-
POSITION SUMMARY
The Pharmacy Production Clerk is responsible for: ensuring that all medication meets quality control standards; medications are properly labeled, stored and stocked; visually inspecting patient-bound medications for any defects, spills or quality concerns and reporting any concerns or issues promptly.
ROTATING SCHEDULE
Week 1: Sunday - Thursday, 8:30am - 4:30pm
Week 2: Monday - Friday, 12pm - 8:30pm
ESSENTIAL FUNCTIONS
* Ensure each package receives the correct paperwork, envelopes, medications, packing and or shipping labels before sealing and sending packages to patients.
* Consistently work on only one order at a time at their work station at all times.
* Ensure that the address prints correctly on each package.
* All bags are correctly sealed; printers are accurately loaded with the correct paper.
* Accurately package prescriptions requiring special handling according to specific process and policy requirements.
* Work collaboratively with all co workers to ensure that best-practices are shared while maintaining productivity and quality standards.
* Keep work station clean at all times
* Other duties assigned as needed.
QUALIFICATIONS
* High School Diploma or GED required.
* No prior experience required, experience in a warehouse/distribution setting preferred.
* General computer skills.
* Good visual acuity.
* Ability to read and compare and differentiate data.
* Ability to stare/review small medications or bottles for long periods of time.
* Ability to be on feet walking and standing for long periods of time.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response....
....Read more...
Type: Permanent Location: New Castle, US-DE
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:13
-
Onsite Health Educator / Health Coach - Evernorth - Branson MO
Description:
• Provide onsite face-to-face customer coaching and support
• Identify customer health education needs through targeted health assessment activities.
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
What we expect from you :
* Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
* RN License in perspective state
* Bachelor's degree in a health-related field.
Master's degree preferred.
* CPR/BLS certification through the American Red Cross or American Heart Association is required.
Must have upon hire or ability to obtain within 3 months of hire.
* High energy level, with dynamic presentation skills is required.
* Positive role model in demonstrating healthy behaviors
* Passion for health improvement
* Ability to work independently
* Customer-centric focus
* Ability to proactively collaborate professionally with the client and other matrix partners.
* Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
* Proven administrative abilities, with strong computer and software application skills.
Bonus points for :
• Registered Dietitian
• CHES (Certified Health Education Specialist)
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
This role is a hybrid role.
This health coach will work remotely and will periodically work in the office in Branson MO.
The most qualified candidate will live locally to Branson.
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 m...
....Read more...
Type: Permanent Location: Springfield, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:12
-
The Registered Nurse will perform clinical and operational processes related to transition/coordination of care and utilization/case management of Post-Acute Care services including but not limited to long-term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review.
The Registered Nurse is responsible for the implementation, evaluation, and coordination of the plan of care for all assigned patients.
Develops care plans and other case management tools by participating in meetings.
Identifies progress toward desired care outcomes; intervenes to overcome deviations in the expected plan of care; reviews the care plan with patients in conjunction with direct care providers.
Monitors delivery and utilization of care by completing patient rounds with Medical Directors.
Minimum Education, Licensure and Professional Certification Requirements:
* Current unrestricted Registered Nurse licensure.
* Associate degree or Bachelor Degree in Nursing preferred
* Multistate license preferred
Minimum Experience Required:
* 2+ years of clinical experience
* 2 + years experience in utilization management preferred.
* Home health, SNF, and/or rehab experience desired
* Medicare/Medicaid managed care programs preferred
* Position is remote
* Hours: Monday - Friday; 8a-5p Central; Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST.
* Availability for weekend rotation, on-call rotation, and holiday rotation.
* Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing.
* Ability to perform dependable and reliable work schedule is essential ••
Required Skills:
* Time-management : Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills
* Communication : Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
* Critical-Thinking/Decision-making : Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities
* Autonomy : Ability to work independently with little to no supervision
* Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred
* Experience using videoconferencing systems such as WebEx
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 27 - 41 USD / hourly, depending on relevant factors, in...
....Read more...
Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:11
-
Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place.
The Cigna Group's Summer Internship Program is designed to assign you projects that have a lasting impact on our business - which touches millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry.
Program activities, including an executive speaker series, volunteer events, and career development workshops, give you the opportunity to network with employees across the organization and prepare you for a full-time career.
Where You'll Work
Evernorth Health Services, a division of The Cigna Group, is seeking 2025 Summer Interns who have a passion for applying advanced analytics and data science to healthcare's biggest challenges.
Evernorth Health Services creates pharmacy, care and benefits solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of disease more accessible to millions of people.
What You'll Do
The Data Scientist Internship is an exciting opportunity to be part of Enterprise Data Science team at Evernorth Health Services.
The internship will involve using data science techniques that include predictive modeling, machine learning, text mining, segmentation and clustering to help in developing solutions to increase revenue and improve Member Experience.
Utilize machine learning for developing next generation of predictive models for targeted business solutions.
Support the team in application of Text Mining to mine Voice of Customer data.
Develop supervised / unsupervised algorithms, Big Data pipelines for making business processes efficient.
At Evernorth Health Services, interns will get a chance to work with a variety of large datasets including pharmacy and medical claims transactions, member information, voice call transcripts, survey data, web log data, etc.
