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Molex possesses a rich heritage in the optical industry.
We provide the highest performing and field-proven wavelength management solutions from components, modules to integrated line-cards.
Continuous innovation in passive component function integration, miniaturization, and manufacturing automation, cutting edge WSS and amplify technology and comprehensive optical, mechanical, electrical and software integration capabilities enable us to serve the needs of high-density, high-bandwidth, and flexible optical networks.
Molex is seeking a Senior Program Manager to join our Optical Systems Business Unit (OSBU).
In this role the successful candidate will be part of a world-class engineering team, contributing to the development of the next generation coherent and PAM4 optical transceivers.
The successful candidate will have specific responsibility for the planning and execution of these complex development programs to achieve the desired performance objectives (e.g.
cost, schedule).
The Program Manager is a critical leadership position in the product development team expected to ensure the co-ordination of the activities of a large, multi-functional and geographically dispersed team.
Some travel is expected in this role.
What You Will Do
* Preparation of detailed program plans capturing resource requirements, schedules, budget, product cost, manufacturing strategies, risk management plans, etc.
* Execution of the program per the plan of record.
* Ensure compliance to OSBU's product development process.
* Tracking and reporting of key program metrics.
* Providing program updates to executive management and customers.
Who You Are (Basic Qualifications)
* Bachelor's degree
* At least 6 years experience in program management
* Experience in optical transceiver, consumer electronics or medical device industries
* Demonstrable record of successfully running complex development programs
* Adept at leading through influence, strong negotiation skills and an ability to form collaborative working relationships
* Strong planning ability, particularly when presented with ambiguity
* Knowledge of product life cycle management, business processes, and tools for project planning
For this role, we anticipate paying $150,000 - $210,000 per year.
This role is eligible for variable pay, issued as a monetary bonus or in another form.
At Koch companies, we are entrepreneurs.
This means we openly challenge the status quo, find new ways to create value and get rewarded for our individual contributions.
Any compensation range provided for a role is an estimate determined by available market data.
The actual amount may be higher or lower than the range provided considering each candidate's knowledge, skills, abilities, and geographic location.
If you have questions, please speak to your recruiter about the flexibility and detail of our compensation philosophy.
Hiring Philosophy
All Koch companies value div...
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Type: Permanent Location: Fremont, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:42
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Inside Sales Admin - Aerospace Manufacturing
If you would love to be part of a company that is poised for substantial growth with opportunities for career advancement, then working for CPP may be the right fit for you! Join a results-oriented workplace that strives for success through innovation, collaboration, and teamwork.
Competitive Pay ($45-65k) depending upon experience.
Consolidated Precision Products (CPP) Chittenango is an investment casting foundry that specializes in complex aerospace & gas turbine components.
With a stable business model and competitive compensation & benefits, CPP is a great option to consider as you look to make your next career move.
For more information, please visit https://www.cppcorp.com/
Consolidated Precision Products (CPP) is currently seeking a Inside Sales Admin to join our Sales Team.
This position reports directly to the Sales Manager at our plant in Chittenango, New York.
The position plays a key role within the sales function of the organization.
WHAT WE OFFER
* Comprehensive Benefit Plans
* Quarterly Bonus Opportunity
* 401k with Company Match
* Emphasis on Employee Engagement
* Paid Holidays and Vacation Time
* Tuition Reimbursement
* Opportunities for Advancement
Major Responsibilities
* Perform Oracle order entry process.
* Maintain the order entry system to assure accurate shipping, invoicing, terms and schedule requirements, working within established forecasting and production planning guidelines.
* Provide purchase order acknowledgments to customer upon PO acceptance.
* Maintain corresponding schedules within the Oracle business system as directed by Sales Manager or Senior Inside Sales Representatives
* Maintain applicable sales and management reports as directed by Sales Manager or Senior Inside Sales Representatives.
* Assist in coordinating and processing Customer Returns in a timely manner.
* Other duties as assigned.
* Responsible for adherence to all safety polices, practices and procedures.
* Scan PO's into correct electronic files
* Entering ROC's
* Locating shipping paperwork for customers as needed.
* Ability to work overtime
* Attendance/Reliability
* Ability to work at the Chittenango facility (Typical Schedule 7:00am - 3:30pm)
Qualifications
* Education: Associates Degree in Business or related field preferred.
* Experience: 1-3 years of customer service/sales administration experience with manufacturing company preferred.
* Computer Skills: Knowledge of Microsoft Office Suite with experience in Excel, Access, Word.
Familiarity with Oracle V11 a plus.
* Other Required Knowledge, Skills & Abilities: Effective communication skills with ability to effectively resolve customer issues in a win- win style.
Ability to remain calm under pressure.
Familiarity with manufacturing processes and nomenclature a plus.
About Us
Consolidated Precision Products (CP...
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Type: Permanent Location: Chittenango, US-NY
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:41
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Ashland Specialty Ingredients, GP
Are you the kind of person that is always thinking, sketching, seeking, and adjusting? Who needs to understand how things work and then figure out how they can work better? Are you a passionate, tenacious, solver who loves to work with others who share your drive? Are you positive, constructive, and ingenious? Are you always solving? Then we'd like to meet you and bet you'd like to meet us.
Ashland has an exciting opportunity for an Operations & Training Coordinator to join our Specialty ingredients G.P.
business at our Hopewell, VA location.
This is a visible, significant role within the Company and the Manufacturing function.
This position will report to the Engineering Manager.
The responsibilities of the position include, but are not limited to, the following:
* Assembles and organizes training material for new programs, processes, or procedures.
