differentiators with a keen focus on storytelling
* Partners with Cigna and Evernorth marketing teams to ensure content is up to date and relevant to pitch meetings
* Coaches presenters on message and content delivery as it relates to opportunity strategy and within the meeting framework
* Collaborates with sales leaders to develop and refine win themes
* Incorporates bid-level reporting into presentation materials to deliver customized insights
* Q/As materials for accuracy and alignment to corporate style and brand standards
* Serves as single point-of-contact for coordination and delivery of final materials to presentation team, including but not limited to run of show, presentation, logistics information, sell sheets
* Coordinates printed materials, if needed
* Maintains assigned content accuracy through periodic reviews and discussions
* Works with team leadership to provide quality assurance to outgoing materials
* Monitors and analyzes team data to inform selling efforts
* Executes ad hoc projects as requested
Qualifications
* 5+ years of relevant messaging, storytelling, and content development experience
* MS Office experience required
* Expert skills in PowerPoint
* MS SharePoint proficiency
* Salesforce proficiency
* Highspot proficiency preferred
* Excellent oral and written communication skills and executive presence
* Knowledge of and experience with digital content management tools
* Copy editing/writing experience are a plus
* Ability to work effectively in dynamic, rapidly changing, team-based environment
* Strong visual design skills and ability to storyboard and create compelling visual narratives
* Must balance high-priority, long-term projects with short-term, immediate deadlines
* Excellent attention to detail
* Health care experience is a plus
If you will be working at home occasionally or permanently,...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:20
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Home Infusion Registered Nurse - Accredo
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel to patients' homes within a large geographic region
* Ability to work 32 hours a week (can include days, evenings, and weekends, per business need)
* Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
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 wil...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:19
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Training for this position is approximately 6 weeks.
No PTO/time off requests will be approved during training.
The 6 weeks of training are essential to your onboarding and ability to learn all aspects of the role, and missing time cannot be accommodated.
POSITION SUMMARY
The Staff Pharmacist interprets physicians' prescriptions, contacts doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of order.
The Staff Pharmacist will track order status and outstanding issues as well as consult with patients regarding the use of medications and potential drug interactions.
This individual may take calls from customers regarding lost orders or dispensing errors, maintain daily production, quality and service levels, vary work priorities and activities to accommodate business needs.
The Staff Pharmacist may also train less experienced pharmacists.
Please Note: Work Schedules are still being determined so flexibility is required.
Schedules options may consist of 1st and 2nd shift, however it is likely they will include evenings and weekends
ESSENTIAL FUNCTIONS
* Consult with patients regarding prescriptions
* Interpret physicians' or prescribers' prescriptions.
* Contact doctors and/or patients to verify information on prescriptions such as drug strength, prescription sig., and drug name in order to expedite processing of orders.
* Verify and confirm validity of controlled substances.
* Verify prescription information entered in the system by data entry or order entry.
* Contact physicians for new and/or transfer authorization.
* Work with physicians to convert prescriptions to generic or preferred drugs whenever possible.
* Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
QUALIFICATIONS
* Registered pharmacist in the state of practice
* Highly-evolved clinical pharmacy skills and/or clinical knowledge of a specific disease state
* Superior written and verbal communication skills
* Proficient in use of computer applications
* Demonstrated commitment to ongoing self-study to enhance specialty knowledge
* Demonstrated ability to work independently, solve problems and make informed decisions in a timely fashion
* Excellent customer service and interpersonal skills
* Demonstrated ability to effectively and professionally represent Express Scripts to patients, clinicians, clients and the public
* Ability to successfully complete Express Scripts' required specialist training program
* Spanish language fluency is a plus
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:19
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JOB DESCRIPTION
The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client's strategic goals and drive improved clinical and financial outcomes for their membership.
In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client's strategic goals.
The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with a goal to deliver lower healthcare costs and optimal clinical outcomes.
The CAE independently manages a book of moderately complex clients requiring this role to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience.
They must serve as the client's gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models.
They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan.
They are the client's healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client's and ESI's common goals.
ESSENTIAL FUNCTIONS:
* Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g.
client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal team members.
* Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals.
Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
* Leads the development, preparation, and presentation of healthcare strategy for each client assigned.
Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client.
* Leads clinical client Strategic Planning and Review Consultation (SPARC) meetings.
Responsible for retention, client loyalty and maximizing solution sales opportunities within assigned portfolio.