* Previous project examples:
Develop Next Generation Supervised Machine Learning Clinical models to predict Medical Non-Adherence
Training of call classification unsupervised topic models using big data platforms such as Spark and Hadoop
Leverage state of the art NLP Algorithms for detection of personal health information (PHI) entities within free text comments to automatically de-identify natural language
Modularize the entity-based feature engineering code base on Hadoop to leverage big data technologies such as Pyspark and Spark SQL.
Qualifications
* Candidates working towards a Master's degrees or a PhD in quantitative disciplines such as Data Science, Statistics, Applied Mathematics, Computer Science, Bioinformatics, Computational Linguistics or related quantitative disciplines
* Excellent ability to query large datasets using ANSI SQL/HIVE SQL and working with relational databases
* Proficient programmi...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:10
-
Job Description
The experienced Licensed Practical Nurse / Licensed Vocational Nurse is responsible for assisting physicians with the evaluation and management of all members presenting to the Health Center, and is a critical partner in our Health Centers.
Sound like you? Great! Here's more on how you'll make a difference :
* Conduct assessments
* Assist in development of care plans and coordination of care.
* Assist in implementing physician orders and order follow-up, medication refills, patient/family education, identifying opportunities for preventative screening, notification of member's test results.
* Where applicable, coordinate with front office team to schedule appointments, meetings.
* Communicate effectively to providers and all departments to resolve issues.
* Set up all members for procedures, exams and obtains vital signs.
* Utilize EMR (Electronic Medical Records)
* Maintain supplies in exam room
* Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs.
Be a role model for the six cultural beliefs to drive personal accountability and organizational results.
What we expect from you :
* Graduate of approved LPN/LVN program
* Current licensure as a Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN) in respective state
* At least one year experience in a Clinic or Physician's office.
* Current BCLS required
* Phlebotomy skills
* Solid Computer skills including Electronic Health Records
* Excellent customer service skills required
* Team oriented
* Strong time management skills
* Responsible and reliable
* Ability to work health center hours
Bonus points for :
* At least 1 or more years of front and back office experience
* Customer-centric Focus
* Dynamic personality
Cigna is committed to a healthy work force.
New hires must complete a background check, drug and nicotine screen to be employed in this role.
This role is based in the health center.
Remote work is not an option.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, ...
....Read more...
Type: Permanent Location: Arlington, US-TX
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:09
-
Position Overview:
The Evernorth Accountable Care (ENAC) Economics team's mission is to develop value-based care models and networks that deliver improved outcomes for patients, providers, and clients.
This role primarily focuses on fee-for-service contracting for the Evernorth network and will expand into value-based care contract design and evaluation to support the ENAC strategy.
Key Responsibilities:
* Conduct fast-paced, in-depth analytics to inform network contracting decisions
* Perform scenario testing to identify the best contract terms for proposals to network groups
* Collaborate with payer teams to develop a comprehensive Evernorth network
* Research and identify best practices in value-based care contract design
* Perform ad-hoc analyses in partnership with the contracting team to advise providers on performance and guide new value-based care opportunities
* Develop and propose innovative VBC contract structures and build new models to assess their viability and impact
Qualifications:
This position requires strong healthcare specific data and analytics skills, healthcare and insurance content knowledge, communication skills, technical skills across platforms, and project management.
* 6+ years hands-on experience in healthcare specific analytics, finance, and/or actuarial/underwriting
* Background or knowledge in medical economics or network contracting is highly preferred
* Proficiency in technical tools and platforms such as Excel, R Studio, SAS, SQL, Databricks and data visualization tools
* Strong analytical skills, including the ability to derive actionable insights from data
* Ability to collaborate effectively, communicate clearly, manage complexity and drive results
* Ability to navigate and contribute within a highly-matrixed environment
* Adept at building new collaborative relationships
* Go getter who enjoys problem solving and creating innovative solutions in partnership with various stakeholders
* Thrives in a dynamic, rapidly changing, and ambiguous environment
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 109,100 - 181,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, 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 rei...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:08
-
D o you want to Drive Growth and Improve Lives? EviCore, a division of The Cigna Group is hiring several System Configuration Associates.
For this essential fast-paced Claims Systems role, you'll manage simple to complex Claims Systems configuration within the claims adjudication engine.
The Claims Systems Configuration Associate will ensure data integrity, data security and process optimization for eviCore Claims processing.
In addition, they will perform documentation and development of application functionality and data configuration.
What you'll do to make a difference:
* Work from ticket system to correct Claims System configuration errors / issues
* Claims system configuration requests will include but are not limited to claim billing and benefit rules for all claim products and programs.
* You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
* Assists in documentation upkeep in cooperation with Configuration Supervisor and Quality Assurance Associates
* You'll work claims systems configuration tasks independently with configuration design assistance from Configuration Analysts, Lead Configuration analyst and Configuration Supervisor.
What you'll need to succeed:
* High School Diploma or GED, required
* 2+ years of claims and health care experience, required
* 1+ years of experience in medical Claims Systems Configuration, required
* 1+ years of Microsoft Access experience is Strongly preferred
* Intermediate skills in Excel is required
* Strong technical competence, proven critical thinking, and impeccable communication skills are required
* Ability to multitask and work independently in a fast -paced environment required
* knowledge of SQL, creating SQL queries is strongly 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 hourly rate of 21 - 32 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 a...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:07
-
This leadership role will be the owner of our Stop Loss business.
