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Your Job
From investing to acquisitions, we seek out opportunities across a broad spectrum of industries.
We 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.
Koch's investment companies seek opportunities to improve Koch's capabilities, drive mutual benefit for all parties involved and contribute positively to society.
Our Team
The Koch CFO organization's Investment team is seeking an Investment Accounting Analyst to join the team.
In this role, you will create value for the organization as a primary business partner supporting the respective investment teams in all finance, accounting, and financial reporting matters.
The position will interact with business leaders and the Investments Controller 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 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.
The team is located in the Wichita, KS headquarters.
Are you ready to make a move?! KOCH offers a unique culture that champions entrepreneurship and rewards individual success.
We are looking for candidates who want to create long term value, who are not afraid to challenge the status quo, and who want to find fulfillment in what they do.
At Koch, 90% of earnings are reinvested in the company so that we can create opportunities and long-term value for our customers, employees, and society.
Our culture is defined by the Principle-Based Management® philosophy which guides everyday decision making and provides employees with opportunities to contribute and personally benefit from the value they create.
What You Will Do
* Perform 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 and supporting third-party administrators 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, 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
* Aid in researching technical accounting treatment and economic reporting of new investment strategies, in col...
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Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:29
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Job Description:
Location: 9045 River Road, Indianapolis, IN 46240
A hybrid schedule is open to consideration.
Please note the travel requirements below.
Company Overview
Performing over eighty million utility locates annually, USIC is the most trusted name in underground utility damage prevention and protection.
USIC provides a full suite of public and private utility services throughout the United States, with advanced offerings and superior technology to meet every underground utility damage prevention and protection need.
Our mission is to deliver quality, efficient, safe, and innovative solutions to protect our partners’ infrastructure and critical assets.
Summary
USIC is seeking a seasoned and strategic Director of Product Management to lead our product initiatives and the productization of our portfolio.
In this role, you will drive the development and enhancement of our service offerings, ensuring alignment with market demands and customer needs.
In this role, you will be responsible for overseeing the entire product lifecycle, from ideation to launch, connecting and driving pricing initiatives to drive profitability and market competitiveness.
The ideal candidate will have a strong background in product management within industries such as utilities, construction, or field services, with a focus on optimizing operational efficiency and customer experience.
This role will report to the SVP, Sales and Revenue Operations, and will work across the organization with all functions to lead our product portfolio and corresponding strategic initiatives.
They are a trusted advisor to the business and serve as a strategic leader within the Sales and Revenue Operations organization.
The ideal candidate has a background in Sales, Marketing, or Revenue Operations and experience implementing strategic programs in large, matrixed organizations.
Responsibilities
* Lead the development and execution of the product roadmap tailored for field labor services, in alignment with company goals and market trends.
* Collaborate cross-functionally with operations, sales, marketing, and regulatory teams to define product requirements and ensure successful service delivery.
* Work closely with technology teams to operationalize product offerings through our technology solutions for ease of tracking, delivery, and billing.
* Conduct market research, competitive analysis, and customer feedback to identify opportunities for service enhancement and innovation.
* Collaborate with commercial teams to develop effective go-to-market strategies for new service offerings and geographical expansions.
* Define pricing positioning, messaging, and promotional strategies to drive customer adoption and retention in the B2B market.
* Ensure alignment between service value proposition, pricing strategy, and sales enablement initiatives.
* Work closely with technology teams to operationalize product offerings through our technology...
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Type: Permanent Location: Indianapolis, US-IN
Salary / Rate: 160000
Posted: 2024-09-29 08:35:25
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The Cigna Group Sales and Contracting Development Program
Sales Associate
Start Date July 14, 2025
It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business.
If you're looking for a challenging, ever-evolving career, you've come to the right place.
The Cigna Group's Sales and Contracting Development Program provides professional development for multiple new and existing business sales roles across Cigna Employer, Dental, and Supplemental businesses .
Our training program will provide you with an in-depth understanding of what it takes to succeed in healthcare sales.
Throughout this multi-week program, participants are in a variety of environments including a virtual classroom, in-person training, structured fieldwork, mentoring, and coaching.
Upon completion, you will have the necessary tools to combat the versatility of healthcare, understand its complexities, and experience a fulfilling career in sales.
About The Cigna Group Sales and Contracting Development Program
The Cigna Group's Sales and Contracting Development Program (SCDP) is an intensive multi-week (July-September) training program designed for early career hires, focused on developing business acumen, negotiation, and relationship building skills required to quickly onboard and contribute to The Cigna Group's focus on high quality, affordable healthcare.
The SCDP has two strategic tracks, the Sales Track and Network Track to onboard The Cigna Group's next generation of client and provider facing Sales and Network Professionals.
As a Sales Track associate, you will attend a blend of virtual classroom, in-person training, field-based learning activities, mentoring, and coaching.
* Curriculum covers topics all about The Cigna Group and Cigna Healthcare, the insurance industry, functional elements and specific role-based training.
