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Up to $2500 sign on bonus paid out over a 12 month period based on shift.
Location: On-site at 3000 Ericsson Dr.
Warrendale, PA
Hours: Varied Mon-Thur 4 X10 hr shift and Mon-Fri 8 hour shift
Are you ready for a new job that allows you to make an impact and improve the lives of others? Join our dynamic team as a Pharmacy Packaging and Shipping Associate! In this crucial non-patient-facing role, you will be responsible for picking and packing medications, labeling them for shipment, and sorting by shipping carrier and destination.
This position offers an excellent opportunity to develop skills in logistics, inventory management, and pharmaceutical handling.
Using a high level of attention to detail, as well as your organization, time management, and problem-solving skills, you'll help ensure the accuracy of each prescription order for each patient we serve.
For more than 30 years, Accredo Specialty Pharmacy 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 patient lives.
How you'll improve the lives of others:
* Dispense and pack prescriptions in preparation for shipment
* Copy, fax, and process prescriptions
* Follow-up with patient issues
* Data entry and reference database as needed
Requirements:
* Basic math skills
* General computer skills
* General computer program knowledge including Microsoft Office and use of the internet and email
* Flexibility to adapt to a dynamic work environment; willingness to work a flexible schedule when needed
* Ability to lift 40 pounds
* Effective communication skills both written and verbal
* HS diploma or equivalent required.
Why Choose Us?
* Behind-the-Scenes RoleFocus on operational and logistical tasks without direct patient interaction.
* Skill Development: Gain valuable experience in a growing field with opportunities for professional growth.
* Collaborative Team: Work with a supportive team to ensure the accurate and timely delivery of medications.
* Meaningful Impact: Play a vital role in the healthcare system by ensuring patients receive medications promptly.
* Work-Life Balance: Enjoy flexible working hours and a comfortable, controlled work environment.
Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Robust 401K Plan with Company Match.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
If you are detail-oriented, enjoy working in a non-patient-facing role, and are passionate about contributing to patient care indirectly, we encourage you to apply!
If you will be working at home occasionally or perman...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:49
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This position performs advanced administrative duties which include, but are not limited to, new hire onboarding ticket submissions, manual letter creation, printing and mailing to customers, providers, and facilities, printing system-generated letter requests, data entry, and miscellaneous projects.
We are a support team for Behavioral Operations.
MAJOR DUTIES
* Manages tasks that are assigned to the NOA Requests Outlook mailbox and NOA TruCare queue.
* Processes daily system-letter printing and prepares manual letters for the mailroom.
* Sorts incoming Behavioral Operations mail and packages.
* Complete additional tasks and projects as assigned.
* Participates in various meetings to keep abreast of changes affecting the administrative staff.
QUALIFICATIONS
* High school education or equivalent
* Administrative skill level gained from at least three years' experience, preferably in the insurance industry.
* Must be proficient in using Microsoft Outlook, Word, Excel, and PowerPoint
* Possesses the ability to learn new applications efficiently to process work tasks.
* Strong organizational and communication skills; strong interpersonal skills and the ability to interact well with diverse personalities; detail-oriented.
* Requires ability to communicate effectively, both orally and in writing, and apply judgment in interactions with internal staff and external staff.
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 25 - 38 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About 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 condi...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:48
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This is a hybrid position with on-site expectations in St.
Louis, MO.
Only local candidates will be considered.
POSITION SUMMARY
The Analyst will own the operational invoicing and reconciliation activities for the IRA MTF program.
The Analyst should develop an in-depth knowledge of the program and serve as the primary point of contact regarding Pharmacy reimbursement invoicing to CMS.
ESSENTIAL FUNCTIONS
* Support the end-to-end IRA MTF invoicing process: setup, invoicing, payment application, variance resolution
* Perform a validation review to confirm setup changes were implemented accurately by other team members
* Apply a subject matter expert knowledge base under minimal supervision to ensure appropriate assessment and action steps taken to ensure successful outcome of identified variances
* Stay current on regulatory and industry changes related to IRA MTF, CMS guidelines, and pharmaceutical manufacturer requirements
* Collaborate with internal teams to support current and future business initiative
* Manage day-to-day prioritization, workload distribution, and issue escalation
* Special projects and process improvements
* Ongoing review of policies and procedures
* Other duties as deemed essential by business to support current and future projects
QUALIFICATIONS
* Bachelors degree in Finance, Business, Economics, Statistics, Accounting or related field preferred.
* 3+ years of relevant experience.
* Excellent customer service and communication skills; Strong Analytical Skills; Detail oriented.
* Must be proficient with Microsoft Office Suite.
* Ability to work cross-functionally to resolve issues and collect reports.
* Ability to handle analysis from issue identification to proposal of potential solutions.
* Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines.
* Strong business, organizational and communication skills.
* Ability to adapt in a dynamic work environment and make independent decisions.
* Knowledge of PBM and healthcare industry preferred.
* Ability to organize and plan multiple projects.
* Ability to demonstrate self-initiative, work cross functionally to resolve issues as they occur.
* Proven ability to work under tight deadlines.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you.
Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader.
We're always on the lookout for innovative people who will bring outside-the-box thinking to our team management.
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/5M...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:46
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Job Description: Market Medical Executive - Growth and Innovation
This role is designed to work in close partnership with respective teams and in strong collaboration across the broader Clinical organization.
While the role has distinct responsibilities, there is intentional overlap in workstreams to ensure meaningful contributions to delivering clinically differentiated outcomes at scale.
As the organization evolves, these expectations will continue to adapt to maximize strategic value for the business, our partners, and-most importantly-the clients, providers, and patients we serve.
Growth and Innovation Market Medical Executive
As a strategic partner to the Sales organization, this role brings specialized clinical expertise to drive client growth, management, and innovation.
By leveraging market and population health insights, this executive helps evolve, drive and articulate Cigna's clinical value proposition via multi-channel collaboration, analysis and connection to program and product offerings.
Primary Responsibilities
* Lead and communicate Cigna's strategically differentiated clinical value proposition to employers, brokers, and internal partners.
* Inform clinical strategies using market segmentation, outcomes and affordability analytics, insights from THI and finalist meetings, and broker/consultant engagement dynamics.
* Support Growth Leaders by building and maintaining strong relationships with clinical stakeholders at client organizations, consultants, and local market associations.
* Collaborate with market sales teams regarding product and Cigna clinical differentiation.
* Co-develop and implement market segmented and individualized strategic client roadmaps.
* Attend client meetings to provide clinical analysis on outcomes, experience, and affordability.
* Represent Cigna externally at industry and local market events, serving as a clinical ambassador.
* Communicate and reinforce Cigna's clinical policies and expectations with employers.
* Provide sales team in-services regarding clinical programs and services inclusive of behavioral, medical, pharmacy and vendor partnerships.
* Assist Sales in developing strong presentation teams for brokers and clients to drive effective messaging.
* Work with Product leaders to support client retention, growth, and product penetration.
* Translate market needs into innovation opportunities through trends identification and feedback from clients, brokers, clinicians, industry analysis and regional partners.
* Identify potential product or policy innovations utilizing external physician advisory panels.
* Identify and/or support clients or other partners as candidates for pilot studies.
* Serve as a clinical resource to develop opportunities that drive employer value and enterprise growth.
* Participate in special projects as the market-facing clinical expert to support key business initiatives.
* Collab...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:45
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Warehouse Supervisor
Location: Work on site
Hours: 8 Hour shift 10 am- 6:30 pm M-F
The Warehouse Supervisor monitors productivity and performance standards, plans and directs work flow and project assignments.
Oversees production volume to ensure service standards are met.
Conducts hiring, training, and evaluation of staff.
Responsible for team's adherence to corporate attendance and employment policies.
Works with the Operations Manager to develop policies, procedures and the business work plan for the team.
Recognizes and recommends operational improvements.
What you'll do:
* Address staff concerns and day to day operational, system, customer service, quality, and professional issues.
* Work in production as needed.
* Implement programs and process improvements to enhance the level of internal and external customer service provided.
* Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve.
* Coach team to meet production expectations
* Coordinate training in all appropriate areas for warehouse team
* Work closely with downstream departments to ensure aged work and escalated drugs are in the right place on time
* Represents pharmacy operations in cross-functional meetings and projects.
* Other special projects and tasks as assigned.
What you need to do the job:
* High school diploma or GED; BA/BS degree preferred
* 3 years relevant experience in operations environment; warehouse experience preferred
* Demonstrated leadership skills and the ability to effectively develop, train and coach less experienced team members; supervisory experience preferred
* Knowledge of lean or process improvement methodologies
* Excellent oral and written communication skills
* Ability to adapt in a dynamic work environment, make independent decisions
* Advanced problem solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions
* Willingness to work a flexible schedule for peak times
* Monitors daily operations of a unit and actively assists or provides direction to subordinates as required
* Ensures that projects are completed on schedule following established procedures and schedules
* General PC knowledge including Microsoft Office, Internet, and email
* Knowledge of SAP 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 jou...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:44
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The State Government Principal, reporting to the State Government Affairs Senior Director in the North Region will be a key contributor to the Government Affairs team supporting the success of The Cigna Group.
The ideal candidate will have a mix of experience, including legislative, regulatory and direct lobbying experience.
Knowledge of the healthcare industry including insurance and pharmacy benefit management or another highly regulated industry is critical.