Reviews evaluates and modifies existing and proposed training programs and recommends appropriate changes to ensure PSM, GMP, ISO, RC, and/or other regulatory compliance.
* Act as document control system manager for the site's document workflow, including training and coaching the site document coordinators.
* Maintains system for monitoring and maintaining all employee training records and files, including providing reports as requested.
* Support managers and HR by assisting with onboarding new hires and staffing-related activities.
* Providing comprehensive administrative assistance to the engineering team, streamlining their daily tasks and priorities, ensuring efficiency and organization, and contributing to the overall effectiveness of team initiatives.
* Have proven experience in an administrative or coordination role, ideally within operations or supporting leadership.
* Provide financial reporting and documentation support to the engineering team.
* Act as backup for time-keeping activities.
In order to be qualified for this role, you must possess the following:
* A Bachelor's Degree or at least 5 years of work experience that can be demonstrated to apply to the duties listed in the job description.
* Extensive PC and Microsoft Suite skills: including Word, Excel, PowerPoint, Sharepoint, Databases, and other pc applications.
* Must be well organized and a self-starter with the ability to work with minimal supervision.
* Excellent written and verbal communication skills, fostering solid interpersonal relationships.
* Proven experience in developing and managing standard operating procedures (SOPs).
* Strong organizational skills with the ability to prioritize multiple tasks in a fast-paced environment effectively while maintaining exceptional attention to detail.
* Strong problem-solving skills and a proactive approach to anticipating needs.
The following skill sets are preferred by the business unit: (PHYSICAL / MENTAL REQUIREMENTS)
Individual must be able to respond appropr...
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Type: Permanent Location: Hopewell, US-VA
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:40
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The Account Manager is responsible for ensuring clients and patients receive superior service.
Key member of the core client account team is responsible for overall satisfaction and retention of assigned book of business.
Manages the day-to-day client relationship.
Accountable for core service delivery for clients working cross-functionally with all operational.
The Account Manager proactively reviews performance metrics to promote client satisfaction, profitability, and retention.
Utilizes technology, tools, processes and resources to anticipate and exceed clients needs and expectations.
Collaborates with Account Directors on client activity, expectations, and service needs.
ESSENTIAL FUNCTIONS
Manages day to day client relationships through comprehensive knowledge of client's benefit plan and product offerings.
Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services.
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, product upsells, new groups, terminations and escalated issues.
Accountable for new group and specific product implementations; including establishing and leading internal meetings to ensure collaboration and attention to detail throughout the process in order to meet expected timelines and quality standards.
Lead client centric team meetings to review operational performance against client's expectations and needs.
Presentation of operational performance metrics to clients on a monthly and/or quarterly basis to show specific performance measures in comparison withthe book of business to promote client satisfaction, client retention and upsell opportunities.
QUALIFICATIONS
Bachelor's degree in related field or 11 to 14 years of experience.
5-8 years relevant experience with Bachelor's Degree or Master's degree and 3-5 years of relevant experience.
Excellent PC skills including Microsoft Office and Internet experience.
Excellent verbal and written communication and presentation skills.
Strong analytical and problem solving skills.
Strong focus on book of business client satisfaction and client retention results.
Demonstrated ability managing projects, utilizing proven project management processes.
Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
Ability to travel overnight up to 20%.
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 ac...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:37
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WORK LOCATION: Position supports the Mid-Atlantic market.
Preferred candidate to live in McLean, VA or Richmond, VA or Maryland or DC
Hybrid position - will required to be in the Office or Visiting Providers 3 days per week
Manager, Physician & Ancillary Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
* May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
* Should possess a bachelor degree; prefe...
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Type: Permanent Location: McLean, US-VA
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:36
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Supply Chain Product, Regulated Market Solutions Senior Advisor
POSITION SUMMARY
Leads cross-functional, strategic products, projects, programs, and process improvement initiatives.
The senior product manager will assist in gathering and analyzing data to support business process enhancements and build/manage Medicare and Medicaid network product solutions,and to resolve issues.
Responsible for consulting with cross-functional partners on different initiative types.
Manage cross-functional strategic projects and programs, analyzing data to provide content for strategic directions and be responsible for managing project plans to execution.
ESSENTIAL FUNCTIONS
* Ability to manage and enhance existing Supply Chain products/solutions as assigned
* Ability to plan for and integrate multiple tasks concurrently as well as work independently with minimal direction
* Work collaboratively with cross-functional partners to manage Medicare and Medicaid network products and other projects as assigned
* Manage tight deadlines for multiple competing priorities, scope, and converging opinions to solution in a timely manner
* Analyze complex situations; transform issues into options and drive to appropriate conclusions
* Communicate effectively with internal and external individuals in various functional areas and at all levels of management, including executive level reporting
* Work with stakeholders to define and document both current state and future state processes, as well as data to drive improvements
QUALIFICATIONS
* Bachelors Degree OR 8+ years Product Management experience preferred
* Excellent verbal, presentation, and written communication skills required
* Highly skilled in organization and strategic illustration (Microsoft skills)
* Proven ability to work independently, as well as collaboratively
* Regulated markets (Medicare/Medicaid) experience preferred
*
*
* This is a hybrid role that requires the ability work in person three days per week.
*
*
*
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, stat...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:35
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EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.
Evernorth is built on the recognition that health makes progress possible.
Our health services are designed to redefine healthcare as we know it.
But we can't do it alone.
True change takes all of us, united in a shared vision.
Health is what drives us.
But it's just the start.
Together, we can solve the problems others don't, won't or can't.
Sound like you? Great! Here's more on how you'll make a difference :
• Provide onsite face-to-face customer coaching and support.