* The in-program experience includes multiple virtual interactive and collaborative learning activities coupled with practical network applications.
Sessions will be led by facilitators and Subject Matter Experts.
* The in-program experience also includes multiple non-consecutive weeks onsite at Cigna Headquarters for cohort networking opportunities and in-person coaching/learning.
* Field Experiences will take place virtually or in the associated office/market in which the program participant has been hired into.
Formal activities and assessments will take place, led by the local market team and hiring manager.
During this time participants can work alongside their local team and reinforce program concepts with real-life/in-role experiences.
Upon completion of the program, Sales Track Associates will begin careers in sales roles across Cigna Employer, Dental, or Supplemental businesses.
All track participants will complete program with an understanding of the following:
* Cigna medical, dental, and/or supplemental products and servic...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:17
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Summary
The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data processes, expand technology capabilities, and enable analytics.
You will work closely with colleagues across the Risk Adjustment business, data science, and data analytics teams to develop new assets, data solutions, and pipelines while following best practices and data governance standards.
You are a data management expert who enjoys collaborating in a matrix organization.
You are curious and enjoy exploring data and understanding the business implications behind your deliverables.
You excel at translating complex datasets into clean, easy-to-use solutions and creatively solving problems.
You are self-motivated and enjoy working in a fast paced environment.
Responsibilities
* Responsible for the extraction and analysis of healthcare information
* Responsible for the automation and scheduling of business critical processes
* Develop reporting in collaboration with analytics partners to monitor data quality
* Work effectively and efficiently on multiple tasks and deadlines, while producing high quality results
* Ensure quality and integrity of data and follow best practices while exploring innovative solutions
* Drive opportunities to improve the efficiency of or otherwise enhance existing processes
Qualifications
* 3+ years of programming experience; Healthcare related experience a plus
* Experience with Python specifically as it relates to data automation
* Experience with SQL and Teradata
* Experience with Airflow development preferred
* Experience with Databricks, AirByte and/or DBT is highly desired
* Experience in designing and deploying complex datasets/datamarts preferred
* Ability to distill useful data assets from large and complex data sets
* Experience working with non-technical business partners in consultative manner
* Strong communication skills (e.g.
experience translating complex topics into easy-to-follow slides/materials)
* Ability to independently prioritize and manage multiple responsibilities and comfortable with ambiguity
* Bachelor's Degree or higher in a quantitative field (e.g.
mathematics, statistics, IT, business, MIS, actuarial science, finance, etc.) highly preferred
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 74,600 - 124,400 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's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole hea...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:17
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Position Summary
This Financial Analysis Advisor position will provide support to the Centene account.
Specifically, the responsibilities of the role will include:
* Provides advanced professional input on DOI complaints with Centene client focus.
* Reviews and provides determination of pharmacy appeals.
* Communicates externally to pharmacies and clients, providing professional responses to inquires and appeals.
* Responsible for conducting moderate to complex compliance analysis, projects and/or reporting.
* Assist in development and QA of reports and recommend improvements in compliance reporting systems.
* May conduct audits to ensure data controls are maintained.
* May design, enhance and maintain system applications for processing and reporting compliance information
Essential Functions
* Extract, analyze, validate, and communicate intelligence from large sets of data
* Supports and develops compliance monitoring
* Develop new analytic resources and views of data from in-depth analysis and understanding
* Assist with internal and external audit request
* Develop, help maintain, and troubleshoot complex internal MS Excel spreadsheets, SQL coding and R coding scripts
* Assists with Ad-Hoc requests
* Reviews and replies to pharmacy appeals, DOI requests and pharmacy emails
Qualifications
* Bachelor's Degree in Finance, Accounting or related field preferred, MBA a plus.
* At least 4 years in a finance, accounting or highly analytical position
* Experience in healthcare / insurance industry preferred
* Technical knowledge of relational database concepts, querying, data warehouses and decision support tools, including but not limited to: SQL, Excel, and R
* Ability to utilize independent judgment and discretion, identify variances, and recommend solutions
* Experience in a highly regulated business environment
* Ability to communicate results of analytics to a multitude of individuals/groups
* Strong analytical and problem-solving skills
* A self-motivated team player who thrives on challenges, is comfortable working in a fast-paced, dynamic environment, and is ready for development within our Company
* Innovative and strong desire to learn
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 (inc...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:16
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At EVERNORTH Care Group, we are committed to providing our customers with benefits, expertise, and services that improve their health, well-being, and sense of security.
Our people are the key to success in a changing and increasingly competitive marketplace.
The collective skills, behaviors, and work experiences of all EVERNORTH Care Group employees enable us to make a real difference in the lives of our customers.
We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and expect.
EVERNORTH Care Group is committed to recruiting, developing, motivating, and retaining a diverse workforce representing the best and brightest both inside and outside of our industry - a workforce that reflects our customers and the communities where we operate.
