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  • Export and Compliance Specialist

    Roche fosters diversity, equity and inclusion, representing the communities we serve. When dealing with healthcare on a global scale, diversity is an essential ingredient to success. We believe that inclusion is key to understanding people’s varied healthcare needs. Together, we embrace individuality and share a passion for exceptional care. Join Roche, where every voice matters. The Position A healthier future. It’s what drives us to innovate. To continuously advance science and ensure ....Read more...
    Type: Permanent Location: Cape Town, ZA-WC Salary / Rate: Not Specified Posted: 2024-10-29 07:39:57

  • 2nd Shift Operations Supervisor (Aerospace Industry) (City of Industry, CA)

    Our 2nd shift Operations Supervisor will be a key member of the Operations team in Industry CA. We are looking for a motivated and driven individual that can drive execution in a diverse complex manufacturing environment that specializes in manufacturing aerospace castings. You will be responsible for leading a team of up to 25 tenured direct reports on two shifts to produce quality products for our clients. Who are we? This is a great opportunity to join a growth-oriented company within the ....Read more...
    Type: Permanent Location: City of Industry, US-CA Salary / Rate: Not Specified Posted: 2024-10-29 07:39:55

  • 1st Shift Operations Supervisor (Aerospace Industry) (City of Industry, CA)

    Our 1st Shift Operations Supervisor will be a key member of the Operations team in Industry, CA. We are looking for a motivated and driven individual that can drive execution in a diverse complex manufacturing environment that specializes in manufacturing aerospace castings. You will be responsible for leading a team of up to 25 tenured direct reports on two shifts to produce quality products for our clients. Who are we? This is a great opportunity to join a growth-oriented company within th ....Read more...
    Type: Permanent Location: City of Industry, US-CA Salary / Rate: Not Specified Posted: 2024-10-29 07:39:54

  • RN Health Coach - Part time 33 hours - Evernorth - Secaucus NJ & Manhattan NY

    RN Health Coach - Manhattan NY & Secaucus NJ Sound like you? Great! Here's more on how you'll make a difference : • Provide onsite face-to-face customer coaching and support. • Identify customer health education needs through targeted health assessment activities. Refer customer to other Cigna clinical programs or client specific programs as clinically appropriate • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers ....Read more...
    Type: Permanent Location: Secaucus, US-NJ Salary / Rate: Not Specified Posted: 2024-10-29 07:39:54

  • RN Care Coordinator- Evernorth- Maitland, FL

    RN - Care Coordinator - Evernorth Direct Health, Maitland FL EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions. Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine healthcare as we know it. But we can't do it alone. True change takes all of us, united in a shared ....Read more...
    Type: Permanent Location: Maitland, US-FL Salary / Rate: Not Specified Posted: 2024-10-29 07:39:53

  • Production Supervisor

    Accredo is looking for a Production Supervisor who will work at one of our facilities in Whitestown, Indiana. In this role the shift you'll cover Monday -Friday, 12:30p - 9p, EST. Job Summary Leads Operations Management team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow ....Read more...
    Type: Permanent Location: Whitestown, US-IN Salary / Rate: Not Specified Posted: 2024-10-29 07:39:52

  • Medicare Operating Gaps & Process Senior Advisor - Cigna Healthcare - Remote

    The individual will be responsible for facilitating the resolution of operation model and process gaps are identified by the issue management team. This individual will work across the various domains of the Medicare organization, working closely with our business partners and Issue Managers in resolving known issues. The role is highly valued will support the issue managers by identifying and removing barriers to effective resolution. This individual must be able to analyze processes and ask ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:52

  • Pharmacy Operations Machine Operator - Express Scripts

    As a Pharmacy Operations Representative, you will be responsible for the operation of automated equipment in a fast-paced atmosphere. Safety and quality are of the highest importance in our pharmacy environment. Work schedule may need to be adjusted to accomplish certain critical demands. What we Offer: * An Independent work environment supporting effective communication, positive morale, and manager/mentor coaching to provide successful career pathing. * Comradery and Engagemen ....Read more...
    Type: Permanent Location: Whitestown, US-IN Salary / Rate: Not Specified Posted: 2024-10-29 07:39:51