• Assess for and prioritize customers' bio-psycho-social-medical needs, and help the customer connect with resources found within their own community or via the customer's health and wellness benefits.
• Will have an understanding in accessing community resources to help customers with SDOH basic needs like food, housing, medication, transportation, etc.
• Strong clinical acumen and understanding of behavioral and medical diagnoses; able to coordinate with behavioral, medical and pharmacy team members to address customer concerns in real time
• Identify customer health education needs through targeted health assessment activities.
Refer customer to other Cigna clinical programs, EAP or client specific health and wellness programs as clinically appropriate
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health.
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• Collaborate with our matrix partners to support the overall health and wellness strategy your aligned client.
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
*
*
*Bilingual in Spanish is a requirement for this role
*
*
*
• 3 or more years of post-license mental health experience preferred
• Strong Clinical skills with at least 3 or more years of experience in health and wellness field.
• Knowledge and experience in accessing community resources in order to help customers with basic needs.
• Experience in health coaching/health education a plus
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Effective conflict management and negotiation skills
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand ...
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Type: Permanent Location: Washington, US-DC
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:34
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If you're looking to add value, make an impact, and use your analytical skills in a fast-paced environment, starting your career within our Client Informatics team will allow you to do all this and more.
A key function of the Risk Management Underwriting organization is Client Informatics, which provides Cigna's clients with reporting, analytics, and consultation that is relevant, localized and actionable.
Informatics Consultants work together with Underwriters on our largest clients to demonstrate the financial value Cigna brings along with consultative recommendations to improve affordability, access and population health.
If you're looking to use you analytical and math skills in a competitive, fast-paced environment this could be the internship for you.
As part of our internship program, you will directly impact our business in assessing buyer group analytics that demonstrate Cigna's value proposition of managing total medical cost.
What you'll do:
The Cigna Group's 10 week summer internship program is designed to further develop your analytical skills and business acumen and give you experience working in a dynamic, flexible work environment.
The Client Informatics Internship offers:
* "Real work": you will be assigned a project that challenges your problem-solving, innovation, technical and leadership skills, while building industry knowledge.
Your work over the summer will allow you to make direct contributions to our mission and company goals.
* Community : you will have the opportunity for visibility with senior management as well as one-on-one learning with client informatics professionals, who will share their knowledge and experiences.
* Leader Speaker Series: You and your fellow interns will be exposed to a variety of sessions and presentations given by members of the Cigna community.
What you need to do the job:
* Ideal candidates will be progressing toward a bachelor's degree, and have completed at least 2 years in desired majors including; Finance, Business, Economics, Risk Management or related fields by start of internship program
* 3.0 or higher GPA is preferred
* C ustomer-centric mindset
* Excellent oral and written communication skills
* Strong analytical and strategic thinking skills
* Proficiency with Microsoft office software, especially Microsoft Power Point and Excel required
* An interest in pursuing a career in Underwriting & Analytics
Additional Information:
* Location: Hybrid in Bloomfield, CT; Philadelphia, PA; Chattanooga TN; Franklin, TN; Scottsdale, AZ or Denver, CO.
A hybrid position means that you will be expected to work in-person at your assigned office location 3 days a week with flexibility to work at home for balance of time.
* The internship is paid and housing assistance is not offered.
* Timeline: Our recruitment process consists of several rounds including a recruiter phone screen and 2 rounds of interviews.
Recruitment will con...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:33
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Receives and responds to inquiries regarding Prior Authorizations related to Worker's Compensation pharmacy benefits.
Interacts with injured workers, providers, adjusters, pharmacies and internal/external clients via multiple forms of communication.
Assist pharmacies and adjusters in understanding the pharmacy benefit claims submission, workflow and authorizations process.
Assist injured workers in understanding and maximizing the use of their workers compensation pharmacy benefit program.
Use computerized system to gather information and respond to questions.
Works to research and resolve problems in a timely manner.
Documents issues and resolutions and communicates results to appropriate parties.
Uses resources and specific protocols to escalate issues as necessary.
Essential Functions
* Handle inbound and outbound injured worker, provider, adjuster, pharmacy and internal/external client calls, chats, emails and interactive memos.
* Execute tasks according to Standard Operating Procedures, Client Requirements and Regulatory Requirements.
* Support pharmacies, providers and internal/external clients regarding inquiries and or issues related to Prior Authorization eligibility, rejections, and authorizations.
* Maintain productivity standards, quality assurance and performance guarantees.
* Work with other operational departments to research and resolve mail order and retail pharmacy claims issues and respond to clients and other business partners within performance agreement guidelines.
* Maintain accurate and complete documentation of all inquiries and resulting action.
* Identify and escalate concerns received from patients, pharmacies or clients so that corrective action can be pursued in a timely manner.
* Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety
* Other duties as assigned
Qualifications
* High school diploma or GED required
* 1 year of relevant experience preferred
* General PC knowledge including Microsoft Office and Internet
* Excellent verbal presentation and written communication skills
* Ability to handle challenging customers in a professional manner
* Ability to adapt in a dynamic work environment
* Learns quickly, solve problems and make decisions
* Willingness to work a schedule within the department hours of 6am to 10pm EST that may include a weekend day
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 il...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:32
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Position Summary:
Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources.
Medical necessity reviews may include: planned elective services, surgical and diagnostic procedures, durable medical equipment and out of network services.
Conduct reviews in compliance with medical policy, member eligibility, benefits, and contracts.
Essential Duties and Responsibilities:
* Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for medical necessity and appropriateness of setting according to established policies and compliance guidelines.