Cigna leads the nation with the most Stop Loss revenue.
The Stop Loss book of business creates immense value for Cigna by bringing in over $4B of revenue annually with earnings of approximately $1B.
The senior director of Stop Loss will be responsible for protecting and growing this business through driving our high-cost claim strategy, maximizing Cigna's ability to assess risk, and presenting innovative solutions to the market.
The management process will pull in dedicated leaders who drive the stop loss solution from their area of expertise including finance, pricing, underwriting, marketing, solutions, and global data & analytics.
This role will also have direct accountability for stop loss operations, sales support, market interface, and project management.
This role is accountable for earnings results and drives conversations with key leaders around growth, profit, and financial planning.
SPECIFIC ACTIVITIES:
* Identify, develop, and lead strategies to maintain and expand the company's position as the leading stop loss carrier in the market.
* Analyze market dynamics and develop strategic responses that address key stakeholder needs while balancing Cigna risk.
Collaborate with the product strategy manager to evaluate opportunities and launch innovative solutions that enhance affordability and improve the predictability of high-cost claims for clients.
* In partnership with Cigna's Affordability, Governance, & Execution organization, consider options to reduce the contracted rate for high-cost claims.
* Maintain close, collaborative partnership with buyer groups, markets, solutions, underwriting, finance (pricing, reserves, BFOs) and accounting to understand needs and support delivery of plan KPIs.
* Oversee end-to-end operations, including claims management, contract administration, account management, and producer relations/agreements.
This role ensures seamless coordination across these areas to drive operational excellence, optimize client outcomes, and strengthen key partnerships.
* Ensure Cigna maintains the appropriate level of service and positioning for clients that place stop loss with a third-party carrier.
* Take a broad, strategic approach, balancing enterprise priorities, P&L responsibilities, and market-driven needs.
* Identify and develop required talent to support defined future state of the Stop Loss team.
* Participate as subject matter expert in cross-enterprise initiatives and work groups involving risk-bearing concepts.
Qualifications
* Seasoned professional with 10-15 years of professional experience across a variety of roles and leadership in a product/marketing or financial role
* Strong P&L orientation and financial acumen
* Ability to drive strategy, project initiatives and enterprise view as well as organizational agility across multiple functional areas - pulling through strategy and d...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:06
-
MUST BE LOCATED IN EST TIME ZONES
Leads Customer Service team consisting of representatives focused on ensuring Accredo patients requiring home nursing support are scheduled appropriately and receive all necessary documentation prior to the first visit to initiate care .
Provides direction and guidance regarding policies, procedures, workflows, customer service quality, and training needs.
Responsible for monitoring work, scheduling productivity and accuracy.
This is the first line supervisor of the administrative nursing scheduling staff .
Typically responsible for a large number of direct reports in a process or transactional operations environment.
Coordinates schedules and workflow for the team.
Focuses on team completion of assignments and routines.
Ensures the orientation and training of employees.
Able to ensure all visits are scheduled and completed.
* Leads Customer Service teamwithin nursing departmentconsisting of experienced administrative, operative, and or technical roles
* Supervises the daily activities of a group of representatives who respond to/research customer/member inquiries and issues
* Provides direction and guidance regarding policies, procedures, workflows, customer service quality, and training needs
* Responsible for monitoring metrics, scheduling productivity and completeness according to department standards
* This is the first line supervisor of Customer Service Senior Representatives - Nursing
* Typically responsible for a large number of direct reports in a process or transactional operations environment
* Coordinates schedules and workflow for the team
* Focuses on team completion of assignments and routines
* Ensures the hiring, orientation, training, coaching, and performance of employees
* Handles escalations from patients and nursing team as needed and appropriate
* Must be comfortable speaking with nurses and patients in a fast-paced environment
REQUIREMENTS:
* 3-5 years' experience in customer service leadership role
* Proven leadership with ability to gain stakeholder feedback and build strong team cohesion
* Ability to interpret data to evaluate and analyze possible solutions in business workflows
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions
* Ability to train and coach less experienced staff to desired team results
* Ability to coordinate/host/lead meetings with large groups
* Willingness to work in production to complete tasks
* Willingness to work a flexible schedule
* Knowledge of standard concepts, practices, and procedures within a customer service organization
* Detail oriented with strong organizational and multi-tasking skills
* Must possess excellent verbal and written communication skills
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber opt...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:05
-
Job Summary:
The primary function of this position is to perform ICD-10-CM coding for reimbursement from documentation review.
The medical records coder reviews, analyzes, and codes as supported by documentation.
Identifies providers that may need additional education on ICD-10-CM documentation requirements or training.
Maintain 95% coding accuracy rate along with meeting daily production, adhering to current Cigna Medicare coding guidelines.
Minimum Requirements:
Must possess and maintain an active coding credential through AAPC or AHIMA, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Minimum of one year experience as a medical records coder.
Experience with HCC coding.
