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JOB DESCRIPTION: Senior Quality Engineer/QMS
Burlington, MA, USA
Poly6 is enabling production of complex turbine engine designs by combining additive manufacturing with advanced materials.
Our technology is uniquely suited to increase the efficiency of complex manufacturing processes as well as advance engineering design capabilities.
Long term benefits of Poly6's products include reduced greenhouse gas emissions for the aviation sector.
You will have the opportunity to work alongside a highly talented team to solve problems in one of the world's most complex engineering sectors: aviation.
JOB SUMMARY
The Senior Quality Engineer works in a cross-functional team environment to further a company objective to exceed customer expectations through continuous monitoring, reducing variation and eliminating nonvalue-added costs of products and processes.
Actively promotes teamwork, accountability, safety and integrity for the betterment of Poly6 and the Quality Management System
RESPONSIBILITIES
* Lead Material Review Board (MRB) team meeting and activities
* Execute Quality actions as part of Change Control process
* Lead Corrective Action Preventative Action (CAPA) team activities
* Perform process audits to internal procedures, instructions and requirements
* Ensure calibration and preventative maintenance is completed as required
* Drive improvements by analyzing product and process data
* Train company employees on changes to product, process and QMS as required
* Safety Team member / lead
* Work on/participate in special projects as needed or assigned by Management
QUALIFICATIONS
* B.S Engineering and 8+ years' experience in Quality role at AS9100 certified manufacturing company
* Experience analyzing manufacturing processes using SPC and DOE methodology
* Data collection, interpretation and report writing
* Ability to read technical drawings, specifications and other product requirements
PREFERRED EXPERIENCE
* 1+ years' experience in additive manufacturingfor industrial manufacturing
* Working knowledge of Manufacturing Execution Systems (MES)
* 2+ years' experience in investment casting, composites or injection molded ceramics processing
* 2+ years' experience in Contract Review
* New Product Introduction process
* AS9100 Auditor
* First Article Inspection (FAI)AS9102
* Change validation and verification
* Risk assessment
* Program Management
* Six Sigma Green Belt or similar work
This position requires access to information protected under U.S.
export control laws, including the International Traffic in Arms Regulations and/or the Export Administration Regulations.
Please note that any offer for employment may be conditioned on authorization to receive software or technology controlled under these US export laws without sponsorship for an export license.
Poly6 is an equal opportunity employer.
We...
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Type: Permanent Location: Burlington, US-MA
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:05
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The Operations Manager will be a key member of the Operations team in Cudahy, CA.
We are looking for a motivated and driven individual that can drive execution in a diverse complex manufacturing environment that specializes in manufacturing aerospace castings or complex manufacturing.
You will be responsible for leading a team of up to 85 direct reports on two shifts to produce quality products for our clients.
Who are we?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 100 years! We specialize in manufacturing aluminum and magnesium products for commercial, regional, corporate and military aircraft and engines.
CPP offers a competitive compensation & benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, 401K with company match, paid vacation and 9 paid holidays.
What will you do?
* Design and implement plans for the effective use of material and labor resources to achieve manufacturing target
* Supervise the operations of manufacturing personnel to ensure a manufacturing process is within budget and time schedule
* Oversee the hiring, orienting, and training of technical production employees to ensure a competent workforce
* Conduct studies and research to identify and develop continuous improvement projects
* Oversee the regulation of work shift to ensure proper workload distribution
* Monitor a manufacturing team to ensure operations are in compliance with health and safety standards
* Schedule the maintenance of production equipment and machines to ensure efficient operations
* Analyze and provide solutions to manufacturing challenges or problems
* Liaise with the quality assurance department to ensure product quality and specification are consistent
* Conduct assessments to identify mechanical and procedural limitations that minimize work efficiency
* Monitor and control a production process to adjust operations in event of a problem
* Review personnel performance to determine individuals most suited for promotion.
What do we have to offer?
* $150-170K annually
* 20% annual bonus potential
* Positive and collaborative work environment
* Flexible schedule
* Paid training
* Educational Assistance
* 401K with match
* Robust PTO plan
What will you need to be successful?