* Uses an established set of criteria to evaluates and authorize the medical necessity of services.
* Provide notification of decisions in accordance with compliance guidelines.
* Coordinate with Medical Directors when services do not meet criteria or require additional review.
* Participation in staff meetings, regular trainings and other collaborative meetings as appropriate.
* Works with management team to achieve operational objectives and financial goals.
* Supports teams across UM Department as needed.
* Active participation and completion of all required trainings.
* Maintain Required Licensures.
* Adherence to regulatory and departmental timeframes for review of requests
* Meet/exceed department Turn Around time, daily established productivity goals, and service levels
* Proficient knowledge of policies and procedures, Medicare, HIPPA and NCQA standards;
* Professional demeanor and the ability to work effectively within a team or independently;
* Flexible with the ability to shift priorities when required
* Other duties as required
Qualifications:
* Current Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN.
* Must have active unrestricted license in state of residency
* Compact license a plus
* Minimum 2-3 years clinical experience.
* Experience in regulated managed care setting preferred
* Strong Customer orientation
* Strong organizational, planning, and communication skills
* Working knowledge of insurance industry, medical coding (CPT/HCPCS/ICD-10), and overall claims process a plus
* Knowledge of National Coverage Determinations, Local Coverage Determinations and MCG criteria are a plus.
* Excellent time management skills
* Must be available to work rotating weekends and 2 holiday's a year.
Knowledge, Skills, Abilities Required:
* Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a member
* Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:32
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The RN serves as the key contact point for the patient to coordinate and streamline all services offered within Evernorth.
The RN will educate the patient on healthcare options, provide patient education and answer questions as they arise.
The RN will be compassionate and positive who inspires confidences in the patients they work with.
The RN will work hand in hand with patients, other staff and providers to help answer any questions they have regarding schedules, appointments, orders, consults, etc.
The RN will be responsible for knowing where to look for all of the members information and directing and delegating tasks to team members as needed.
Key Responsibilities
Core Responsibilities
1.
Be the point of contact for all aspects of the member in regard to their appointments, care, and overall health.
2.
Act as the liaison between the providers and their patient panel, directing and delegating tasks to team members
3.
Educate patients about their care options and make specific recommendations based on their goals
4.
Review paperwork for patients to ensure it meets all requirements
5.
Explain test results, diagnoses and other medical outcomes
6.
Cover triage and transition of care for patients
Health Literacy Improvement
1.
Improves health literacy and coaches patients on chronic conditions including disease process and trajectory, medication education including possible side effects, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or caregiver.
2.
Identifies problems or gaps in care and offers opportunity for intervention
3.
Coordinates services and referrals to health programs and participates in patient education and outreach tied to HEDIS initiatives
4.
Works to improve access to care and works as part of the team to manage heath care cost and utilization
Provider Support
1.
Completes telephonic nursing assessments including social determinants of health screenings, post hospital discharge screenings, triage, and other assessments assigned by provider
2.
Assists with organizing and running a chronic care and/or interdisciplinary care team rounds where high risk patients and care plans are identified
3.
Participate using a team approach to create a care plan for the patient
4.
Maintain and update spreadsheets and documents provided by health plan to prep weekly rounds of documentation
Post-Acute Management and Coordination
1.
Participation in weekly care coordination with health plan case management as directed by market needs
2.
Referral Management Care Coordination and tracking of hospice consults within 24 hrs.
of order placement
Diagnostics and Lab Result Management
1.
Obtain Pre Authorization for all CT, MRI, Echo's ordered by providers and schedule patient
2.
Serves as a guide in their assigned market for all escalated orders and results as clinically appropriate
Additional Responsibilities:
Nursing Triage
1.
Assess and triage immediate health conc...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:31
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LOCATION: HYBRID position aligned to the Scottsdale, AZ market.
Will require a weekly schedule of several days per week working in Office or Local Travel to in-person meetings with Providers AND several days work at Home
The AVP, Provider Contract Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management.
This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.
DUTIES AND RESPONSIBILITIES
* Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports.
* Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and IFP product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies.
* Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements.
* Identifying and implementing alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Identify and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
* Creates and / or oversees the development of "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates comprehensive knowledge of providers in an assigned geographic area throu...
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Type: Permanent Location: Scottsdale, US-AZ
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:30
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POSITION SUMMARY
The Business Project Senior Advisor position will support a variety of regulatory compliance work across a complex landscape of stakeholders, functions and business processes.
This role will be responsible to lead and deliver business and/or IT solutions for large sized, complex compliance projects, manage scope, timelines and resources to deliver the required capabilities while appropriately ensuring the business is ready and risks are mitigated.
This position requires demonstrated experience applying project management and/or Agile methodology knowledge, to include- drive the development and maintenance of project plans or creation of Epics and Features, management of key stakeholders, ensure alignment with Operational Leaders for all operational impacts, monitor progress against goals, timely escalation and mitigation of barriers to success.
Other responsibilities include providing thought leadership across multiple functions to facilitate effective decision-making, enable execution, maximize organization effectiveness, and deliver reporting tailored to appropriate stakeholder audiences.
Candidates who reside within 50 miles of the following locations may be asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ.
Level of Leadership
* Self-directed and capable of leading teams in a matrix environment
* Maintains a positive working relationship with teammates and matrix partners.
* Continually strives to improve their own skills and competencies by demonstrating initiative to participate in ongoing coaching and training programs.
* Demonstrated ability to drive results required.
* Able to influence in highly matrix environment.
Primary Qualifications
* Bachelor's degree preferred
* At least 7 years related project management experience
* Strong knowledge of regulatory compliance and ability to determine impact to business operations.