Extensive knowledge of ICD-10-CM and CMS coding principles and guidelines, and familiarity with physician-specific regulations and policies related to documentation and coding.
Knowledge of Medicare Risk Adjustment, and HIPAA regulations.
Proficiency with ICD-10-CM coding and guidelines.
Must be detail oriented, self-motivated, and have excellent organizational skills.
Ability to work independently and as a team member.
Participates in team and company meetings.
Preferred Requirements:
Experience with Risk Adjustment coding
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 23 - 35 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 Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join 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...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:04
-
Florence NJ Express Scripts fulfillment center is looking for Pharmacy Technicians and we are willing to Train you, if you are not.
This position comes with amazing benefits and competitive pay.
This is an Onsite position.
Excited to grow your career?
Help us fill our future.
Get ready for a job that encourages you to think strategically while providing valuable healthcare services.
Do you have detail-oriented experience in a high-volume environment? If so, prepare to innovate, create, and inspire.
The Pharmacy Technician (Pharmacy Technician Representative) ensures prescriptions are processed and shipped appropriately so they can arrive in the hands of the 100 million patients whose health depends on their delivery.
Available Shifts: ( 2nd shift provides a shift differential )
* 1st Shift Sunday, Wednesday, Thursday, Friday 5AM - 3:30 PM
* 2nd Shift Sunday, Monday, Tuesday, Wednesday, Thursday 3:20PM - 11:50PM
What we Offer:
* Health coverage effective day 1 (including medical, dental, vision).
* 401(k) plan with company match.
* Holiday Pay and Paid Time Off.
* Education reimbursement plan.
* Growth and Advancement opportunities.
Responsibilities:
* Ensure the correct amount of medication is selected and indicated appropriately on labels.
+ Manual prescription processing and labeling
+ Ability to verify and print prescriptions.
+ Use of a handheld computer to scan medications.
* Collaborate with pharmacists and production clerks to ensure that medications are adequately filled and packed.
* Responsible for intake of new prescriptions and prescription refills from customers.
* Consolidate manufacturer medications into containers of 5-10 thousand dosage units.
* Repacking and restocking of medications.
* Clean and help maintain equipment and work area.
* Assigned additional tasks as required.
Qualifications/Requirements:
* HS Diploma or GED required.
* Valid Pharmacy technicianlicense registrationrequired.
(We will provide the training to get the license during 1st week and will pay for the license.)
* Minimum of 1 year of relevant experience ina high-volume environment.
* Certified Pharmacy Technician or NHA preferred.
* Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills.
* PC knowledge, including Microsoft Office suite.
* Effective written and oral communication skills.
Physical Requirements:
* Sit and/or stand for lengthy periods.
* Lift up to 50 lbs.
occasionally and 20 lbs.
frequently
* Perform repetitive motion with fingers, hands, and arms.
* Work may be in confined areas close to machinery.
* Work may be performed in an environment with varying levels of noise.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet se...
....Read more...
Type: Permanent Location: Florence, US-NJ
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:03
-
Flexible Onsite Location: Bloomfield, CT, Chattanooga, TN, St.
Louis, MO, Scottsdale, AZ
OVERVIEW :
The Operational Health & Performance (Data & Analytics) Senior Director is a pivotal role in the Provider Solutions & Operations (PS&O) team.
This position is primarily responsible for developing key performance indicators (KPIs) across the end-to-end provider operations processes.
The successful candidate will be instrumental in driving precise, predictable, and affordable operations, thereby unlocking enterprise leverage across the breadth of Cigna.
They will collaborate with leaders across PS&O, Technology & Operations, and critical business partners to ensure that Cigna's provider operations are equipped with the necessary telemetry for the broader organization to achieve desired business goals and provide an exceptional experience for all critical stakeholders.
The role involves transitioning the organization from a reactive to a proactive stance, enabling operations to identify performance concerns before they evolve into problematic trends.
In the long term, this role will work closely with the SVP of PS&O to develop a data-informed, aligned, multi-year strategy that leverages emerging technology to drive transformative cost reduction and quality improvement.
RESPONSIBILITIES:
* Develop critical insights to drive precise, predictable, and affordable operations.
* Develop necessary KPIs across the end-to-end provider operations processes.
* Partner with other leaders across PS&O, Technology & Operations, and critical business partners.
* Ensure necessary telemetry for the broader organization to achieve desired business goals.
* Guide the organization's evolution from a reactive to proactive posture.
* Work closely with the SVP of PS&O to develop an aligned, multi-year strategy for operational performance improvement.
Leadership Orientation:
* Servant Leadership:Prioritize the needs of the team, helping to remove obstacles, providing guidance, and fostering a supportive and collaborative environment.
Empower team members to take the lead, encouraging growth and development.
* Building Trust:Establish and maintain trust within the team and with stakeholders through consistent actions, values, methods, measures, and outcomes.
Ensure open and honest communication at all levels.
* Promoting Transparency:Cultivate a culture of transparency, sharing information openly and proactively.
This includes providing clear, timely communication about decision-making processes, changes, and the state of the business.
* Supportive Agent of Change:Lead and manage change initiatives, providing clear communication and support to help team members adapt.
Encourage innovative thinking and the adoption of new practices.