* High school diploma or BA
* 10+ years of manufacturing and management experience
* MS Office Suite, Statistical Process Control and organizational skills
* Bilingual in Spanish a plus
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with ...
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Type: Permanent Location: Cudahy, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:04
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Our Sr.
IT Systems Administrator is responsible for the installation and movement of new hardware, software, cabling and networks for our 4 local area networks and network servers.
You will be working out of our City of Industry, California location and supporting Port Hueneme, Rancho Cucamonga and Cudahy location both virtually and onsite.
Why work here?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 100 years! We specialize in manufacturing aluminum and magnesium products for commercial, regional, corporate and military aircraft and engines.
CPP offers a competitive compensation & benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, 401K with company match, paid vacation and 9 paid holidays.
What will you do?
* Configuring and managing network switches (HPE, Aruba).
* Manage resources within VMware virtual environment including but not limited to Virtual Machines, Networks, Datastores, licensing etc.
* Manage Storage Area Network appliances both physical and logical configurations ensuring all systems are healthy, working with 3rd party vendor support as needed to troubleshoot problems and all aspects of O365 environment in GCC-High tenant, including user and service accounts, mailboxes, security, licensing, as well as 3rd party app connections.
* Support and work with 3rd party SD-WAN provider to manage and ensure optimal network performance for all CPP sites including 3rd party cloud locations and VPN connections, troubleshooting and escalating issues when a problem exists.
* Inform appropriate personnel of new equipment purchases to ensure proper warranty, licensing and/or insurance is obtained.
* Manage all computer networks and servers and other office related equipment and ensure all are operating properly.
* Responsible for all Network and Server upgrades (hardware and systems software), PC and Local Area Network connection to the company's main system and ensure network data integrity for all departments and locations within scope.
* Possess and maintain a high level of knowledge of new equipment technology and recommend short- and long-range hardware acquisitions.
* Assist with the installation of new third-party application software and manage licensing and upgrades as needed.
* Assist the Infrastructure Team by providing support to End Users and/or assisting the IT Team with projects.
* Collaborate with users and other personnel to recommend computer hardware to be purchased to meet their needs and ensure compatibility with current hardware.
* Ensure that all vendor supplied system documentation, procedures, manuals, and licensing are up to date.
* Consult with vendors and suppliers concerning computer upgrades and enhancements and make recommendations to Manager.
* Ensure that all new releases of operations system software, utilities, p...
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Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:03
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The Operations Supervisor will be a key member of the Operations team in City of Industry, CA.
We are looking for a motivated and driven individual that can drive execution in a diverse complex manufacturing environment that specializes in manufacturing aerospace castings.
You will be responsible for leading a team of up to 25 tenured direct reports on two shifts to produce quality products for our clients.
Who are we?
This is a great opportunity to join a growth-oriented company within the aerospace industry that has been in business for over 100 years! We specialize in manufacturing aluminum and magnesium products for commercial, regional, corporate and military aircraft and engines.
CPP offers a competitive compensation & benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance, 401K with company match, paid vacation and 9 paid holidays.
What will you do?
* Make sure hourly employees are assigned departments and receive adequate training and support
* Ensure product quality
* Perform record keeping duties for assigned staff
* Establish and maintain an efficient and productive physical department
* Responsible for employees training, performance, safety, implementation of company policies and related human resource functions
* Collaborate with Product and Industrial Engineers in the development and design of new products and the selling of "standard" times for operations
* Acquire additional certifications and credentials as required for works and career development
What do we have to offer?
* $90-110K annually
* 5% annual bonus potential
* Positive and collaborative work environment
* Flexible schedule
* Paid training
* Educational Assistance
* 401K with match
* Robust PTO plan
What will you need to be successful?
* High school diploma or BA
* 2+ years of manufacturing and management experience
* MS Office Suite, Statistical Process Control and organizational skills
* Bilingual in Spanish a plus
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/.