Maintains strong client relationships with clients to ensure retention...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:18
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POSITION SUMMARY
This is a remote position.
Ideal candidates must reside and be licensed in the state of Ohio.
The training schedule for this position is Monday through Friday with times to be determined later.
The shifts for this position, after training, will be
* 10:30am - 7pm Tuesday-Friday and 6am-2:30pm on Saturdays
* or 10:30am - 7pm Monday-Friday.
The Staff Pharmacist interprets physicians' prescriptions, contacts doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of order.
This position is responsible for processing medications within corporate and regulatory guidelines.
The Staff Pharmacist will track order status and outstanding issues as well as consult with patients regarding the use of medications and potential drug interactions.
This individual may take calls from clients regarding orders or clarification, maintain daily production, quality and service levels, vary work priorities and activities to accommodate business needs.
ESSENTIAL DUTIES
* Interpret physicians' or prescribers' prescriptions.
Contact doctors and/or patients to verify information on prescriptions such as drug strength, prescription sig., and drug name in order to expedite processing of orders.
Verify and confirm validity of controlled substances.
* Verify prescription information entered in the system by data entry or order entry.
Contact physicians for new and/or transfer authorization.
Work with physicians to convert prescriptions to generic or preferred drugs whenever possible.
* Consult with patients regarding the use of medications and potential drug interactions.
ESSENTIAL FUNCTIONS:
* Accurately and efficiently processing prescription orders received through mail or electronic channels.
* Conducting thorough reviews of incoming prescriptions for accuracy, completeness, and potential drug interactions.
* Provide oversight and quality assurance to pharmacy technicians.
* Providing medication counseling and addressing patient inquiries regarding drug usage, side effects, and precautions.
* Collaborating with healthcare providers to resolve any prescription-related issues.
* Adhering to all applicable legal and regulatory requirements, including pharmacy laws and privacy guidelines.
* Participating in quality assurance programs and continuous improvement initiatives.
* Staying updated on new medications, pharmaceutical regulations, and industry developments.
* Additional duties as assigned by leadership.
Required:
* Registered pharmacist, in good standing, in the state of Ohio
* Must reside and work in the state of Ohio
* A degree in pharmacy (PharmD or BS)
* Experience working in a pharmacy setting, preferably with mail order or similar experience
* Knowledge of pharmacy laws and regulations
* Strong focus on customer service, quality and accuracy
* Ability to read and interpret prescripti...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:17
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Description:
The Clinical Performance & Quality (CP&Q) organization drives improved health outcomes, affordability, and satisfaction, by engaging our customers, clients, and providers, developing clinical policies, guidelines, and meaningful measurements, aligning incentives, and building personal connections.
This approach helps ensure that we are supporting Cigna's enterprise goals of putting the needs of our customers at the center of all we do, being the industry's undisputed partner of choice, and accelerating the pace of innovative change.
Position Summary:
The Program Management Lead Analyst supports our CP&Q Clinical Sales & Network (CSNO) Team.
CSNO Clinicians represent Cigna externally and enable the successful alignment between complex Client needs and Provider Partnerships by leveraging Cigna's Clinical Programs, Products, and Services.
The Program Management Lead Analyst is responsible for researching, analyzing, summarizing, and presenting relative conclusions to our CSNO clinicians to help identify factors negatively impacting our customers' health and align solutions to overcome these obstacles.
The Clinicians leverage these findings to better help support the Sales Organization for key Cigna clients and contribute toward the successful execution of Value-Based partnerships such as Cigna's Collaborative Care Organizations (CCC), by working cross-organizationally to influence and drive change that results in improved quality, affordability and satisfaction for our customers.
Responsibilities:
* Completion of the clinical summary and care management summary for High Cost Claimant reporting, following corporate guidelines
* Completion of high cost claim review for client Early Alert Process
* Research and presentation of findings to support the Market Medical Executive / Clinical Consultant to facilitate timely problem resolution
* Performs root cause analysis on escalated issues and recommends system/ process improvement to leadership for improvements/ corrections
* May lead a small to mid-sized project to implement recommended improvements
* Provides tracking and trending reports to management on the reasons and costs of escalated issue resolution
* Utilize critical thinking to identify and present resolutions to escalated issues
* Work with multiple matrix partners in a fast paced environment
* Navigation in ICMS, HC ICMS, TruCare, HEV, OneView, and Facets
* Understanding of Cigna's basic clinical programs
Qualifications:
* Minimum of 5 years of clinical or clinical support background required.