* Team Development:Foster a culture of continuous learning and development.
Encourage team members to enhance their skills and capabilities.
Provide constructive feedback and recognitio...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:02
-
This role is Worksite dependent and can only be performed onsite at our Tempe, AZ site.
Shift hours for this position are Monday through Friday 10:30 am - 7 pm AZ time with eventual rotating weekend on call.
POSITION SUMMARY
The Staff Pharmacist is responsible for verification and dispensing medications within corporate and regulatory guidelines.
The Staff Pharmacist will track order status.
The Staff Pharmacist may also train less experienced pharmacists.
This position will require product verification and the ability to flexible
ESSENTIAL FUNCTIONS
* Provide oversight and quality assurance to pharmacy technicians.
* Verify prescriptions dispensed by pharmacy technicians
* Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
QUALIFICATIONS
* Current Arizona pharmacist license in good standing.
* Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues.
* Good oral and written communication skills.
* Ability to read and interpret prescriptions.
* Strong focus on customer service, quality, and accuracy.
* Ability to manage timelines and meet tight client deadlines.
* Ability to adapt in a changing environment.
* Ability to work a flexible schedule for peak volume times.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qu...
....Read more...
Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:01
-
This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist those members experiencing the burdens of illness and injury.
The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's health needs within case load assignments of a defined population based on business perspectives.
The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and a consumerism approach through education and health advocacy to members serviced.
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment.
IN addition to Case Management duties, the Case Manager will manage precert and concurrent reviews for the transplant members assigned to their caseload.
This will require review of clinical information and correspondence with facilities to make determinations on transplant requests.
Major responsibilities and desired results:
* Obtains informed verbal consent and takes all steps to obtain written consent as appropriate.
* Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes.
* Promote consumerism through education and health advocacy.
* Assesses member's health status and treatment plan and identifies any gaps or barriers to healthcare.
Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.
* Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis.
* Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures
* Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
* Demonstrates sensitivity to culturally diverse situations, clients and customers.
Minimum requirements:
* Active and unrestricted Registered Nurse (RN) license in state or territory of the United States
* Two years full-time equivalent of direct clinical care to the consumer
* Case Management exp strongly preferred
* Medicare experience strongly preferred
* CCM Certification preferred
* Requires high speed broadband wired internet with a modem.
Cannot support hot spots or satellite-based internet for this role
Preferred requirements:
* Within three (3) years of hire as...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:39:00
-
Overview
The Senior Director - Global Infrastructure and Software will lead the Category Management and Strategic Sourcing ("CMSS") function for the Global Infrastructure, Enterprise Software and Business Software areas supporting Cigna's Technology Function and market facing Business Areas.
He/She/They will be the primary liaison between Global Procurement, Third Party Management & Shared Services (GPTPMS) and technology and business SLTs and will supervise the GPTPMS teams responsible for purchasing the infrastructure, telecom and enterprise and business software used by multiple Cigna areas.
He/She/They appreciate that Cigna is a highly matrixed company and is adept at working across large organizations and interacting effectively with diverse personalities and leadership styles.
He/She/They understand that the work supports ~$1.5B in annual spend and that it is routinely presented and reviewed with Technology and Business SLT and Corporate Executive Leadership; it therefore always reflects the quality and attention to detail demanded by that that audience.
He/She/They thrives in a dynamic, deadline-driven, and often-ambiguous environment while upholding the highest standards of interpersonal respect, professionalism and integrity.
Major Activities
The Senior Director will be the primary liaison between Technology and Business SLTs and GPTPMS.He/She/They will have a solid understanding of overall business strategies, and technology's role in implementing those strategies.
* Develops "trusted advisor" relationships with Technology and Business SLTs and their teams in representing GPTPMS.
* Deep understanding of the Cigna's need for technology, technical products and services and the suppliers Cigna can engage to fulfill those needs.
* Collaborates with business and technology stakeholders to develop Category plans that will maximize supplier value and minimize risk to Cigna, and regularly updates and reviews those plans with senior leadership stakeholders.
* Meets regularly with technology and business stakeholders to monitor evolving business requirements, evaluate supplier performance and gauge satisfaction.
* Builds strong networks within GPTPMS and across the company.
Technical Skills: Category Management and Strategic Sourcing.
The Senior Director has a deep understanding of the procurement categories (Enterprise and Business Software, IT Infrastructure and Telecom) critical to the success of Cigna's technology and business functions.He/She/They will work collaboratively with technology and/or business stakeholders to maximize competitive tension and minimize risk throughout the strategic sourcing and procurement cycles.
He/She/They will have expertise in category management, strategic sourcing principles, negotiation concepts, contracting principles, and procurements systems (Ariba, Icertis etc.).
* Oversees detailed financial analysis of the in-scope technology categories to determine market and w...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:59
-
Are you ready to step into a position that combines your attention to detail and warehouse operations skills with your drive to help others? We're looking for a Warehouse Associate to join our Operations team in Memphis.
You will cross-train to support several departments including inventory, receiving, picking and packing to ensure our patients get the medication they need at the right time.
Want to know more about what you'll do? Great!