Role Summary
Responsible for implementing and/or supervising the development of specific pharmacy services and new programs and plans.
Coordinates and directs all activities related to the compounding, dispensing, delivery, receipt, and handling of medications and associated products within regulatory guidelines.
Major Duties
EVERNORTH Care Group pharmacies offer a full line of prescription services along with over the counter medications.
The pharmacists work closely with the health care providers to insure optimal therapeutic outcomes for our patients through continual collaboration with the team of health care providers with the health care centers.
As a Pharmacy Supervisor you will:
1.
Prepare, compound, label, package and dispense medication
2.
Comply with Federal, State and Company regulations governing all aspects of pharmacy practice
3.
Manage pharmacy operations within the department budget and according to departmental purchasing and inventory control policies
4.
Manage the ordering and maintenance of medications, chemicals and other pharmacy stock items.
5.
Provides medication and medication information to non-physician providers, nurses and physicians.
6.
Maintains sanitary work area and equipment
7.
Provides excellent customer service, both internal and external
8.
This position requires in depth knowledge of pharmaceutical science to assure the accurate compounding of drugs.
The incumbent offers pharmaceutical counsel to patients in explaining the impact as well as the side effects of various medications and their compatibility with other substances.
Ideal candidate will have:
- Pharmacist - PharmD Degree or BPharm required
- Current Pharmacy Licensure in State of Arizona required
- Three years experience in an outpatient pharmacy setting.
- Experience with automated pharmacy computer system.
- Additional clinical credentials
- Management experience preferred.
- Bilingual; English/Spanish preferred.
- Experience with Microsoft Outlook, Word and Excel
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...
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Type: Permanent Location: Chandler, US-AZ
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:15
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eviCore is hiring two Implementations, Project Managers.
The Implementations Project Manager will be responsible for directing all aspects of new client implementations, client expansions and existing clients implementing new programs/features.
Maintains ultimate responsibility for the successful completion of an implementation and the quality of the deliverables provided by the implementation team.
This position produces project schedules, manages issues and risks, manages the change control process, organizes tasks and resources, reports on progress and communicates directly with the client Project Manager.
RESPONSIBILITIES:
* Understand client strategy and developing relationships within the client implementation team
* Influence stakeholders in a clear, confident and collaborative manner when articulating concepts, challenges, complexities in order to drive standards and best practices.
* Demonstrate and promote a genuine concern for the stakeholder, listen fully and actively to truly understand what others are saying, make decisions based on an understanding of the real stakeholder need.
* Coordinate resources and schedules for project/program implementations, including project deliverables, goals and milestones.
* Create strategies for risk mitigation and contingency planning.
* Provide leadership and direction to resolve project risks and deliver implementations on time, within budget and at the required level of quality.
* Create project documentation and daily review and thorough timely updates to all project documentation.
* Contribute to the continued improvement of the implementation process.
* Participate in planning sessions and other related meetings and sessions with internal business users as well as our external clients.
* Communicate all decisions made during the implementation both externally and internally within eviCore.
QUALIFICATIONS:
* Bachelors degree preferred.
* 5+ years of Project Management , including scheduling and budgeting experience
* Familiarity of the waterfall process
* 3+ years Healthcare Operations and/or Healthcare IT experience
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to 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...
....Read more...
Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:15
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Cigna is hiring! Do you have a unique blend of traditional accounting knowledge and control mindset with project management skills and ability to find creative solutions for new product deployments? Join our team as a Senior Accounting Advisor for the Shared Services group, where you will have the opportunity to interact with teams, at all levels, across the Accounting and Finance function as well as engage with senior leaders of the organization to deploy creative solutions.
This position requires excellent communication skills, a high level of adaptability and resilience, and a strategic mindset to develop contemporary technology solutions and properly documented processes.
If you're looking for an opportunity to take that next step in your career, then please read further.
Major Duties & Critical Tasks
* Contribute to the Accounting Shared Services Organization success by actively participating in and assuming new responsibilities across multiple functional areas.
* Assist, as part of cross-functional team, in the development and implementation of highly complex and time sensitive initiatives.
* Actively partners with business associates to analyze and understand accounting implications of enterprise projects or new business initiatives.
* Deliver process improvements that drive enhanced operational efficiency that eliminate complex manual processes.
* Accountable for delivery and continuously enhancing performance of Behavioral general accounting and reporting activities which include closing activities (journal entries, allocations, ledger analysis, etc.).
* Train and develop offshore Accounting Staff and ensure that service level agreements are met.
* Maintain a well-designed and effective internal control environment.
Perform quarterly and year end Sarbanes-Oxley (SOX) and Model Audit Rule (MAR) compliance responsibilities
* Provide Accounting subject matter expertise and support as needed to support Accounting and Finance Organization initiatives.
* Form strong partnerships with IT operations, tax, actuarial, finance, and audit (internal & external) areas to facilitate strong accounting compliance.