The preferred candidate will demonstrate the ability to operate at a highly changeable, strategic, and collaborative level.
This is both an external and internal role.
Primary Responsibilities:
* Analyze and monitor critical state government trends, proposed legislation, regulations and industry issues in order to support a favorable business environment for the enterprise.
* Analyze and recommend company positions on various state legislative and regulatory proposals and other administrative action and emerging issues.
* Represent The Cigna Group's interests with state elected officials and regulators at all levels, including Governors, senior administration and agency staff, Commissioners of Insurance, Attorneys General, and state legislators.
* Provide information related to current legislative, regulatory, and other government activities to senior staff as appropriate and communicate effectively with appropriate enterprise partners.
* Working with enterprise partners by leading regulatory inquiries, ensuring timely, thorough, and well-documented responses to regulatory inquiries.
* Act as a resource to enterprise partners in compliance and regulatory initiatives and activities.
* Collaborate with sales and account teams to support clients by providing government relations expertise and oversight related to securing and retaining business.
* Represent The Cigna Group in state and national industry associations and business organizations.
Manage relationships to facilitate and strengthen company influence.
* Manage special projects, developing action plans and managing completion.
Minimum Qualifications:
* Bachelors degree.
* 5+ years of experience in legislative analysis, lobbying, and/or direct regulatory interaction or equivalent experience.
* Excellent communication, interpersonal and negotiation skills, including the ability to effectively interact with and influence a variety of enterprise management, market, account teams, retained counsel, state legislators, state regulators, and trade and business associations.
* Demonstrated ability to manage retained counsel and trade and business association relationships.
* Knowledge of client products, ability to analyze legislative and regulatory proposals, recognize potential impact of legislation and communicate with business partners of affected areas.
* Strong analytical and problem-solving skills.
* Ability to work independently, exercise judgment, an...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:42
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Your Job
Are you looking to make a connection to your career? Come to Molex where we create connections for life.
We use innovation, engineering excellence, commitment to quality and reliability, and superior customer experience to improve communication, elevate experiences, and engage and inspire people everywhere.
The Manager, Technical Project Management will work in our RF business to build a team and discipline around project management that will engage with cross functional teams to define, develop, launch, and promote our RF connectivity products and manufacturing processes.
Your scope will include project managers and projects that engage product managers, engineers, and operational personnel from our design centers and manufacturing plants globally, including in Mexico, the US, Taiwan, and China.
You will collaborate closely with our manufacturing sites and 3 rd party providers to execute the flawless launch of new products and manufacturing processes.
This is a working leadership role, with responsibility for managing a team, as well as managing key projects.
The TPM Manager thrives on managing the details and leading cross functional teams to meet business objectives to help Molex RF grow our product portfolio and expand our business.
You are comfortable working directly with customers, mentoring team members, solving problems, and making/being accountable for project-level decisions.You have strong project management experience in "technical" business environments.
What You Will Do
* Develop and lead an effective team of Technical Project Managers that achieve the on-time delivery of product development projects for the RF business
* Lead and manage multiple New Product Development projects for customer-specific and general market products across multiple plants and design centers
* Collaborate with customers and Global Product Managers to understand customer needs and requirements and ensure the on-time launch of products that meet these requirements
* Collaborate with the NPI & manufacturing engineers to develop production processes using PDP (Product Development Process) guidelines; drive a strong culture of DFM (Design for Manufacturing)
* Develop internal & external project charters that clearly articulate project strategy, scope, financials, and schedule
* Lead project plan development and management up until successful launch into production
* Develop KPIs that track project progress, production performance and operational improvements
* Proactively identify, document, and execute risk reduction activities to minimize project risks associated with cost, quality, and/or timing that could negatively affect project plan achievement
* Manage project change control and decision documentation
* Own project reporting communication to all stakeholders, including management and customers
* Lead and mentor team members in project management principles, PDP processes, risk man...
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Type: Permanent Location: South Grafton, US-MA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:42
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Location: 100% onsite in Warrendale, PA
Hours: Monday-Friday 8:00am-4:30pm
This role is site dependent in the Warrendale, PA location, leading the Durable Medical Equipment department within the overall Warrendale Fulfillment operation.
The Lead Representative will report to the Operations Supervisor for Inventory and Durable Medical Equipment.
The Lead Representative will be responsible for supporting and directing the team members in fulfilling their respective responsibilities and meeting their commitments.
The Lead Representative will ensure workflow is optimized and performed to meet the needs of the department as specified by the Operations Supervisor.
Duties and Responsibilities:
* Oversee a team of representatives acting in supporting the overall fulfillment operation at the Warrendale hub.
* Promote a positive team environment and team cohesiveness.