Monday - Friday, 9AM - 6PM (or until completion)
What you'll do:
* Receive inbound deliveries/packages, unpack and evaluate incoming product for correct count and condition
* Maintain accurate inventory supporting cycle counts and reconciling any discrepancies
* Replenish stock in warehouse as needed
* Pick orders, manifest cartons, verify accuracy of order, stack and shrink wrap orders for shipment
* Verify orders are accurate and packed according to specifications: extra dunnage, ice, and special instructions
* Safely operate material handling equipment and hand tools as needed such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc.
* Other duties as assigned
What you need to do the job:
* Previous work experience in a distribution center environment
* Basic computer skills and RF unit experience helpful
* Ability to read, write and type in English
* Attention to detail is a MUST
* Ability to walk/stand for the duration of the shift and lift about 30 lbs.
as needed
Why join us?
* Health coverage effective day 1 (including medical, dental, vision)
* Holiday, PTO and OT pay
* Weekday shifts - work/life balance!
* Social distancing precautions in place (masks required, daily temperature checks, 6 ft.
distancing, hand sanitizer stations, regular deep clean of facility, staffing limitations in breakrooms, etc.)
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:58
-
POSITION SUMMARY
The Principal Negotiator will report to the Sr.
Director Strategy & Contracting and focus on Pharma industry/Managed Markets/Specialty Knowledge PBM/Health plans consistent with Contract negotiations with Pharma manufacturers.
The Principal Negotiator will be responsible for management of Pharma Manufacturing drug portfolios and pipelines, and strategic thinking around rebate contracting deal structures.
In this role, you will have the opportunity to consult with Health Plans, develop strategic initiatives, cross functionality with products; own day to day responsibility for manufacturer relationship from negotiating, invoicing issues, payment, contract setup, confirmation and strategic development for health plan clients.
ESSENTIAL FUNCTIONS
* Assisting the Sr.
Director of Pharma Strategy and Contracting in determining manufacturer, product class, and drug tactics and executing on these tactics.
* Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates "win-win" opportunities for ESI and Ascent.
* Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments (Product, Safe Guard, Medical, Generics) within ESI's Supply Chain.
* Interact with the Value Assessment Committee (Commercial and Medicare) to develop and create product category strategies and pharma manufacturer rebate requests to maximize value and deliver cost savings.
* Consult and provide insight with any and all Cigna Health Plan , Prime Therapeutics, Centene, and large Custom Client formulary and rebate requests or market strategies.
* Assist the Account Directors in finalizing all manufacturer rebate agreements and matrices to ensure accuracy, signature, and implementation for invoicing.
* Support Sales and Account Management on RFPs and/or presentations or discussions with clients.
* Represent our department and provide guidance and formulary strategies for Custom Clients and assist the Formulary Consultants on any rebate requests.
* Interact with cross-functional management teams including clinical, account management, operations, finance, and specialty business development as needed.
QUALIFICATIONS
* Bachelors Degree strongly preferred
* At least 5 years of relevant experience
* Registered Pharmacist (RPh or PharmD) and/or MBA preferred.
* Strong financial acumen with an understanding of supply chain dynamics.
* Strong interpersonal skills with the ability to collaborate well with both internal and external teams and stakeholders.
* Exceptional written and verbal communication skills and presentation skills.
* Solid negotiation skills with the ability to influence and persuade while balancing the needs of the organization and external partners.
* Adaptable with the ability to navigate complex dyn...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:56
-
Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We're looking for a Medical Assistant to join our fast-paced, customer-focused primary care/adult medicine for Evernorth Care Group across the Phoenix Valley.
If you've always wanted to work in the outpatient healthcare setting and enjoy a friendly work environment, we're sure you'll love this position.
Work hours: Typically, Monday-Friday 7 a.m.- 4 p.m.
Responsibilities:
* Ensure day-to-day operations run smoothly in the clinic, use your organizational skills to help manage the health care needs of our varied patent populations.
* Room patients and complete vital signs, enter data in patient charts, assist with in-office procedures, review medications and outreach to patients and providers for the purpose of continuing care.
* Accurately follow all policies and procedures, practice in alignment with the scope of your certification or licensure.
* Provide excellent and friendly customer service through all avenues of communication.
* Document your efforts of all the care and information provided to our patients.
* Return patient calls, complete referrals, chart prep and forms management.
* Help answer questions, concerns, and requests, either in person, through our electronic health record system EPIC and patient portal, or by phone.
* Partner with the clinicians, your peers and the patients to meet the needs of the practice.
* Appropriately manage ambiguity, recognize appropriate ways to deal with conflict management.
* Cross train in the Front Office as well as the Laboratory (Phlebotomy)
* All other duties as assigned.
Minimum qualifications:
* Graduate of approved MA program or graduate of an unapproved program with successful completion of certification examination; graduate of a US Armed Forces medical services program or practicing medical assistant who completed supervision requirements prior to February 2, 2000 ("grandfather clause").
* High school diploma or GED certificate
* Excellent customer skills, and care deeply about providing empathetic, quality care to customers
* Previous experience working in a healthcare environment
* Experience working with Microsoft Office and comfortable with data entry into our electronic health record system EPIC
* BCLS certification
Preferred qualifications:
* 1+ year experience in the outpatient setting
* Bilingual (English/Spanish) skills
* Front office / Phlebotomy 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 incre...