* Troubleshoot and work to bring finality to issues affecting financial reporting and controls, and to keep apprised of new issues/products that may affect financial reporting results.
Expected Contributions/Results:
* Support the wider finance team in various ad hoc projects, lead special projects as assigned by management, or as deemed necessary to support departmental, divisional, and company priorities and business objectives.
* Understand business fundamentals and prepare quarterly and annual close analysis and commentary for senior leadership in a fast-paced changing environment.
* Preparation of monthly management results in accordance with GAAP & SAP within strict reporting deadlines
* Ensuring 100% compliance with Cigna's balance sheet reconciliation policy for ...
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Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:14
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Home Infusion Nurse (RN):
Candidates for this position should live in the Huntington/Parkersburg, WV region.
This position is anticipated to need around 24 hours per week.
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 Field 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 within a designated area
* Ability to do patient visits 2-3 days per week (mostly on weekdays, but may require some evening or weekend visits)
* Flexibility to work different shifts on short notice
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 o...
....Read more...
Type: Permanent Location: Huntington, US-WV
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:14
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REQUIRED WORK HOURS:
Full time job with a minimum of forty hours per week five days a week.
Shift days and times may vary due to business need.
All staff schedules include rotating shifts, weekends and holiday time.
As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for customers.
The CN&S team is the destination for customers identifying a clinical need by providing one unique entry to address in the moment needs of the customer.
You will help customers navigate the mental health system, including utilization of benefits and accessing direct care services.
As clinicians we support customers and families facing challenges big and small.
We want to make sure accessing care is easy and sensible.
You will help customers to process the unexpected from an evidence-based perspective, tapping into customer's strengths.
Common situations include routine/acute/urgent/emergent need for care in order to direct customers toward specialized or higher levels of care (HLOC).
A CM for the CN & S team works on a queue, taking telephonic calls in the moment, as well as scheduled calendar appointments.
CMs work in a team oriented, fast-paced environment.
The team is staffed 24/7 in support of the full organization.
CMs engages in a dialogue with the customer to assess the current need and provide a quality customer service experience.
CMs will meet the customer where they are, assess their need and triage appropriately.
CMs seek to reduce barriers and navigate the customer to the right care at the right time.
CMs will deliver a quality experience in one interaction.
In addition, CMs support 100% follow up, working with the customer until that in the moment issue has been resolved.
The CM performs some or all of the following functions:
* Clinical case assessment of needs and crisis risk assessment
* Employee Assistance Consultation (EAC) for employer
* Employee Assistance Telephonic Consultation for employees and members of household
* Behavioral Telephonic Consultation
* Confide Services Assessment
* Brief Case Management
* Utilization Management
Duties and Responsibilities:
* Assess the customer's immediate risk and need, and provide clinically appropriate referrals for care and treatment
* De-escalate and safety planning
* Use clinical expertise, professional judgment and best practice
* Determine the biopsychosocial need(s) of the customer
* Educate customers about their benefit plan coverage, how to access coverage via digital application and platforms
* Assist customers with navigating access to care
* Provides customers with solutions and next steps
* Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
* Demonstrate the ability to be agile and flexible in their work process.
* Deliver excellent clinical judgm...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:13
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Job Description
The Digital Engagement team's goal is to drive behavior change and enable customers to access the health services they need, when they need them, to optimize health outcomes and lower cost of care.
The group is comprised of a cross-functional team of resources with deep domain expertise who leverage the Agile framework to manage healthcare customer communication projects of high value and high potential.
The Customer Engagement Strategist is an essential member of the Digital Engagement team and leads enterprise customer communication strategy, including new customer onboarding, feature updates, personalized offers & invitations to join specialty programs.
They are responsible for driving behavior change experimentation through highly personalized and targeted communications.
As an Engagement Strategist, you will be responsible to:
* Identify new opportunities as they relate to Digital Engagement team objectives and KPIs.
* Define customer-centric, data-driven strategies for each opportunity, including use case, targeted population, channel & frequency and measurement plan.
* Design multichannel campaign workflow and journey.
* Document scope, lead specific A/B/n tests, own hypotheses and test briefs.
* Drive end-to-end experiment execution with cross-functional team and maintain cross-functional alignment.
* Provide strategic direction from concept/test brief to launch/execution plan for the entire team.
* Manage learnings and insights; apply learnings to existing and future experiments and campaigns.
* Develop internal documentation and communication, which may involve conducting training sessions.
* Manage and obtain approvals.
Engagement Strategist required skillset:
* 6+ years experience in leading consumer engagement strategy and design across multiple channels (email, SMS, push, direct mail, agent, web and mobile experiences).
* Hands on experience of executing direct to consumer behavior change initiatives.
* Outstanding verbal and written communication skills and ability to communicate and influence across all levels of organization.
* Experience leading in Agile and rapid test and learn environment.
* Experience working with data and analytics teams, for both tactical campaign measurement and strategic planning.