* High level of expertise in analyzing and researching clinical information and providing business recommendations for improvement and process efficiency in a matrix environment.
* CPT coding experience.
* Excellent time management, organizational, research, analytical, communication and interpersonal skills with demonstrated ability to build strong relationships ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:16
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The Pharmacist-In-Charge will support and play a leadership role in the quality, compliance, and operational initiatives and results within the St Louis CHD operations.
A focus of this role will include maintaining appropriate licensure, ensuring compliance with state/federal laws as well as company policy, evaluating of quality trends with intervention when needed, and collaboration with internal business partners to achieve industry-leading levels of care and service.
This role is Worksite dependent and can only be performed onsite.
ESSENTIAL FUNCTIONS
* Shared responsibility for the management and direction of pharmacy operations.
Oversee recruitment, performance reviews, and development of pharmacy staff.
* Shared responsibility for escalated employee and/or patient issues.
* Assists with setting and managing budget to meet corporate and pharmacy quality and service goals.
* Shared planning, coordination and direction of front-end order processing of prescriptions within corporate and regulatory guidelines.
Jointly responsible for any and all procedures within the pharmacy.
* Ensure quality and service standards are maintained along with client-specific contractual requirements.
Foster ongoing client relationships by troubleshooting escalated issues.
* Keep updated on industry trends and regulations and ensure compliance.
Shall hold license for the pharmacy.
May represent the pharmacy to the regulatory agencies such as State Board of Pharmacy for procedural, regulatory changes or disciplinary actions as needed.
Maintain pharmacy security.
* Display strategic thinking and enterprise when representing pharmacy practice in cross-functional meetings and projects.
Prepare to implement and communicate new corporate initiatives and processes within the pharmacy.
* Conduct regular pharmacy self-audits to ensure the pharmacy is meeting compliance standards.
Create action plans when needed.
* Other duties as needed.
QUALIFICATIONS
* Bachelor of Science in Pharmacy, RPh, or PharmD, Current pharmacy licensure in good standing and ability to obtain additional state licensure as needed.
* Years of Experience: 7-10 years of experience in pharmacy setting (front end pharmacy experience preferred), 2-3 years in health care or PBM industry preferred; Previous supervisory experience, preferably in pharmacy operations setting.
* Licensures/Certifications: Cross-licensed per state regulations
* Computer or Other Skills: PC skills including Microsoft office, email and internet
* Extensive knowledge of current pharmacy regulation preferred.
Experience in representing or interacting with State Board or regulatory agencies very helpful.
* Demonstrated ability to manage toward budget and work plan goals.
Experience with strategic work planning and budgeting very helpful.
Must have proven leadership skills, team orientation, and a proactive and optimistic management style.
* Excellent...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:16
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As a Compounding Pharmacy Technician, you will be working on a specialized team focused on high touch programs to assist our patients.
This role is very detail oriented and you'll spend the majority of your day working in our compounding suite compounding sterile and non-sterile medication, completing daily documentation as required per USP regulations, maintaining the compounding suite, entering formulas in the compounding software.
A little more about the day-to-day:
* Compound sterile and nonsterile medication orders
* Clean and maintain compounding suite equipment and facilities
* Ensure proper labeling, packaging, and storage of chemicals and finished products
What you need to do the job:
* High School Diploma, or GED
* MA State Pharmacy Technician License required; National technician certification preferred
* Microsoft Office proficiency and data entry skills
* Strong math skills related to prescription calculations
* Exceptional attention to detail, accuracy and quality
* Excellent verbal and written communication skills
Work Schedule: 9 AM to 5:30 PM EST - Monday through Friday
For positions that are Worksite Dependent:
This role is Worksite dependent and can only be performed onsite.
Why Cigna?
* Day 1 medical insurance
* 401(k) plan with employer match
* Paid Time Off
* Competitive Benefit package
* Growth and Advancement opportunities
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, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nico...
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Type: Permanent Location: Byfield, US-MA
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:15
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WORK LOCATION: Hybrid position that will require 3 days (Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.
Must reside in the Cleveland or Independence, OH area.
The Director, Provider Contracting Network Management 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
* Should possess a bachelor's degree; preferably in the area...
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Type: Permanent Location: Independence, US-OH
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:14
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EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.
Evernorth is built on the recognition that health makes progress possible.