....Read more...
Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:55
-
Home Infusion Registered Nurse - Accredo
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services.
We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications.
However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care.
You'll work independently, making decisions that lead to the best outcomes for your patients.
You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
* Empower Patients:Focus on the overall well-being of your patients.
Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
* Administer Medications:Take full responsibility for administering IV infusion medications in patients' homes.
* Provide follow-up care and manage responses to ensure their well-being.
* Stay Connected:Be the main point of contact for updates on patient status.
Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
* Active RN license in the state where you'll be working and living
* 2+ years of RN experience
* 1+ year of experience in critical care, acute care, or home healthcare
* Strong skills in IV insertion
* Valid driver's license
* Willingness to travel within a designated area
* Ability to do patient visits 2-3 weekdays (day shift) per week, but may require some evening or weekend visits also
* 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 of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, ag...
....Read more...
Type: Permanent Location: Bar Harbor, US-ME
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:54
-
Job Description
Looking for a sales position that is more than just sales? Join our specialty division- Accredo- where our passion is the patient! We are currently seeking a strong Sr Sales Representative who will primarily be responsible for selling Accredo Specialty Pharmacy services to prescribing offices of Multiple Sclerosis and other neurologic disorders.
This field-sales position requires previous outside sales experience calling on health care professionals and a good understanding of the managed care environment.
Previous experience calling on Neurologists is a plus but not mandatory.
This candidate will be responsible for achieving a sales quota given to them by their sales director in addition to providing education to these offices to ensure good patient care that they will receive at Accredo.
About Cigna
Cigna is a global health service company dedicated to helping the people we serve improve their health, well-being, and peace of mind.
But we don't just care about your well -being, we care about your career health too.
That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton and share in changing the way people think about healthcare.
Responsibilities
* Must be based in Philadelphia area
* An Average of 5 overnights per month may be required
* Responsible for meeting sales goals as defined
* Meet sales objectives in individual territory
* Sell the service of Accredo by calling on various offices focusing on primary therapies
* Ability to interpret prescribing data to drive strategic planning within the territory
* Meet productivity requirements with regard to quality customer interaction.
* Daily goals for reach and frequency as defined.
* Complete all administrative requirements on time.
* Accountable for account planning, development of sales strategy, and call reporting via salesforce
* Attend industry and corporate meetings and events in and out of territory.
Qualifications
* BA or BS required and a minimum of 3 years of outside sales experience
* Health care experience is a must; pharma experience is preferred
* Proven track record in sales that can be documented
* PBM knowledge a plus
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates 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 ...
....Read more...
Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:53
-
Works within the fast-paced environment of the Central Nursing Team to complete non-clinical projects and functions to deliver straightforward administrative and/or other basic business services in Customer Service.
As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems within the nursing department, p erforming research to respond to inquiries and interpreting to determine most effective response timely.
Works with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches.
Completes all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy.
Works with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals.
Works with various staff, departments, and prescribers via fax, email, IM, and phone.
Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask.
Manipulates multiple Excel documents to determine what needs to be completed and urgency of completion.
Responds timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules.
ESSENTIAL FUNCTIONS
* Use of pharmacy and scheduling programs for documentation and nurse scheduling of home infusion visits.
* Proactively communicate to field staff, nursemanagement,and patients.
* Investigate/research issues and provide resolution.
* Take initiative for problem solving with ability to multitask effectively and use critical thinking.
* Correct and timely entry of data in appropriate systems.
* A pro-active work ethic with ability to be managed/trained virtually.
* High proficiency and regular use of Excel and Outlook.
QUALIFICATIONS
* High School education or GED.
* 5+ years of relevant Customer Service experience.
* Microsoft Office Suite.
* Extremely detailed oriented.
* Excellent written and oral professional communication skills.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions.
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 - 25 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 suppor...
....Read more...
Type: Permanent Location: Englewood, US-CO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:52
-
As a Technical Writer, Lead Analyst on our team, you will be responsible for the research, authoring, publishing, and maintenance of processes, procedures, and user resources using various authoring tools and methodologies.
You will work closely with various departments and related groups, business owners, and SMEs to create standard operating procedures (SOPs) and other types of documents.
The is an excellent opportunity for a strong technical writer to join a fun and experienced team who support each other and learn from each other every day.
In this role, you will make an impact on our patients and the organization as a whole by:
* Writing, editing, and formatting task-level documentation for various audiences to include but not limited to procedures, job aids, learner resources, forms, etc.
* Collaborating with SMEs, business leaders, and product owners to document and develop end-user content in support of pharmacy operations
* Working with a variety of departments and related business owners/approvers to identify process, procedures, and related systems training needs in support of business initiatives and operations learning goals
* Participating in a dynamic authoring environment designed around quality, continuous improvement, and fast-paced delivery.