* Knowledge of behavioral science principles.
* Excels in an iterative, collaborative environment with multiple matrixed partners.
* Creative, proactive approach to problem solving with a growth mindset.
Preferred skillset:
* Experience using Confluence, Jira, Figma, Aurelius, and Tableau
* Experience working with Customer Data Platforms and/or Customer Relationship Management tools such as Teradata, Redpoint Interactive or Braze.
* Experience working with communications delivery and execution teams.
If you will be working at home occasionally or permanently, the internet connection must be obtained throug...
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Type: Permanent Location: Santa Monica, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:12
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Do you want to Drive Growth and Improve Lives? Accredo, a line of business within The Cigna Group is looking for a Customer Service Representative who will be responsible for handling a high volume of inbound calls assisting patients with their prescription medications.
How you'll make a difference:
• Manage all inbound/outbound patient, physician, and physician advocate communications in a professional manner and within program guidelines
• Accurately enter eligibility paperwork, prescriptions, refills, and/or other information into system
• Maintain accurate and complete documentation and system records of all inquiries to continuously improve the customer service experience and mitigate potential legal issues
• Enter and interpret program materials to determine enrollment criteria; explain to the caller or other employees the necessary requirements to be on the program
• Report to the proper group any allergy, adverse events, or duplicate therapy warnings that appear
• Place outbound phone calls for clarification on any issues involving program or pharmacy guidelines.
employees, answering questions, etc
What you'll need to succeed:
• High school degree or GED required.
• 1+ years of experience in the medical field, preferred
• 1+ years of experience as a pharmacy technician or pharmacy knowledge preferred
• Experience with Microsoft office (Excel, Outlook & Word) and navigating various applications required
• Excellent written and verbal communication skills
• Ability to learn quickly, adapt to a dynamic environment while maintaining accurate documentation
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 17 - 23 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 ...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:12
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Nurse Case Management Lead Analyst -Remote -Full-Time
Bilingual in Dari or Pashto language
Required Work Hours: 9:00 a.m.-5:30 p.m.
PST.
Major Job Responsibilities and Required Results for CM:
* Obtains informed verbal consent and takes all steps to obtain written consent.
* Acts with speed and purpose to identify, support and resolve customer healthcare needs.
* Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care.
* Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure.
* Promotes quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and consumerism approach through education and health advocacy to our customers
* Implements, coordinates, monitors and evaluates the case management plan as appropriate.
* Documents findings in a clear, concise, and accurate manner.
* Acts as liaison between account, client/family, physician(s) and facilities/agencies.
* Builds solid working relationships with internal team members and across Picerno organization.
* Maintains accurate record (system) of case management interventions including cost/benefit analysis, savings, and data collection.
* Adheres to quality assurance standards and all case management policy and procedures.
* Demonstrates sensitivity to culturally diverse situations, clients and customers.
Any other assigned tasks as deemed necessary to meet business needs.
* Ensures the member's privacy, confidentiality, and safety are maintained, adheres to ethical and accreditation standards, serves as a member advocate, and adheres to legal and regulatory standards.
* Based on experience, may provide leadership, preceptor/mentorship, support and coverage to other case management staff and assist case managers in achieving positive outcomes and savings
* Complies with all accreditation, State and Federal mandates.
* Completes training as required per role and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate
* Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Additional Roles and Responsibilities Specific to CM Role:
* Will manage a large volume of outbound calls, are required to be available during all scheduled times, and manage calls and after call work in a timely manner.
* Must like fast paced work, be able to thinking cr...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:11
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Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time
Fluent in Dari/ Pashto Language
Required Work Hours: 9:00 a.m.-5:30 p.m.
PST.
Major Job Responsibilities and Required Results for CM:
* Obtains informed verbal consent and takes all steps to obtain written consent.
* Acts with speed and purpose to identify, support and resolve customer healthcare needs.
* Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care.
* Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure.
* Promotes quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and consumerism approach through education and health advocacy to our customers
* Implements, coordinates, monitors and evaluates the case management plan as appropriate.
* Documents findings in a clear, concise, and accurate manner.
* Acts as liaison between account, client/family, physician(s) and facilities/agencies.
* Builds solid working relationships with internal team members and across Picerno organization.
* Maintains accurate record (system) of case management interventions including cost/benefit analysis, savings, and data collection.
* Adheres to quality assurance standards and all case management policy and procedures.
* Demonstrates sensitivity to culturally diverse situations, clients and customers.
Any other assigned tasks as deemed necessary to meet business needs.
* Ensures the member's privacy, confidentiality, and safety are maintained, adheres to ethical and accreditation standards, serves as a member advocate, and adheres to legal and regulatory standards.
* Based on experience, may provide leadership, preceptor/mentorship, support and coverage to other case management staff and assist case managers in achieving positive outcomes and savings
* Complies with all accreditation, State and Federal mandates.