* Lead by example promoting a culture of a single Fulfillment department to which the DME team belongs to and supports.
* Ensure team commitments and responsibilities are met including but not limited to: JCAHO compliance, infusion device inventories, network demand for infusion devices, and direct patient deliverables.
* Ensure best practices are followed and shared.
* Assist in process improvements and development of programs to enhance and optimize internal/external customer service.
* Assist in monitoring and tracking team member productivity via scorecards and other record keeping.
* Develop and coach team members with productivity, accuracy, and efficiency.
Requirements:
* High School Diploma or equivalent.
* Minimum 2 yrs experience in pharmacy fulfillment operations.
* Demonstrated leadership skills and ability to develop team members.
* Demonstrated knowledge of specialty pharmacy operations.
* Demonstrated ability to work collaboratively with other individuals/departments to resolve complex issues with innovative and effective solutions.
* Independent decision maker with ability to handle dynamic working environments.
* Demonstrated ability to handle difficult situations in a professional manner.
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.
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 t...
....Read more...
Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:41
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WORK LOCATION: Walnut Creek, CA
Will support the Walnut Creek, CA market; person will need to live in the local area: Walnut Creek, Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred
The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the VP, Network Management.
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, capitation, and other 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 ...
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Type: Permanent Location: Walnut Creek, US-CA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:40
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Position Title: Warehouse Lead Department: CuraScript SD
Reports To: Director of Operations
Shift: 7:00 AM - 3:30 PM; Monday - Friday
Location: 2040 W Rio Salado Pkwy Suite 101B Tempe, AZ 85281
Overview
The Warehouse Lead is a hybrid analyst and administrative role responsible for driving operational excellence, employee engagement, and continuous improvement within the warehouse.
This position supports Evernorth Health Services' mission to partner, collaborate, and deliver on commitments at the Rio Salado campus.
The ideal candidate demonstrates strong organizational, analytical, and interpersonal skills, with a commitment to teamwork and quality.
Key Responsibilities
* Operational Reporting: Run daily and weekly warehouse performance reports, including inventory accuracy, order fulfillment rates, and safety metrics.
* Visual Management: Lead visual management initiatives (e.g., 5S audits, KPI dashboards, process boards) to promote transparency and continuous improvement.
* Continuous Improvement: Champion Lean, Kaizen, or Six Sigma projects to optimize warehouse processes and reduce waste.
* Employee Engagement: Coach, mentor, and train warehouse staff; facilitate onboarding and ongoing development.
* Collaboration: Work cross-functionally with other departments to achieve organizational objectives and resolve operational challenges.
* Quality & Safety: Support quality initiatives and patient safety standards in partnership with the quality analyst.
* Documentation: Maintain accurate records and documentation in compliance with company policies and regulatory requirements.
* Industry Awareness: Stay current with industry trends, best practices, and emerging technologies.
* Other Duties: Perform additional tasks assigned by the Director of Operations.
Qualifications
* Bachelor's degree in business, supply chain management, or related field, or equivalent experience.
* 3+ years of warehouse operations experience, with at least 2 years in a leadership role.
* Advanced proficiency in Microsoft Excel, Power BI, and warehouse management systems (WMS).
* Six Sigma, APICS, or OSHA certification preferred.
* Excellent communication, coaching, and problem-solving skills.
* Strong attention to detail and organizational abilities.
* Ability to work independently and collaboratively in a fast-paced environment.
Physical Demands and Work Environment
* Ability to sit or stand for extended periods.
* Occasional lifting of office supplies and equipment up to 35 pounds.
* Regular use of computer and office equipment.
* Adherence to company safety and ergonomic standards.
* Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Equal Opportunity Statement
* Evernorth Health Services is an equal opportunity employer.
All qualified applicants will receive consideration for employment without reg...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:40
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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 Vascular Surgery Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified in Vascular Surgery recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* Prefer one of the following state medical licenses but is not required: DC, MD or VA
* 3 or more years of relevant clinical experience post residency/fellowship required
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, company provid...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:38
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Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel to patients' homes within a large geographic region
* Ability to 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...
....Read more...
Type: Permanent Location: Scranton, US-PA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:36
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The Dedicated National Account Executive serves as a strategic partner between a dedicated client and Cigna Healthcare, ensuring the seamless execution of partnership agreements, optimizing account performance, and driving sustained value creation.
This role is responsible for managing high-profile relationships and delivering client-focused solutions within complex organizational environments.
Key Responsibilities
* Client Relationship Management: Cultivate and maintain trusted relationships with client sponsors, licensees, and vendors, ensuring alignment with organizational objectives and brand standards.
* Strategic Planning: Collaborate with cross-functional stakeholders, including marketing, legal, finance, and operations-to develop and execute account strategies that support both retention and revenue growth.