* Maintaining overall documentation and audit records including creation, revisions, reviews, and archival
* Maintaining awareness of new developments in technical writing systems and methodologies and recommending modifications in processes and practices
What you will need to be successful in the role:
* High School Diploma or GED required, Bachelor's Degree in English, Communications, Technical Writing or related field preferred
* Minimum of 3 years of technical writing experience
* 2+ years' experience and working knowledge within knowledge management and KMS authoring tools
* Excellent written, organizational, and analytical skills
* Advanced knowledge of writing and editing best practices and use of style guides
* Intermediate in developing online help and other forms of user assistance using MadCap Flare, or other related CMS tool required
* Advanced interviewing and listening skills to gather necessary content from multiple resources
* Experience managing large development projects required
* Advanced knowledge of Information Mapping a plus
* Team player, able to thrive in a fast-paced, competitive environment and willing to contribute when help is needed outside of primary job responsibilities
* Excellent communication skills, curiosity and attention to detail are critical
* Ability to learn quickly, solve problems and make decisions with minimal supervision
* Organized and flexible, with the ability to prioritize and work under time constraints and meet project deadlines
* Creative thinker with innovative spirit.
Ability to look for new and better ways to develop content/perform...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:51
-
Job Description
The job profile for this position is Senior Manager, which is a Band 4 Management Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions.
If you think the open position, you see is right for you, we encourage you to apply! Our people make all the difference in our success.
Role Details
As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the DMOM program will drive a competitive administrative cost structure while delivering consistent, compliant operational performance.
This will be accomplished through the implementation of a new operating model - transformation across people, process, and technology.
The Business Testing manager is responsible for developing and executing testing to ensure results align to expectations.
Responsibility will include the development of test automation, a new functionality to be leveraged within the program and post-program operations to ensure a high quality of system performance.
This individual will work with business, technology, and solution teams to develop and execute Business Testing strategy for core business capabilities.
This individual must possess strong understanding of business processes and capabilities, both functional and end-to-end, and prioritize testing of critical business processes and capabilities.
This individual will be responsible for directing the work of User Acceptance Testers and providing coaching as needed.
Primary Responsibilities
* Coordinate with Business SME to understand all aspects of business needs in Provider & Claims domain
* Coordinate with QA/QE team on the capability test plans, scope for releases and providefrequent feedback, including recommendations for improvements, evaluation of problems and potential solutions
* Work with Test data and Test environment teams on all technical aspects of deployment for UAT environment readiness for testing
* Provide leadership and guidance and coordinate necessary access for the team on tools/platforms to enable UAT testing
* Gain a deep working knowledge of Medicare business, IT landscape, and coordinate collaboration of the UAT team
* Create UAT execution projections
* Drive automation first approach for all UAT testing in collaboration with UAT Automation Engineers
* Review and Contribute to the development and maintenance of a library of test cases that are designed to ensure that software, data, content and configurations meets business requirements.
* Lead UAT Defect triage meeting
* Develop and execute test scripts, test conditions, input test data, and expected results for User Acceptance Testing
* Prepare Production checkout plan, data and scenarios working with business SME and end users
* Identify and document defects, issues, risks and dependencies
* Wo...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:50
-
Medical Director - Pediatric Surgery- Evicore- 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 Pediatric Surgery Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified inPediatric Surgery 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 Accreditation, compa...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:49
-
The Operations Supervisor is responsible for day-to-day operations of a team of technicians.
Manages and improves productivity and performance standards, plans and directs workflow and project assignments.
Responsible for attaining or exceeding production goals for their respective area daily.
Conducts hiring, training, and evaluation of front-line team members.
Responsible for team's adherence to employment policies and corporate values.
Works with the Pharmacy senior leadership team to establish team and site standards and expectations, operational processes and procedures, and the business work plan for the team.Recognizes and recommends operational improvements.
Work Schedule: Sunday to Wednesday - 5 AM to 3:30 PM
Location: 4600 North Hanley Road; St.
Louis, MO 63134
What you will do:
* Develop, track and monitor employee's safety, compliance to quality, service and production standards.
* Monitor prescription turnaround time so that internal standards and client performance guarantees are met.
* Assist Pharmacy senior leadership team in monitoring costs to ensure compliance with cost to fill goals.
* Address staff concerns and day to day operational, system, customer service, quality, and professional issues.
* Work in production as needed.
* Implement programs and process improvements to enhance the level of internal and external customer service provided.
* Work with Pharmacy senior leadership team to analyze operations and overall efficiencies of the pharmacy.
* Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve.
* Represents pharmacy operations in cross-functional meetings and projects.
* Other special projects and tasks as assigned.
What you will need:
* High school diploma or GED
* BA/BS degree preferred.
* Relevant operations experience (i.e., pharmacy, warehouse, distribution, production, manufacturing, or engineering)
* Must be eligible to maintain a pharmacy technician license issued through the Missouri State Board of Pharmacy throughout time in position.
* Demonstrated leadership skills and the ability to effectively develop, train and coach less experienced team members; supervisory experience preferred.
* Knowledge of lean or process improvement methodologies
* Excellent oral and written communication skills
* Ability to adapt in a dynamic work environment, make independent decisions.
* Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions.
* Willingness to work a flexible schedule for peak times.
* Monitors daily operations of a unit and actively assists or provides direction to subordinates as required.
* May perform, especially in staff or professional groups ongoing operational tasks of organization units (typically not more than 40% of time performing the work su...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-21 08:38:48