* Completes training as required per role and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate
* Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Additional Roles and Responsibilities Specific to CM Role:
* Will manage a large volume of outbound calls, are required to be available during all scheduled times, and manage calls and after call work in a timely manner.
* Must like fast paced work, be able to think...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:10
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Primary Function:
Coordinate and manage relationships with participating provider practices.
Maintain detailed understanding of HEDIS / STAR performance measures.
Develop and maintain a process to ensure all customers in participating provider practices meet all quality metrics.
Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources.
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan.
Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers.
Responsibilities:
• Identifies gaps in needed quality metrics for customers and communicates to provider
• Maintains physical presence in participating provider practices
• Identifies high-risk/high-cost patients for possible case management intervention.
• Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning, and alternative treatment plan development.
• Identifies customer needs, coordinates and supports planned and unplanned transitions and post discharge follow up calls which may include primary care physician and specialist appointment scheduling
• Collaborates with the attending physician to achieve identified patient outcomes.
• Attend and participate in weekly Complete Health Team rounds
• Perform telephonic outreach or home visits, as needed
• Communicates with all departments to resolve issues or document trends.
• Understands and follows administrative guidelines (policy and procedure) of the unit.
• Attends and actively participates in staff meetings.
• Other Duties as assigned.
Experience:
• Current Licensure as a LPN/LVN or RN, in the state of Texas in good standing.
• Associates degree, diploma or B.S.
in Nursing.
• Three to Five (3-5) years recent experience in an acute-care environment, case-management or utilization management position (experience can be a combination of LVN/RN licensure)
• Previous HEDIS and/or CMS STARs experience a plus
• Bilingual - preferred Spanish both conversational and written
Job Related Skills:
• Verbal and written communication skills
• Interpersonal skills
• Basic Mathematical and statistical ability
• Organizational skills
• Typing and computer knowledge- able to type 35WPM
• Knowledge of utilization review requirements and procedures
• Knowledge of current health care practices and appropriate treatments.
• Knowledge of community resources
• Ability to travel to and work at participating provider offices • Works independently with minimum of supervision
If you will be working at home...
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Type: Permanent Location: Harlingen, US-TX
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:10
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Summary of Position:
Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company.
We are an innovative, multi-specialty practice experiencing tremendous growth nationwide.
At ENHB our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs.
We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers.
A main focus of our practice is:
* Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB to conduct in-home comprehensive health assessments in order to ensure patient's medical well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement.
* ENHB In Home Primary Care Program (Model 2): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve clinical outcomes.
Our team collaborates with the patients' primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP.
* ENHB In Home Primary Care Program (Model 1): ENHB contracts with and receives referrals from health plans to assume primary care of chronically ill patients with high admission rates and multiple emergency department visits in an effort to improve clinical outcomes.
Nurse practitioners work alongside physicians delivering care in the patient's home.
Duties & Responsibilities:
General duties:
* Function as day-to-day clinical leader, providing decision support to nurse practitioners and collaborating with the multidisciplinary team
* Perform preventive visits daily to optimize chronic conditions, assess home environment, and develop proactive care plans
* Educating patients and/or patient's family on chronic medical conditions, preventative care, and medication adherence compliance;
* Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions
* Leverage the support of care team such as: nurse care manager, behavioral health, social work, and pharmacy to meet patients' medical, biopsychosocial, and financial needs
* Assume responsibility as home based PCP in some cases where there is no PCP and in other cases co-manage the patient with the PCP and serve as an extension of clinical care into the home
* Coordinate with other physicians across the continuum of care, including hospitalist, specialists, PCP's (in some cases), and SNF providers to smooth transitions and prevent readmissions
* Perform Telehealth visits at times when needed
* Complete appropriate and thorough clinical documentation of acute and chronic health issues through patient encounter in EMR system;
* Complete EMR documentation in a timely manner; Ensuring all appropriate consent forms are signed and dated; Interpreting la...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:09
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Are you the type of person that enjoys helping others? If you have a background in customer service or experience in healthcare, specifically benefits and claims processing, you might be the perfect fit to join our team as a Care Navigator Representative.
As a Care Navigator, you'll proactively support customers and help them understand their Cigna Healthcare medical plans and educate customers on Evernorth programs and services.
You'll do this by actively listening, address customer needs, then offer programs and solutions from their plan.
You'll be expected to go above and beyond with each call, but you won't be alone.
You'll be on a team of highly trained and skilled professionals that will be there to help you answer difficult questions and offer solutions.
YOUR RESPONSIBILITIES:
* Provide high level of service for inbound customer calls about their medical benefits by direct messaging, plus you may also provide digital chat support to customers.
* Listen and understand customers unique needs, seeking more information through probing questions with the goal of offering programs and services that apply to their past, current or future needs.
* Have a strong understanding of the full suite of benefit and programs, and you'll connect with other teams (Medical benefit, Clinical, Social Work, etc.) appropriately.
* Investigate and resolves escalations, determine barriers to care, and help to resolve complaints by reviewing policies and procedures.