* Knowledge of US Employer Medical operations and processes preferred
* Project management or Agile certification strongly preferred; i.e., PMP, Scaled Agile, or similar
* Leverages agile approach to building a product by iterating and adjusting with new insights and Ideas
* Excellent oral and written communication skills, including the ability to clearly and comfortably communicate status, issues/risks, and challenges presented to project, as well as ability to create clear and concise presentations
* Ability to produce executive-level status reporting
* Ability to shift comfortably between micro and macro, desk level discussions, and senior leader report-outs
* Previous experience indirectly leading a team in a diverse matrix organization.
* Proficient using MS Office software, PowerPoint, MS Project, Excel, etc.
* Demonstrated strong relationship building and team integration skills
* Strong change leadership skills
* Demonstrated strong analytic...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:30
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POSITION SUMMARY:
The Program Management Advisor (Financial Analyst) provides financial, rebate, and modeling support to assigned client.
Under general supervision, plans, coordinates and implements financial and business processes to support and enhance formulary rebate optimization for the client's formularies.
Position will have responsibilities related to data management to support recommendations for rebate contract requirements, regularly scheduled deliverables and ad hoc requests.
This position will be responsible to compile, manipulate, interpret, and analyze large data sets.
Works in collaboration with Clinical and Formulary Consulting Leadership to provide strategic opportunities to maximize value for clients and Express Scripts.
ESSENTIAL FUNCTIONS:
* Meet directly with client account teams and clients on a regular basis in order to utilize financial models to evaluate the rebate and cost impact of implementing existing and potential (new) client formularies
* Discuss with client/client teams any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately evaluated and communicated to Pharmaceutical partners
* Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
* Create and deliver presentations for client meetings including all supporting documentation for moderate complexity clients.
* Coordinate internal prep meetings with participation from various areas of Express Scripts, including but not limited to Sales & Account Management, Pricing, Invoicing, and Pharma Strategy and Contracting
* Provide analytic support for rebate contact negotiations
* Interact closely with other areas of Pharma Strategy and Contracting department to insure all manufacturer contract terms are correctly reflected in all models
* Improve on existing systems and procedures to effectively document and communicate formulary analysis projects.
(including maintaining and revising existing financial models)
* Develop and execute formulary modeling for prospect clients and client renewals with strategy guidance from Clinical Program Director and in close partnership with other business partners and key stakeholders.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
* Bachelor's degree preferred
* 5+ years of relevant work experience, including data analysis
* Financial analysis or modeling experience, with meticulous organizational and analytical skills
* Excellent with data aggregation, manipulation, and analysis utilizing formulas, pivots, and other tools within Excel
* Ability to independently problem solve using outside-of-the box thinking and leveraging internal and external resources
* Proficiency with designing, implementing, and tracking dashboards, KPIs, and other necessary program metrics
* Ability to identify issues or irregularitie...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:29
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Role Summary The Sales Market Operations Lead Analyst will be responsible for delivery of Sales Operations assignments/projects in partnership with the U.S.
Commercial distribution leadership and broader Client & Growth Services organization.
Will contribute to and lead projects and processes that support local market sales initiatives, sales growth meetings, office facilities management and community/charitable events.
Responsibilities also include sales and operations analysis and facilitation of market level growth and strategy discussions in conjunction with the local Market Growth Leaders (MGL).
Key
Responsibilities:
* Supports sales operations for a dedicated geographic area.
Support sales in resolving client inquiries and conducts research to provide product and service information proactively and upon request.
Works alongside Market Growth Leader for local market and sales needs.
* Accountable for facilitating Sales Operations discussions and ensuring the appropriate reporting and analysis, including sales activity and sales performance metrics, are available for such discussions.
Actively engage in the management process and ensure Market Growth Leader has the insights/data needed for meeting readiness/preparedness.
Ability to highlight key elements that may require attention.
Supports/facilitates key calls such as Growth and APEX calls, Market Sales Strategy meetings, Market Execution and Activation calls, 1/1 planning etc.
* Provides tracking and oversight of key sales-supporting processes such as: Producer Incentive Plan reconciliation and audit, Optional Services Spend, Producer Business Development/Local Producer Dollar and Community Engagement Spend tracking
* Will serve as a business resource and lead projects or project tasks within a broader project or have accountability for ongoing activities or deliverables to ensure local market initiatives and/or meeting follow-ups are on track, completed timely.
To include project management of facility management, community/charitable events and ticket manager while working in partnership with local Admin Professionals, Community Affairs, Field Marketing and Real Estate.
* Helps drive consistency and best practices within the local market while working collaboratively across the segment and broader Client & Growth Services organization.
* Professional execution: demonstrate the ability to be proactive, anticipate needs with strong organizational and communication skills, honor and support confidentiality and work across the Sales team, RSOs and matrix partners.
* May provide support and mentorship to members of the broader Client & Growth Services organization.
Works autonomously, only requiring "expert" level technical support from others.
Qualifications
* Bachelor's Degree and one year of related work/internship experience OR 5 years of related work experience in Sales or Operations is strongly preferred.
* Highly skilled in Salesforce, ...
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Type: Permanent Location: Kansas City, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:28
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The Systems Analyst (SA) plays a key role in bridging business needs and technical solutions within the IT environment.
The SA is responsible for coordinating across all IT functions on behalf of the customer(s) to assist with, capturing business needs, developing roadmaps aligned cross-functional needs, and supporting product planning and delivery.
This individual must possess strong data management skills specific to Medicare and Medicaid healthcare with focuses on respective components of the data ecosystem and downstream integration processes.