* Innovation & Growth: Identify and pursue new partnership opportunities, contributing to the ongoing evolution of the client's strategic direction.
* Performance Analytics: Monitor key performance indicators (KPIs) and prepare comprehensive business reviews to assess account health, return on investment (ROI), and activation success.
* Cross-Functional Coordination: Serve as the primary point of contact for assigned accounts, facilitating effective communication and collaboration across departments.
* Contract Execution & Oversight: Oversee deliverables, timelines, and compliance for partnership agreements, proactively resolving issues and identifying opportunities for continuous improvement.
Qualifications
* 5+ years of experience in account management, with a proven track record managing large, complex organizations-preferably within the sports, entertainment, or healthcare sectors.
* Demonstrated ability to build and sustain meaningful relationships at all organizational levels, including internal stakeholders at The Cigna Group.
* Exceptional interpersonal and communication skills, with the ability to influence and negotiate effectively.
* Strategic thinker with a history of developing and implementing successful initiatives.
* Advanced analytical skills, including proficiency in data interpretation and reporting.
* Proven ability to manage multiple priorities in a fast-paced, dynamic environment.
* Bachelor's degree in Business, Marketing, or a related field required; MBA preferred.
Preferred Attributes
* Extensive experience working with national brands or high-profile clients.
* Familiarity with CRM platforms and project management tools.
* Genuine passion for client's industry and a deep understanding of their business model.
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.
This role is also anticipated to be eligible to participate in an incentive compensation plan.
We...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:35
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TIG Welder - Titanium Aerospace Parts: Prior Experience Required
If you would love to be part of a company that is poised for substantial growth then working for CPP and it's subsidiaries may be the right fit for you! We have multiple facilities in Albany, OR and are a world class supplier of titanium castings and components for the aerospace industry.
If you are selected to join our team you will enjoy benefits such as quarterly bonus, medical, dental, vision, 401(k), company paid life insurance, and other great benefits!
Primary Purpose:
This welder position requires the candidate to TIG weld in a chamber under argon atmosphere on titanium castings for the aerospace industry.
At least one year of prior experience welding titanium is required.
Duties and Responsibilities:
* Titanium TIG welding in chamber to repair castings, following all applicable procedures.
* Using tools such as calipers, profile templates, etc., to accurately repair castings.
* Working with your team on rework plans to make castings conform to specification.
* Using grinder to shape tungsten.
* Load and unload castings from chamber.
* Keep equipment and work area clean and orderly.
* Other duties as assigned.
Minimum Qualifications and Experience:
* Completion of formal vocation program and/or 1 year or more of prior TIG welding experience is required.
* Must pass welding test within 4 weeks of start date.
* Must pass an annual eye exam.
* This position requires ability to bend, lift, push, and pull (to place castings in and out of the tank) with or without reasonable accommodations.
* Must have basic high-school level math skills including addition, subtraction, multiplication, and division.
* Able to use small, fine tools.
* Good attendance record required.
* Requires continuous mental and/or visual attention to detail.
* Able to understand measurements; read and use measurement tools correctly.
* Able to work as a team player and be self-motivated.
* Able to read, understand, and follow written and verbal instructions.
* 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.
* Stable 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 drug screening.
Environment:
* The job is performed under reasonably good working conditions with some exposure to noise, temperature, and machinery.
Schedule:
Shifts after training:
* Swing Shift (Monday-Thursday 3:30pm-2:15am) includes $1.00/hr.
shift differential
* Weekend Shifts (Friday/Saturday/Sunday) 3x12 includes $1.25/hr.
shift differential for days; $2.50/hr.
shift...
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Type: Permanent Location: Albany, US-OR
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:35
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The Client Experience Manager is the operational owner of all service issues across their assigned segment of business.
Acts as the key point of contact for assigned health plans and high profile provider clients.
Facilitates Health Plan meetings to address escalated issues, to update on new items, and to come to resolutions.
Is a consultative resource for clients on eviCore programs and products.
Tracks client issues that require research/investigation & coordination to reach resolutions.
Collaborates with internal resources to resolve client issues.
Uses data and facts to identify and solve a range of problems for assigned health plans.
Delivers effective and time sensitive verbal and written communications to internal and external audiences.
Duties and Responsibilities
* Assesses the needs of our providers and defines and implements necessary changes to our provider services/management processes and approaches to most effectively and efficiently meet those needs.
* Partners with internal groups to ensure effective and efficient end-to-end problem-solving and provider delivery processes and accountabilities.