When scripts or instructions are not available, you'll determine the best solution and guide the customer.
* Proactively offer outreaches to providers, doctor or vendors as needed to bring next steps into action or resolution removing effort from the customer.
You may serve as the liason between customers, health plans, services centers, etc.
* Takes ownership and provides timely follow-up on any takeaway from customer interactions.
i.e., Evernorth app tickets, prior authorizations pending, findings from claim discrepancies, etc.
* Assists customer with the Evernorth app including but not limited to 1) Helping download, register, and log into the app; 2) Inform of all app features and highlight navigation steps to find vendor offerings; 3) Educate on Wellness Rewards and value propositions; 4) Troubleshoot app & provide follow-up on tickets submitted for resolution.
* Be highly coachable and open to feedback to improve customer experience driving a consistently accurate quality of service.
QUALIFICATIONS:
* Associate degree or higher required and/or 4+ years' work experience in healthcare orcustomer servicefield.
* Ability to actively listen to understand current needs and complexities while identifying next steps & potential future needs.
* Excellent written and verbal interpersonalcommunication skills.
* Adept with Knowledge Exchange & initiative-taking resource utilization.
* Confidence with technology, innovational progress, and ...
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Type: Permanent Location: Glendale, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:08
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WORK LOCATION: HYBRID position aligned to the San Diego, CA market.
The Director, Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* May lead a team with direct reports.
* Point person for complex projects related to contracting strategy in the market.
* 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.
* Leads 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.
POSITION REQUIREMENTS
* Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Sign...
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Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:08
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This is a HYBRID role with on-site expectations.
Only local candidates will be considered.
POSITION SUMMARY
The primary function of the role is analytical support for Finance Planning team Managers as well as Business Partners within ESI.
Position will play a lead role in the development and preparation of budgeting/forecasting/reporting/analysis related to volume and gross margin including various revenue and cost components.
Position requires strong analytical, quantitative, problem solving and critical thinking skills.
Must be proficient in Excel and have the ability to model data, create & modify reports.
Experience with a multidimensional database like Oracle Essbase a plus.
ESSENTIAL FUNCTIONS
* Drug/Client level Gross Margin Reporting/Forecasting/Analysis for Management teams.
* Month End Close reporting, presentation and variance explanation analysis.
* Annual Budget development, coordination, review and presentation of analysis at drug and client level.
* Lead Budget kickoffs to Business Partners, template buildout, trainings, finalize submissions, coordinate/perform system loads.
* Oversee Budget of certain cost accounts impacting margins.
Communicate, coordinate with business owners.
* Ad-hoc analysis and project participation as needed by finance partners and cross-functional partners.
QUALIFICATIONS
* Bachelor's degree in Accounting, Finance, Economics or related field required.
MBA preferred.
* The ideal candidate will have 3+ years financial planning experience.
* Must be highly analytical, have solid database skills, possess the ability to discern and develop business requirements.
* Must have strong interpersonal skills with a demonstrated ability to manage collaborative efforts, while frequently interacting with Director level and above cross functional partners, aid in decision making.
* Advanced knowledge of Excel is required (pivot tables, VLOOKUP, logical formulas).
Requires intense attention to detail.
* Ability to manage timelines and meet tight deadlines.
* Hyperion Essbase experience a plus.
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.
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 Cign...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:07
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The Provider Contracting Advisor serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
• Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
• Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
• Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
• Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
• Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
• Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
• Creates and manages initiatives that improve total medical cost and quality.
• Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
• Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
• Creates Provider Agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
• Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
• Manages key provider relationships and is accountable for critical interface with providers and business staff.
• Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
• Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
• May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
• Should possess a Bachelor's Degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant industry experience will be considered in lieu of a Bachelor degree.
MBA or MHA preferred
• 3+ years of Healthcare Provider Contracting and Negotiating experience i...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:06
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Candidates can work anywhere in the states of Ohio, Indiana, Florida, and Tennessee.
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help patients?
We're looking for Certified Pharmacy Technicians to join our pharmacy team.
If you enjoy helping others and like the idea of expanding your skills in a specialty environment while working from home, this job is for you!
The Pharmacy Technician could be responsible for taking inbound calls transferred from a contact center representative reviewing patient accounts, generating outbound fax requests, making outbound calls to prescribers and patients, data entry and transferring calls when appropriate.
What you'll do:
* Be a superstar in the eyes of providers and patients.
* Pay attention to detail: Translate prescriptions from the prescriber and enter information in the patient's profile in accordance with state regulations.
* Be a team player: Work with pharmacists per work instructions, policy and procedures, management direction or any national or state regulations.
You'll start with training, but you're not doing it alone.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
* You'll ensure quality assurance, report adverse events, and assist with prescriber and patient outreach.