In collaboration with the IT Product Delivery Manager and IT Product Owner, the SA will work closely with leaders within the Business, Architecture and Infrastructure, Application Engineering, IT Data Domains, Analytics, and Quality Assurance teams to deliver and meet the needs of the customers.
The Systems Analyst should demonstrate an understanding of complex ideas, a forward-looking perspective, and be able to contribute to tactical decision-making processes.
This role should practice attentive listening, and display empathy towards others' ideas and perspectives.
Additionally, the SA is accountable for capturing information as it pertains to the customer and effectively communicating across the IT organization.
The SA should perform all duties with a focus on quality of work, attention to detail and a high level of self-management and self-awareness.
Primary Responsibilities
* Analyze business requirements and translate them into technical solutions.
* Collaborate with cross-functional teams, including data analytics, engineering teams, and data domain teams, to drive business outcomes.
* Provide oversight and guidance on system design, testing, and implementation.
* Facilitate communication between IT and business teams to ensure alignment.
* Identify opportunities for system enhancements and process improvements.
* Support agile methodologies in project development and execution phases.
* Understand business and technical solutions being delivered by the team.
* Oversee the design and implementation of systems that support operational reporting, data and analytics.
* Manage and prioritize product backlogs in collaboration with both business and technology teams.
* Communicate with business product owners and product managers to answer questions on behalf of the technology teams to determine system requirements.
* Lead the team through the refinement of user stories, ensuring that the business value remains the focus and enabling the team to succeed through the management of actionable stories, helping to remove or illuminate any blockers to the Product Manager as they arise.
* Assist with facilitating and conducting sprint reviews and Agile demo meetings for product stakeholders.
* Contribute to the design and implementation of system test plans to ensure accuracy of an effective data product.
* Identify data quality issue...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:28
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Summary
The Head of Medicare Technology Operations (MTO) Support is a results-oriented leader with demonstrated ability to build, lead, and inspire large teams to achieve success.
The complexity of the Medicare industry demands exceptional leadership that is able to manage ambiguity, prioritize near real-time, maintain a high level of situational awareness, and create a culture of activated personnel that are invested in the overall growth and success of our business.
The successful candidate is able to effectively champion and manage innovative changes in processes and technology appropriate for the needs of the organization.
Strong ability to navigate and communicate to all levels of the organization an absolute must.
A solid background in software development, program and project management, performance and service management, public and private cloud, and agile are table stakes.
MTO is uniquely positioned to work directly with engineering and business operations and partner to solve tactical and strategic problems.
As such, the Head of Operations Support will have a seat at the table to define and execute a strategy that enables our business to thrive.
As such, this leader will be compelled to build a strong culture that attracts top talent for both engineering and leadership roles throughout the organization.
Our goal is not just to solve problems, but anticipate and mitigate risks before they happen, and when intervention is required, automation and self-resolution are the norm.
Roles & Responsibilities
* Lead first touch resolution, automation, and shift-left practice for production and business facing production-like environments and systems.
* Define and implement appropriate leading and lagging performance indicators that drive a culture of speed and quality across technology.
* Assess, re-engineer where necessary, and drive maturity with infrastructure and application support to ensure alignment with CMS requirements, business processes, tactical planning, and strategic vision.
* Manage department operational and strategic planning, including business requirements, project planning, and organizing and negotiating the allocation of resources.
* Guide business and IT leaders in making investment decisions that balance and prioritize current operational demands, disruptions, and opportunities with the longer-term strategic vision of the organization.
* Implement an operations management practice, where data leads the continual assessment and refinement of process and performance across our technical ecosystem and the business operations landscape.
* Drive a high level of communication standards, ensuring that all levels of the organization can synthesize and act appropriately at the right time.
* Prioritize a documentation-first approach that ensures an effective, comprehensive knowledge base exists that all stakeholders adopt and extract value from.
Qualifications
* Minimum 15 years re...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:27
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WORK LOCATION: Hybrid position that will require 3 days (Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.
Must reside in the Cleveland or Independence, OH area.
The Director, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Assists in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
* May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
* Should possess a bachelor's degree; preferably in the area...
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Type: Permanent Location: Independence, US-OH
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:26
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Cigna Ventures is seeking to hire an Associate to join the strategic investment team of The Cigna Group.
This person will support the team in a variety of capacities to include deal sourcing, evaluating and executing investment opportunities, engaging portfolio companies, and fund administration.
Additionally, the Associate will interact extensively with internal business leaders and subject matter experts across Cigna Healthcare and Evernorth Health Services in order to validate strategic alignment and facilitate post-investment execution.
Key Responsibilities:
Deal Sourcing and Pipeline
* Maintain and improve data-driven processes for managing our deal pipeline
* Initial outreach, data gathering/assessment, and establishing relationships with founders
* Develop investment insights and hypotheses by conducting market, product, customer, and financial research and analysis
Due Diligence
* Organize information from target companies and internal/external experts
* Conduct primary and secondary market research
* Perform rigorous financial and valuation analysis
* Draft internal investment memos
Enterprise Strategy
* Develop strong relationships across Cigna to understand strategic priorities and initiatives
* Working with Cigna Ventures team and business partners, utilize enterprise and business strategies as a lens for inorganic activities, and refine business strategy and tactics as appropriate
Qualifications:
* Bachelor's degree preferred; Master's level degree or similar experience highly preferred
* 3+ years of professional experience in healthcare industry consulting, venture capital, and/or investment banking
* Healthcare experience in care delivery, digital health, health data, or a related vertical
* Understanding of clinical, operational, and financial drivers of healthcare industry and organizations
* Demonstrated problem-solving, quantitative, and qualitative analysis skills, including familiarity with financial modeling and valuation techniques
* Proactive, self-directed leader with ability to successfully operate at multiple levels of management
* Strong verbal and written communication skills with ability to quickly gather and synthesize information, draw appropriate conclusions, and make value-added recommendations
About Cigna Ventures:
Cigna Ventures is the strategic venture fund of The Cigna Group Corporation, a leading global health service company with more than 190 million customer relationships in more than 30 countries.