* Track and trend key provider issues that require research/investigation, escalation, or matrix partner coordination to reach resolution
* Collaborates with matrix partners and other internal resources to resolve escalated, complex, and sensitive provider issues
* Provides solutions to improve overall services that focus on the value proposition
* Understand provider business needs, participate in solution development and effectively communicate solutions to ensure provider satisfaction
* Delivers effective verbal and written communications appropriate to internal and external audiences
* Engage providers or other customers with training and communications related to new programs
Qualifications:
* Bachelor's degree, preferred
* 2 years relevant client management experience preferred
* Experience in healthcare industry preferred
* Demonstrated communication (oral and written) and presentation skills
* Strong organizational, prioritizing, and analytical skills and ability to multi-task
* Strong customer service focus
* Demonstrated ability to interact with other departments/teams to resolve issues
* Ability to independently manage timelines and meet tight client deadlines
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 64,700 - 107,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, wit...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:34
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Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help others? If you have always wanted to work in pharmacy operations and enjoy a fast-paced and friendly company environment, read on.
How you will make a difference:
* Juggle multiple tasks without sacrificing deadlines or attention to detail.
Sort Pills into bulk quantities, Operate machinery to print instructions for each medication.
* Use your expert problem solving skills to help our patients receive their product on time: Packing and labeling for safe delivery.
Working with technology to efficiently get it out the door,
* Create new knowledge with our systems and new relationships with your peers: You will start with training, but you are not doing it alone.
You will enjoy a supportive environment with your peers and other teams who want you to succeed.
Speaking of supportive environments, did you know we offer 18 days PTO + 8 holidays off/year, tuition reimbursement, benefits that start on day one, and 401K match? Well, now you do.
What you should have:
* High School Diploma / GED required.
* 0 to 1 years of relevant experience.
* General PC knowledge is required
* Excellent verbal and written communication skills.
We are a global health service company dedicated to helping people improve their health, well-being and sense of security.
But we do not just care about your well-being; we care about your career health too.
That is why when you work with us, you can count on a different kind of career - you will make a difference, learn a ton, and share in changing the way people think about healthcare.
Take your skills to the next level and be ready for a multitude of opportunity!Come join our highly skilled and driven team.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About 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 th...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:34
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The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to, Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
This role is Worksite dependent and can only be performed onsite.
Available Shifts:
* First Shift: Sunday, Monday, Thursday & Friday; 5:00 AM - 3:30 PM
* Second Shift: Monday - Thursday; 3:30 PM - 2:00 AM
ESSENTIAL FUNCTIONS
* Ensure each package receives the correct paperwork, envelopes, medications, packing and / or shipping labels before sealing and sending packages to patients.
* Consistently work on only one order at a time at their workstation at all times.
* Ensure that the address prints correctly on each package.
* All bags are correctly sealed; Printers are accurately loaded with the correct paper.
* Accurately package prescriptions requiring special handling according to specific process and policy requirements.
* Work collaboratively with all coworkers to ensure that best-practices are shared while maintaining productivity and quality standards.
* Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
* Bulk up of medications from manufacturer bottles, including visual inspection and labeling of large containers.
* Visual inspection of patient bound medications.
* Orientation of packages for sortation system.
* Preparation of mail sacks or bulk containers for shipment.
* Manual material handling, storage, and stocking of shelves, workstations, and/or channels.
* Sorting and distribution of literature packs to CADS / Averts stations.
* Keep workstation clean at all times.
* Other duties assigned as needed.
QUALIFICATIONS
* 1+ years of relevant experience highly preferred.
* General PC knowledge is required.
* Excellent verbal and written communication skills.
* Good visual acuity.
* Ability to read and compare and differentiate data.
* Ability to stare/review small medications or bottles for extended periods of time.
* Ability to be on feet walking and standing for extended periods of time.
* Demonstrate flexibility and adaptability to perform different roles during a shift.
* Ability to lift up to 40 pounds.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innova...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:33
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The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and HierarchicalCondition Category expertise to the role, evaluates complex medical conditions, determinescompliance of medical documentation, identifies trends, and suggests improvements in data andprocesses for Continuous Quality Improvement (CQI).
Key Job Functions:
• Conduct medical records reviews with accurate diagnosis code abstraction in accordance withOfficial Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, HHSProtocols and any additional applicable rule set.
• Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories
(HCC) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year.
• Apply longitudinal thinking to identify all valid and appropriate data elements andopportunities for data capture, through the lens of HHS' Risk Adjustment.
• Perform various documentation and data audits with identification of gaps and/or inaccuracies inrisk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA)programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis
submission program.
Inclusive of Quality Audits for vendor coding partners.
• Collaborate and coordinate with team members and matrix partners to facilitate various aspectsof coding and Risk Adjustment education with internal and external partners.
• Coordinate with stake holders to execute efficient and compliant RA programs, raising anyidentified risks or program gaps to management in a timely manner.
• Communicate effectively across all audiences (verbal & written).