  • Director, Provider Contracting - East Tennessee market (Hybrid)

    Work Location: Position supports the East Tennessee market. Must reside within Chattanooga, Knoxville or TriCities. The Director, Provider Contracting serves as an integral member of the Provider Contracting Team supporting East Tennessee. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for Chattanooga, Knoxville and TriCities. DUTIES AND RESPONSIBILITIES * Manages complex contracting and negotiatio ....Read more...
    Type: Permanent Location: Chattanooga, US-TN Salary / Rate: Not Specified Posted: 2024-10-29 07:39:50

  • Behavioral Health Member Advocate (Call Center) - Bachelors Degree - Remote

    The Advocate role is a non-clinical customer service position within an inbound call center that supports Evernorth Behavioral Health. Advocates are responsible for handling inbound calls from both members and providers or their office support staff regarding mental health or substance use disorder services. Advocates guide and assist the members and providers to help them work with Cigna/Evernorth more effectively and ensure first-call resolution. The types of calls an Advocate service may i ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:50

  • Application Development Advisor

    Provides expert content/professional leadership on complex Application Development assignments/projects. Acts as the principal designer for major systems with moderately complexity and their subsystems utilizing a thorough understanding of available technology, tools and existing designs. Provides comprehensive consultation to business unit and IT management and staff on all phases of application programming for QNXT and processes for diverse development platforms, computing environments (e.g. ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:49

  • QNXT Systems Analyst

    We are seeking a motivated and collaborativeQNXT Systems Analystto provide skilled leadershipon complex assignments/projects.This candidate exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.Additionally, they will focus on providing thought leadership withinthe systemsanalysisspace,and willwork onprojectsthatrequirebroader understanding ofthebusiness. Key Responsibilities: * Analyze,design and prepare application/system specifi ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:48

  • Business Analytics Advisor

    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. Summary This Business Analytics Advisor role focuses on evaluating cost and quality of care opportunities for a high-profile health system in the Southeast. The qualified candidate will query underlying data sources, using DBMS applications, to research information, analyze results, create adhoc reports and answer provider performance questi ....Read more...
    Type: Permanent Location: Atlanta, US-GA Salary / Rate: Not Specified Posted: 2024-10-29 07:39:48

  • Clinical Program Senior Manager - Express Scripts - Remote (Commercial Formulary Solutions)

    Clinical Program Sr. Manager - Commercial Formulary Solutions JOB PROFILE SUMMARY The Sr. Manager, Formulary Solutions is a dynamic role responsible for assisting with the strategic formulary development and maintenance of our Express Scripts standard Commercial formulary offerings as well as overseeing Marketplace Formulary consultation. An emphasis will be placed on, but not limited to, creating financial models to evaluate optimum formulary value within clinical guidance as well as leadi ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:47

  • Principal Architect, Enterprise Architecture- PBM

    Enterprise Architecture Senior Architect Career Architecture Title: IT Principal Architect, Enterprise Architecture Role Title: Senior Architect, Enterprise Architecture Contact Center & Service Transformation POSITION SUMMARY This position plays a pivotal role in the alignment of business vision, technology strategy and investment portfolio execution in our Contact Center and Service Transformation team. This team is focused on driving the enterprise strategy to unlock accretive value thro ....Read more...
    Type: Permanent Location: Austin, US-TX Salary / Rate: Not Specified Posted: 2024-10-29 07:39:46

  • Data Science Lead Analyst (Medicare) - Hybrid

    Summary The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims, clinical outcomes, customer enrollment patterns, and financial information to make recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytic ....Read more...
    Type: Permanent Location: Nashville, US-TN Salary / Rate: Not Specified Posted: 2024-10-29 07:39:46

  • Bilingual Health Educator- Evernorth- Orlando

    Onsite Health Educator - Evernorth Direct Health • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health ....Read more...
    Type: Permanent Location: Orlando, US-FL Salary / Rate: Not Specified Posted: 2024-10-29 07:39:45