We partner closely with entrepreneurs who share our tenacity to unlock bold new opportunities to improve people's health and make health care more affordable, predictable and simple.
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, ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:26
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JOB SUMMARY
The Business Project Senior Advisor will provide business direction and program/project management for cross-functional programs/projects for the Retail Network team.
The Business Project Senior Advisor would lead the development of content/idea creation, facilitate evaluation of strategic ideas, create project framework to support cross-functional project preparation/execution, and be responsible for the overall organizational messaging and communication of project performance.
In this position, you will be responsible for development and maintenance of project documentation, communication plans, schedules, estimates, governance models and resource plans to support new services and or product developed, implemented and maintained by the Retail Network team.
ESSENTIAL FUNCTIONS:
* Coordinate cross-functional teams (IT, Contracting, Finance, Product, Sales) to ensure that designated projects are planned for and executed within scope and on time.
* Collaborate with stakeholders to understand business objectives and align project goals accordingly.
* Maintain & develop best practices for personal and team utilization.
* Ensure that proper procedures are followed to support required asks from impacted business teams.
* Lead and manage complex projects from initiation to completion.
* Oversee multiple, interrelated projects that span across the organization, ensuring cohesive execution and delivery.
* Lead meetings with cross-functional project team to assess status, support escalated issues, as they arise and drive resolution.
* Identify risks, develop mitigation strategies, and pivot as necessary to keep projects on track.
* Lead strategic framework collaborations in efforts to align project objectives with organizational strategies and business goals.
* Conduct regular project reviews and implement continuous improvement practices.
* Act as liaison with external clients/partners as needed to support strategic business initiatives.
* Mentor and guide project team members by fostering collaborative, positive and high performance team environment.
QUALIFICATIONS
* Bachelor's degree with 5+ years relevant PBM business experience with a proven track record of delivering high-quality projects.
* Proven ability to influence business decisions and performance through strategic project management.
* PMP certification and Six Sigma Lean Certification preferred or relevant experience.
* Strong ability to work autonomously, manage multiple projects and meet deadlines
* Proficient in project management software, methodologies and Microsoft Office.
* Extensive project management skills, using various techniques to prepare, execute and maintain successful projects.
* Strong verbal, written communication, and organizational skills.
* Proven track record managing multiple, complex projects and programs to completion simultaneously.
* Ability to...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:25
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Cigna is currently seeking an Enrollment/Billing Senior Representative.
The Premium Service Representative is responsible for managing all billing aspects for a book of business for the Supplemental products.
This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience.
Key responsibilities of this role include: 1) Owning the end-to-end billing relationship for multiple clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Successful implementation of new and renewing clients; 4) Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines.
RESPONSIBILITIES:
* Manage the end-to-end billing relationship at the broker, client, or TPA level for all items including but not limited to new business, renewal, life cycle changes, premium variance, audits, sales compensation, and special projects related to supplemental products
* Work with client/third party vendors on the billing installation and ongoing processes to improve the client experience and reduce financial risk
* Conduct and lead client walkthrough calls to explain standard process and discuss any non-standards
* Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission's errors, etc.)
* Partner with offshore Global Service Partner to improve the client experience and reduce financial risk
* Communicate via telephone and email to delinquent clients in order to drive collection of outstanding premiums following the standard delinquency process
* Updates reporting timely and accurately
* Drives changes in client behavior to achieve Cigna's financial results
QUALIFICATION:
* High School Diploma or GED required, bachelor's degree in accounting, finance or another related field preferred
* Strong Technical and analytical skills
* Ability to effectively problem-solve issues to resolution
* Strong customer-centric focus and ability to work directly with point of contact in a client-facing role
* Ability to establish strong matrix partner relationships and follow through on expectations
* Demonstrate ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work
* Support or realign focus designed to meet or exceed customer expectations
* Ability to manage multiple, divergent priorities and deadlines while working independently and proactively with minimal support
* Advanced proficiency of multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems)
* Strong un...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:24
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So, you're interested in becoming our newest Software Engineering Advisor, huh? Great choice! We know you don't have a lot of time, so we'll be brief....
* Are you all about the follow up and follow through, juggling multiple tasks and knowing what things need to be completed?
* Do you thrive in a fast-paced, collaborative environment that focuses on delivering great customer service for our clients and customers alike?
* Can you use your analytical skills to quickly make decisions, followed by communicating with clients and customers with empathy and sincerity?
First things first, we're a global health service company dedicated to helping people improve their health, well-being and sense of security.
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.
Now on to the good stuff...
what you'll do:
* Provides expert content/professional leadership on complex Engineering assignments/projects.
* Analyzes, designs, develops and implements solutions for Claims Adjudication and DUR (Drug Utilization Review) systems.
* Possesses Cobol, CICS, VSAM and DB2 skills.
* Is capable of mentoring more junior developers.
* Is aware of Cloud technologies and can build solutions that integrate multiple technologies.
* Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
* Uses professional knowledge and acumen to advise functional leaders.