What you need to do the job:
* High School Diploma or GED required
* 0-1 year of relevant experience
* Valid Pharmacy Technician license strongly preferred, or Pharmacy Tech-In training/certification/registration as required by state laws
* Basic math and computer skills including Windows navigation, Microsoft applications, internet and email required
* Strong verbal and written communications skills
* Ability to learn internal systems, processes and programs as needed
* This role is required to reside in the state of Ohio, Florida, Indiana, or Tennessee
Work Schedule:
The shift will be an 8-hour shift between the hours of 8:00 AM -6:30 PM EST depending on business needs and 1-2 closing shifts a week from 11AM to 8 PM EST.
Why you should join our team:
* Benefits that start on day 1
* 18 PTO days + 8 holidays off/year
* Tuition reimbursement
* 401K match
* Consistent 40-hour work week, Monday - Friday
* Voluntary Overtime
* Real clinical focus on pharmacy skills (i.e.
not just using the cash register!)
* Great safety record for our patients
* Career progression 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 relent...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:06
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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 and maintaining the compounding suite.
Rotating Work Schedule:
* 4 day/10-hour shift working Monday through Friday 6 am to 5 pm with an alternating day off during the week.
* Every 9 weeks, 4 day/ 10-hour shift 7 am -6 pm
A little more about the day-to-day:
* Perform compounding functions within adherence to USP 797 and other compounding rules and regulations in an ISO 5 environment.
* Perform required cleaning and disinfecting of clean room, ante rooms, hood and equipment.
* Ensure appropriate distribution of workload and workflow for assigned area including shifting resources and backfilling as needed.
* Accurately and responsibly operate production equipment to include, but not limited to, changing labels, cleaning printers, monitoring production equipment, restocking materials.
* Ensure appropriate teams are informed of equipment malfunctions.
* Serve as the first line resource for questions/issues for team members in coordination with supervisor.
* Promote a positive work environment for team that supports high employee morale and job satisfaction.
* Other duties as assigned.
What you need to do the job:
* High School Diploma or GED required.
* 2-3 years relevant experience required.
* PTCB (Pharmacy Technician Certification Board) certificate preferred.
* Previous sterile compounding experience and USP 797 knowledge is strongly preferred.
* Initial, periodic and validation training as required by USP 797
* General PC knowledge and experience with Microsoft Word, Excel, PowerPoint and Outlook
* Knowledge of standard concepts, practices, and procedures within dispensing pharmacy
* Strong attention to detail with good organizational skill
* Good verbal and written communication skills
* Ability to stand for extended periods of time.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions.
* Ability and desire to assist team members.
* Ability to work a four day 10-hour shifts, Monday-Friday w/rotating day off, and a willingness to work a modified schedule to accommodate heavy work volumes, as needed.
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
...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:05
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Medical Director - Gastroenterology - Evicore by Evernorth - Remote
We have both full-time and part-time opportunities available.
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 Gastroenterology 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 inGastroenterology recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* 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 Accredi...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:04
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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.
Â
PRIMARY DUTIES AND RESPONSIBILITIES
Â
·       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: 2024-09-29 08:35:04
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Job Description
WORK LOCATION: This is a Remote position.
Able to work across the US.
Preferred location is Phoenix, AZ
As a Senior Data Analytics - National Unit Cost, this highly technical and analytical resource's main focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with an initial focus on Transparency data.
This individual, with strong coding skills, will manage and triage the technical aspects of data, perform analytics and clearly communicate with the team and matrix partners relevant issues, findings, insights, and tool solutions and enhancements.
This position supports building out competitive tools and reporting to support Local Market Affordability initiatives, national competitive initiatives as well as Contracting strategies, and ensuring competitive information is accurately portrayed and can be leveraged along with other competitive data points in the competitive unit cost triangulation process.
This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.
MAIN DUTIES AND RESPONSIBILITIES:
* Work within department and with matrix partners to determine & define opportunities to create, lead, build out & deliver solutions on actionable competitive unit cost insights.
Work closely with data & model development to develop predictive analytics to enable decision making.
* Use appropriate tools to transform, clean up, and review data.
Analyze data to clearly outline findings, derive accurate results and meaningful insights.
Take logical steps/initiatives to make any improvement on assigned tasks.
* Maintain a close, productive and collaborative relationship with our IT and Global Data & Analytics partners.
* Support management in the long-term strategy and defining of priorities
* Special projects & other initiatives as required.
POSITION REQUIREMENTS:
* 5+ years experience in analyzing and interpreting both qualitative and quantitative provider data.
* Ability to clearly and effectively convey findings, results and insights in emails and present in meetings to both technical and non-technical stakeholders.
* Self-starter with excellent analytical, technical, project management, interpersonal, communication & customer service skills in a matrix organization
* Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data.
* 5+ years of experience in the use of Relational Database Concepts and Applications, specifically use of MS Access, SAS, SQL, Excel and other relevant software applications.
* Experience with SQL coding in data extraction, cleaning, transformation and analysis, Required.
Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SQL ...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-29 08:35:03