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the U.S.
on a permanent and consistent basis without company sponsorship now and in the future.
This position requires use of information or access to hardware which is subject to the International Traffic in Arms Regulations (ITAR).
All applicants must be U.S.
persons within the meaning of ITAR.
ITAR defines a U.S.
person as ...
....Read more...
Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:02
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Make Your Career in Aerospace Manufacturing!
Sign-on Bonus Up to $2,000 .
Are you ready to join a fast-paced, collaborative environment and build a rewarding career in manufacturing? Consolidated Precision Products (CPP) is a sand-casting foundry that specializes in complex aerospace and defense products.
We are looking for talented individuals to join our team.
2nd shift: 12:30PM-9PM
Monday- Friday
Starting Wages:
$24.75-$26.75/hour
We will train you !
We'll provide the training to give you the skills you need to succeed.
What matters most is your energy, strong work ethic, attendance, and dedication to quality.
This is a great opportunity to join a stable & growth-oriented company that has been in business for over 100 years!
What do we have to offer you?
* $24.75-$26.75/hour
* Paid training and overtime potential
* Full benefits package which includes Medical/dental/vision/life/disability insurance
* Quarterly bonus program and 401(k) with match
* Robust paid PTO & holiday pay
* Upward mobility and leadership that strives to help you succeed.
* Sign-on bonus up to $2,000 to welcome you aboard!
What will you do?
* Follow instructions and safety procedures.
* Demonstrate focus and attention to detail.
* Handle the high heat environment working around and pouring molten metal
* Follows specific formulas, procedures and specifications throughout the metal melting process to ensure the greatest consistency of specified metal properties for casting production
* Follow instructions and safety procedures
* Maintain a reliable attendance record
* Demonstrate focus and attention to detail
* Keep their workspace clean and organized
* Want to work with their hands in a production environment
* Keeps accurate time and job records as required
* Maintain a reliable attendance record.
* The physical effort applied in this job includes lifting, pulling, reaching, manipulating, carrying, and pushing, be able to lift up to 30lbs with or without reasonable accommodations and stand for entire shift.
* Working near moving mechanical parts and keep your workspace clean and organized.
CANDIDATES OFFERED EMPLOYMENT ARE REQUIRED TO PASS A PRE-EMPLOYMENT DRUG TEST & BACKGROUND STUDY PRIOR TO EMPLOYMENT.
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly engineered components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a total solution source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the US on a permanent and consistent basis without company sponsorship now ...
....Read more...
Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:01
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POSITION SUMMARY As a Pharmacy Operations Lead Representative, you will be responsible for the distribution of workload and monitoring of workflow for members of their assigned area to ensure assigned work is completed timely and accurately.
Serves as a resource to supervisor and team members.
*
*Required Shift: Friday - Monday 5 am - 3:30 pm
ESSENTIAL FUNCTIONS • Ensure appropriate distribution of workload and workflow for assigned area including scheduling, shifting resources and back filling as needed.
• Serve as the first line resource for questions/issues from team and cell owners, in coordination with supervisor; demonstrates leadership qualities consistent with the Express Way values.
• Effectively manages issues impacting productivity of team members; including offering solutions, collaborating with others, communicating status and escalating as needed.
• Assist Supervisor in ensuring that established policies and standard operating procedures are being followed and that individual and team goals for productivity and quality are met/exceeded.
• Assist in the development, documentation and updating of policies and procedures for Coordinators, including specific training and validation material; Assist in training and validating Automation staff regarding procedures, including one on one training and/or to group sessions as needed.
Ensure that all team members are cross trained to cover production functions.
• Other duties as assigned.
QUALIFICATIONS • High School diploma or equivalent is required.
• Experience leading people or a team in warehouse setting is strongly preferred.
• General PC knowledge: Microsoft Word, Excel, PowerPoint and email skills, preferred.
• Knowledge of standard concepts, practices, and procedures within dispensing pharmacy • Experience troubleshooting problems in a pharmacy dispensing environment is preferred.