• Develop and implement internal program processes ensuring CMS/HHS compliant programs, includingcontributing to Cigna IFP Coding Guideline updates and policy determinations, as needed.
Education & Experience:
The Quality Review & Audit Analyst will have a high school diploma and at least 2 years' experiencein one of the following Coding Certifications by either the American Health Information ManagementAssociation (AHIMA) or the American Academy of Professional Coders (AAPC):
* Certified Professional Coder (CPC)
* Certified Coding Specialist for Providers (CCS-P)
* Certified Coding Specialist for Hospitals (CCS-H)
* Registered Health Information Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Risk Adjustment Coder (CRC) certification
Individuals who have a certification other than the CRC must become CRC certified within 6 monthsof hire.
Minimum Qualifications
• Experience with medical documentation audits and medical chart reviews and proficiency withICD-10-CM coding guidelines and conventions
• Familiarity with CMS regulations for Risk Adjustment programs and policies related todocumentation and coding compliance, with both Inpatient and Outpatient documentation
• HCC coding experience prefer...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:32
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This is a hybrid position with on-site expectations in St.
Louis, MO.
Only local candidates will be considered.
POSITION SUMMARY
The Analyst will own the operational invoicing and reconciliation activities for the IRA MTF program.
The Analyst should develop an in-depth knowledge of the program and serve as the primary point of contact regarding Pharmacy reimbursement invoicing to CMS.
ESSENTIAL FUNCTIONS
* Support the end-to-end IRA MTF invoicing process: setup, invoicing, payment application, variance resolution
* Function as the primary operations analyst within this space
* Work directly with Advisor to communicate escalations and issues
* Apply a subject matter expert knowledge base under minimal supervision to ensure appropriate assessment and action steps taken to ensure successful outcome of identified variances
* Stay current on regulatory and industry changes related to IRA MTF, CMS guidelines, and pharmaceutical manufacturer requirements
* Collaborate with internal teams to support current and future business initiative
* Other duties as deemed essential by business to support current and future projects
QUALIFICATIONS
* Bachelor's/Associates degree preferred but not required.
* 1+ years of relevant experience.
* Excellent customer service and communication skills; strong analytical skills; detail oriented
* Excellent PC skills with ability to utilize MS Excel and Access.
* Knowledge of PBM and healthcare industry preferred.
* Ability to organize and plan multiple projects.
* Ability to demonstrate self-initiative, work cross functionally to resolve issues as they occur.
* Proven ability to work under tight deadlines.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit, or investor relations, our Finance department may be perfect fit for you.
Our teams with Finance work together to ensure that spending stays on track and that we remain a profitable industry leader.
We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation,...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:32
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This is a hybrid position (3 days per week in-office + 2 days' work at home).
The incumbent candidate can be based out of any US Cigna Healthcare office.
This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.
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 managemen...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:31
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Behavioral Health Counselor- LMFT LCSW LPC- Evernorth- San Diego, CA
The Onsite Behavioral Health Counselor is responsible for counseling individuals to diagnose and treat mental health disorders.
The responsibilities also include referring clients to specialists, monitoring progress during treatment and creating a comfortable environment where clients can be treated.
This BH professional will treat clients with emotional, behavioral and mental disorders.
They may work in conjunction with psychologists and psychiatrists, and refer patients to these specialists as they see fit.
Responsibilities and Essential Functions
* Conduct regular appointments with clients who wish to converse with a mental health professional
* Establish positive and trusting relationships with clients
* Screen and assess patients for common mental health and substance use disorders, leveraging evidence based tools
* Provide patient education about common mental health and substance use disorders, as well as available evidenced based treatments.
* Implement various treatments and protocols to provide guidance and appropriately address client situations using evidenced based techniques
* Continually assess client situations and provide the proper ongoing treatments
* Educate and involve family members or other loved ones in the treatment process when necessary
* When required, partner with plan and community resources to make referrals to outside sources or agencies that can augment or better address their specific needs
* Coordinate care after an acute event including emergency department presentation or inpatient admission in collaboration with the patient's provider and population health team
* Coordinate with patient's care plan team in order to ensure holistic care
* Maintain the strictest confidentiality of each and every client situation
* Maintain all required licenses and the appropriate insurance
* Participate in clinical team meetings as assigned
* Ability to work in the office in San Diego, CA
Minimum Qualifications
* LCSW, LPC or LMFT
* Current, unrestricted license(s) in California; additional state licenses a plus
* Must have an Independent License
* Must have at least 2 years of therapy experience
* Experience with population management
The position is based in the office in San Diego, CA and the anticipated salary is 100-115,000
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 65,600 - 109,400 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'...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:30
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OVERVIEW:
A career within Forsyth Health's Product team will provide you with the opportunity to help
Pharma/Life Science organizations uncover patient and market insights.