* Focuses on providing thought leadership within DUR but can work on broader projects, which require understanding of wider business (POS and HD).
What you need to do the job:
* Must possess excellent analytical and technical skills coupled with the ability to quickly learn new technologies.
The individual will be hands on with architecture and design to support various Cigna organizations.
* Mainframes technology like COBOL, DB2, JCL, CICS, VSAM
* Strong interpersonal skills including but not limited to: problem solving, decision making, influencing, change management, written and oral communications along with the ability to work effectively with diverse groups.
* 3-5 years of experience in Software Development and Best Practices.
* Ability to work in a fast paced, demanding, and rapidly changing environment
* Ability to navigate highly matrixed organization effectively.
* Experience in triaging the defects and data analysis
* Bachelor's degree in related field with 5 years of experience or Master's degree in related field with 3 year of experience or 11 years relevant experience without Bachelor's Degree.
* Strong mentoring skills.
* Demonstrated ability to prioritize work load and meet project deadlines.
* Adaptability and willingness to lean new t...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:24
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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
The 12 week remote summer internship will be within our Network Development & Competitive Insights team.
You'll have the opportunity to work with our team members and matrix partners as we support the Provider Contracting team.
It's a fast-paced organization, and we're looking for someone who isn't afraid to ask questions and jump in to get projects done.
There are summer internship opportunities within Network Development & Competitive Insights with focus in targeted competitive intelligence research and reporting.
Some of the opportunities will focus on specific markets in a region and others will be national in focus.
Schedule: You must be available to work remotely, 40-hour work week for 10-12 weeks summer 2025 starting May 19th.
What You'll Do
* Support targeted Competitive Intelligence research and reporting by conducting secondary research.
Derive actionable insights and provide information to the Provider Contracting team to help improve Affordability for our customers and clients.
Conduct secondary research on products and networks to help enable Provider Contracting decisions.
Qualifications
* Currently enrolled in an undergraduate program in Business, Economics, Data Analytics, Market Research, or similar field (public health majors)
* A self-starter who is eager to learn and acquire new skills
* Strong attention to details and ability to connect dots across a matrixed organization
* Excellent verbal and written communication skills
* Strong business aptitude and problem solving skills
* Ability to work independently and as part of a team
* Proficiency with Microsoft Office Suite (Word, PowerPoint, Excel, Access)
Additional Information
Schedule: You must be available to work remotely, 40-hours per week for 10-12 weeks - summer 2025 starting May 19th.
Location: This role is remote and can be performed anywhere in the United States
Compensation: For this position, we anticipate offering an hourly rate between $22.00 and $23.50 an hour depending on relevant factors, including major and year of study.
Work Authorization: One goal of this internship program is to prepare and identify qualified candidates for roles with The Cigna Group post-graduation.
Therefore, this temporary internship is open only to individual...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:23
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Job Summary:
The primary responsibility of the Client Incident Management Senior Analyst (IT Project Management Lead Analyst) is to create written communications with internal and external stakeholders regarding technology outages and escalated issues.
This individual will be collaborating with internal business partners, influencing company-wide process improvements.
In addition, this individual will work with external clients to communicate process improvements, root cause/preventative measures, and outage trends.
This individual will also be required to maintain team trackers and metrics to support qualitative and quantitative information for process improvements.
This individual must be flexible with their work schedule due to the needs of outages, internal and external partners, and 24X7 service.
Responsibilities:
* Client facing written communications in business-friendly language for outages
* Keep dashboards and notes up to date for all events
* Be able to interact on calls to assess client impact
* Communicate clearly with internal and external stakeholders
* Contribute to continuous process improvement activities
* Facilitate and/or participate in meetings supporting Client Event Management services
* Manage and maintain client incident reporting
* Gathers data from Service Now
* Uses business analytics to create and display information
* Utilize Excel, OneNote, PowerPoint to prepare artifacts
* Identification of recurring themes within outages to drive process improvements
* Creation of playbooks to support process improvements
Qualifications:
* High School diploma or equivalent; bachelor's degree in technology, Business, Communications or Leadership discipline preferred.
* Minimum 2 + years' work experience in related field.
* Intermediate technology competency.
* Strong interpersonal, written, and verbal communication skills preferred.
* Self-motivated, ability to work with limited direction.
* Excellent written and verbal communication skills.
* Strong collaboration skills.
* Ability to understand and convey technical language into business-friendly terms.
* Service Now preferred.
* Microsoft Office Suite Tools.
* Tableau experience preferred.
* Understand technology concepts.
* Ability to work 24x7.
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 83,200 - 138,600 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 supp...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:22
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Role Summary
Responsible for growing membership within existing accounts and for directly managing business relationships with client accounts.
Ensures that systems and processes are in place to meet the needs of internal and external clients.
Develops and implements strategies and policies relating to account management.
May provide guidance or expertise to less experienced account managers.
Responsibilities
* Overall account management responsibility for CIGNA HealthCare assigned customers including responsibility for persistency results, membership and revenue growth, and the cultivation of customer and producer/broker relationships
* Provides input that positively impacts financial results
* Ensures exceptional service and growth through the development of a high performing Client Management team
Qualifications
* College Degree or equivalent years of relevant experience
* 5+ years of experience in health benefits (client management experience highly preferred)
* Excellent communication/customer service skills/sales negotiation skills
* Sales/marketing/underwriting or operations experience preferred
* Financial Savvy; ability to grow book of business
* Actively managing clients with 500+ employees
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 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 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 qualifying smoking cessation program prior to the start of their employment.
These states include: Alabama, Alas...
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Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2024-11-22 07:38:21