  • Pharmacy Program Management Sr Analyst - Accredo- Remote

    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? We are looking for an Operations Sr Analyst/Primary Program Manager to join our team. This person will be a client facing point of contact for our external partners (i.e. Reimbursement Hubs and Pharma Manufacturers) and act as a liaison between those customers and our internal operations teams. Here's how you'll make an impact: ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:44

  • Enrollment/Billing Representative

    POSITION SUMMARY This position will be responsible for the application of client payments (ACH, Check) to invoices and for preparing daily reconciliations of deposits.This role will also be responsible for reviewing and classifying miscellaneous correspondence for Workers' Compensation and Commercial book of business, and handing mail related Medicare Part D Member Recovery Program. ESSENTIAL FUNCTIONS * Reconciliation of deposits. * Application of client payments to invoices. ....Read more...
    Type: Permanent Location: St. Louis, US-MO Salary / Rate: Not Specified Posted: 2024-10-29 07:39:44

  • Quality Review and Audit Analyst(Remote)

    Job Summary: The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI). Key Job Functions: • Conduct medical records reviews with accurate diagnosis code abstraction in accordance with Official Coding Guidelines and Conventions, ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:43

  • Clinical Product Advisor - Evernorth Behavioral Health - Hybrid

    The Clinical Product Advisor is responsible for service innovation and product design, focused on advancing behavioral' s current and future clinical and health advocacy programs using evidenced based best clinical practices, opportunity analytics. Using a value-based design approach, and other design methods (proof of concept), the Clinical Program Advisor is responsible for independently executing "test and learn" pilots along with current program enhancements. Critical focus is placed on th ....Read more...
    Type: Permanent Location: St. Louis, US-MO Salary / Rate: Not Specified Posted: 2024-10-29 07:39:42

  • Operations Lead Analyst - Express Scripts - Remote

    POSITION SUMMARY The Operations Lead Analyst will administer account installation and renewals. Provides complete, accurate and timely responses to clients. Develops relationships with clients. Typically provides all service and account installation to assigned clients. Supports and provides direction to colleagues where appropriate. Works autonomously, only requiring "expert" level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both stan ....Read more...
    Type: Permanent Location: St. Louis, US-MO Salary / Rate: Not Specified Posted: 2024-10-29 07:39:42

  • Financial Operations Analyst - HYBRID

    This is a HYBRID role with on-site presence required. Only local applicants will be considered. JOB SUMMARY This position will be responsible for interpreting client contracts to identify and set up of Performance Guarantees. In addition, this position will assist in reconciliation reporting. This includes gathering results and preparing reporting to present to Account Management for distribution to clients. The position requires regular communication with cross functional areas in order t ....Read more...
    Type: Permanent Location: St. Louis, US-MO Salary / Rate: Not Specified Posted: 2024-10-29 07:39:39

  • Warehouse Associate - Accredo

    The Warehouse Associate Representativeis responsible for performing tasks related to receiving product, stocking and replenishment, and inventory control. This includes safely unloading trucks and unpacking received product, comparing the purchase order to the product received for accuracy, counting quantities of product received and ensuring the quality of the product is at an acceptable level, and removing damaged or non-conforming product using data entry and retrieval devices to record rece ....Read more...
    Type: Permanent Location: Memphis, US-TN Salary / Rate: Not Specified Posted: 2024-10-29 07:39:38

  • Marketing Analytics Advisor, Individual & Family Plans (CT/NY/PA/STL) - Hybrid

    Summary This role will be responsible for leading marketing analytics and reporting within Cigna Healthcare's Individual and Family Plan business segment. The ideal candidate will partner closely with the marketing team, agency partners and other key stakeholders to develop a measurement framework for assessing the impact of marketing efforts as well as delivering actionable insights to prove/disprove hypotheses and optimize marketing performance. They will deliver insightful data visualizati ....Read more...
    Type: Permanent Location: Bloomfield, US-CT Salary / Rate: Not Specified Posted: 2024-10-29 07:39:38