At Forsyth Health, we
focus on a collection of data management, business intelligence and advanced analytics and
data science capabilities to support various functions within these organizations to meet their
business needs around market access and patient support programs.
How you'll make a difference:
The Data Science Lead Analyst role is a crucial role to the development of evaluation processes
of output extracted from unstructured data which will lead to the broadening of our product
development space.
As a strong individual contributor, the role will engage in product
development efforts using best practices in web development.
Responsibilities include setting
up an internal web development framework that allows for the quick spin up of evaluation
processes, this includes processes with varied requirements, and the maintenance of
framework.
This role will work closely with the internal Technology to make sure the
framework adheres to security and practices of Forsyth Health.
Role Summary:
The Data Science Lead Analyst position is an opportunity for a data scientist/software engineer
to strengthen web development workflows, establish crucial evaluation processes, and
meaningfully impact the development of the Forsyth Enterprise Data Model.
The job
responsibilities include, but are not limited to the following:
• Write, test, and deploy software applications that will help propel the evaluation of
models created from unstructured data.
• Collaborate with data engineers to understand back-end capabilities.
• Work with other cross-functional teams to gather and refine requirements for various
evaluation initiatives.
• Efficiently query multiple data types (medical and pharmacy claims, EMR, lab,
chargemaster) as needed to gain a deeper understanding of patient / clinical activity
from Forsyth data to validate and further refine NLP/ML models and output.
• Create and maintain technical documentation for full-stack development.
Qualifications:
• 3-5 years of experience in software engineering.
Bachelor's degree in a related field
preferred.
• Excellent programming skills in languages like JavaScript, TypeScript, Python, SQL, etc.
• Advanced knowledge in web development tools such as React.js, Django, etc.
• Experience with cloud computing platforms and development tools such as Azure
Databricks, Azure Data Lake, AWS, etc.
• Demonstrated attention to detail, ability to compile and analyze information, ensure
code quality and data integrity, and provide resolutions or recommendations for
improving operational processes.
• Excellent communication and presentation skills.
• Desired: experience with NLP models and at least 1-2 years in healthcare data space.
If you will be working at home occasionally or permanently, the internet connection must be obta...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:30
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Work Location: Atlanta, GA
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 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 ne...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:29
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Job Description: Market Medical Executive - Growth and Innovation
This role is designed to work in close partnership with respective teams and in strong collaboration across the broader Clinical organization.
While the role has distinct responsibilities, there is intentional overlap in workstreams to ensure meaningful contributions to delivering clinically differentiated outcomes at scale.
As the organization evolves, these expectations will continue to adapt to maximize strategic value for the business, our partners, and-most importantly-the clients, providers, and patients we serve.
Growth and Innovation Market Medical Executive
As a strategic partner to the Sales organization, this role brings specialized clinical expertise to drive client growth, management, and innovation.
By leveraging market and population health insights, this executive helps evolve, drive and articulate Cigna's clinical value proposition via multi-channel collaboration, analysis and connection to program and product offerings.
Primary Responsibilities
* Lead and communicate Cigna's strategically differentiated clinical value proposition to employers, brokers, and internal partners.
* Inform clinical strategies using market segmentation, outcomes and affordability analytics, insights from THI and finalist meetings, and broker/consultant engagement dynamics.
* Support Growth Leaders by building and maintaining strong relationships with clinical stakeholders at client organizations, consultants, and local market associations.
* Collaborate with market sales teams regarding product and Cigna clinical differentiation.
* Co-develop and implement market segmented and individualized strategic client roadmaps.
* Attend client meetings to provide clinical analysis on outcomes, experience, and affordability.
* Represent Cigna externally at industry and local market events, serving as a clinical ambassador.
* Communicate and reinforce Cigna's clinical policies and expectations with employers.
* Provide sales team in-services regarding clinical programs and services inclusive of behavioral, medical, pharmacy and vendor partnerships.
* Assist Sales in developing strong presentation teams for brokers and clients to drive effective messaging.
* Work with Product leaders to support client retention, growth, and product penetration.
* Translate market needs into innovation opportunities through trends identification and feedback from clients, brokers, clinicians, industry analysis and regional partners.
* Identify potential product or policy innovations utilizing external physician advisory panels.
* Identify and/or support clients or other partners as candidates for pilot studies.
* Serve as a clinical resource to develop opportunities that drive employer value and enterprise growth.
* Participate in special projects as the market-facing clinical expert to support key business initiatives.
* Collabo...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:29
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Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel to patients' homes within a large geographic region
* Ability to do multiple patient visits per week (can include days, evenings, and weekends, per business need)
* Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Quali...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2025-10-21 08:34:28