Our health services are designed to redefine healthcare as we know it.
But we can't do it alone.
True change takes all of us, united in a shared vision.
Health is what drives us.
But it's just the start.
Together, we can solve the problems others don't, won't or can't.
Sound like you? Great! Here's more on how you'll make a difference :
• Provide onsite face-to-face customer coaching and support.
• Assess for and prioritize customers' bio-psycho-social-medical needs, and help the customer connect with resources found within their own community or via the customer's health and wellness benefits.
• Will have an understanding in accessing community resources to help customers with SDOH basic needs like food, housing, medication, transportation, etc.
• Strong clinical acumen and understanding of behavioral and medical diagnoses; able to coordinate with behavioral, medical and pharmacy team members to address customer concerns in real time
• Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna clinical programs, EAP or client specific health and wellness 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.
• Collaborate with our matrix partners to support the overall health and wellness strategy your aligned client.
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
*
*
*Bilingual in Spanish is a requirement for this role
*
*
*
• 3 or more years of post-license mental health experience preferred
• Strong Clinical skills with at least 3 or more years of experience in health and wellness field.
• Knowledge and experience in accessing community resources in order to help customers with basic needs.
• Experience in health coaching/health education a plus
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Effective conflict management and negotiation skills
• 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 ...
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Type: Permanent Location: Washington, US-DC
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:13
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LOCATION: HYBRID position aligned to the Scottsdale, AZ market.
Will require a weekly schedule of several days per week working in Office or Local Travel to in-person meetings with Providers AND several days work at Home
The AVP, Provider Contract Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management.
This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.
DUTIES AND RESPONSIBILITIES
* Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports.
* Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and IFP product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies.
* Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates, nurtures 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 and acts upon opportunities for greater value-orientation and risk arrangements.
* Identifying and implementing alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Identify 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 high spend or increasingly complex provider contracts and alternate contract terms.
* Creates and / or oversees the development of "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 comprehensive knowledge of providers in an assigned geographic area throu...
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Type: Permanent Location: Scottsdale, US-AZ
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:13
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Role Summary
The Dedicated Client Service Partner coordinates with the Client/Account Management team to ensure client needs are met, potential problems are averted, and to ensure we continue to provide solutions to the client that exceed service expectations to access care.
A key focus of this role is building trust with the client (onsite and/or virtually) to assist their employees and retiree population in getting optimal care at the right time and in the right setting; thereby reducing their costs and the costs to the plan.
This onsite position is required to be onsite in Fairfax, VA, Washington, DC or the Baltimore, MD area.
Duties and Responsibilities:
* Deliver hands-on, dedicated, personalized support to the Client, their employees, retirees, and the Human Resources team.
* Service customers across all medical platforms and products (as well as pharmacy, dental, and behavioral health, as needed) regarding their purchased product and services.
* Respond to, own, and assist with escalated, complex issues and inquiries from the Client's benefits delivery team and/or the employees, including, but not limited to complex claim inquiries, service issues, provider authorizations, employee eligibility, billing, denials, appeals, incentive issues, and installation matters.
* Conduct on-site presentations for new hire, active, retiree, and/or prospective customers during open enrollment meeting and/or benefits fair to educate and inform of plan offerings.
* Interact with provider offices to respond to employee billing issues, access to services, etc.
* Partner with internal Cigna matrix partners on global service issues impacting the Client and customer.
* Keeps client manager informed of account status and opportunities for expanded business.
* Maintain knowledge and expertise in all products, programs, services and enrollment activity.
Effectively articulate and demonstrate Cigna's capabilities and tools in the marketplace.
* Achieve the team business plan objectives, both in support of the implementation of new plans and in identifying and responding to customer inquiries regarding plan benefits.
* Manage resolution in a timely manner and provide status to all appropriate parties when resolved.
* Review claim reports and analyze data and trends.
Provide sales team with monthly proclaim CMS ticket closure information.
Compile monthly service reporting based on client needs/requests.
* Navigate multiple Cigna systems including client self-service portals, claim systems, and tracking systems.
* Process customer requests including ID card requests, certificate of credible coverage, pharmacy overrides and student status requests.
* Drive customer engagement in Health Advocacy programs.
* Participate in Broker/Community activities to promote Cigna.
Qualifications:
* High School Diploma or GED required, advanced degree helpful.
* 3+ years' experience in account m...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-02-22 07:59:12