• Strong attention to detail with good organizational skills • Good verbal and written communication skills • Willingness to work a flexible schedule when needed and ability to stand for the full shift.
• Ability to adapt in a dynamic work environment, learn quickly, troubleshoot problems and make 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.
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,...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-09-28 08:46:00
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Position Details:
The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to; Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
Shift: Monday-Friday 2pm-10:30pm
Sign on Bonus available!
How you'll make a difference:
• Juggle multiple tasks without sacrificing deadlines or attention to detail.
Sort, package, seal, and inspect packages.
• Use your expert problem solving skills to help our patients receive their product on time.
Package and label for safe delivery, then work with technology to efficiently get it out the door.
• Create new knowledge with our systems and new relationships with your peers.
You'll start with training and you're not doing it alone.
You'll have the opportunity to cross-train and support overall pharmacy health in other areas like technicians, bulk & prep, and the packing manifest area.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
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 coworkers to ensure that best-practices are shared while maintaining productivity and quality standards.
• Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
• Bulk up of medications from manufacturer bottles, including; visual inspection and labeling of large containers.
• Visual inspection of patient bound medications.
• Orientation of packages for sortation system.
• Preparation of mail sacks or bulk containers for shipment.
• Manual material handling , storage, and stocking of shelves, workstations, and/or channels.
• Sorting and distribution of literature packs to CADS / Averts stations.
• Keep work station clean at all times.
• Other duties assigned as needed.
QUALIFICATIONS
• No prior experience required.
• 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.
What we offer:
* Comradery and Engagement with emphasis on Quarterly Standouts, appreciation lunches and social events!
* Continuous focus on on-...
....Read more...
Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:59
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As a Pharmacy Operations Representative, you will be responsible for the operation of automated equipment in a fast-paced atmosphere.
Safety and quality are of the highest importance in our pharmacy environment.
Work schedule may need to be adjusted to accomplish certain critical demands.
What we Offer:
* An Independent work environment supporting effective communication, positive morale, and manager/mentor coaching to provide successful career pathing.
* Comradery and Engagement with emphasis in Quarterly Standouts, appreciation lunches and social events!
* Continuous focus in on site training and skills development.
* Professional work environment, including a climate-controlled fulfillment center.
How you'll make a difference:
* Ensure flow of patient orders by eliminating bottlenecks upstream & downstream.
* Respond to machine faults within established time periods.
* Ensure the mechanical equipment has the necessary consumable supplies to operate effectively, replenish as necessary.
* Perform scheduled quality checks as assigned, escalating if defects are detected
* Monitor the area's Work To List to ensure proper workflow.
* Escalate machine downtime issues to appropriate teams and leadership as needed.
* Keep work areas cleaned, organized, and maintained in accordance with 6S Standards.
* Perform Preventative Maintenance on equipment as assigned.
Why join us?
* Health coverage effective day 1 (including medical, dental, vision)
* Holiday, PTO, and OT pay
* 401K with company match
* Tuition reimbursement
* Fun, friendly, and unique culture - bring your whole self to work every day!
What you should have:
* 2 years of experience in an automated work environment preferred
* General PC knowledge
* Ability to adapt in a dynamic work environment, solve problems, and make decisions
* Ability to train and coach less experienced staff
* Detail oriented with organizational skills
* Willingness to work a flexible schedule to accommodate business needs and maintain prompt attendance
* Knowledge of Express Scripts products and services (Preferred)
* Knowledge of pharmacy standard concepts, practices, and procedures
* Ability to stand 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,...
....Read more...
Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:58
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Position Details:
The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to; Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
1st Shift-Monday to Friday, 6:00am to 2:30pm
Sign on bonus available! $300 after 30 days, $300 after 90 days, $1000 at 1 year
How you'll make a difference:
• Juggle multiple tasks without sacrificing deadlines or attention to detail.
Sort, package, seal, and inspect packages.
• Use your expert problem solving skills to help our patients receive their product on time.
Package and label for safe delivery, then work with technology to efficiently get it out the door.
• Create new knowledge with our systems and new relationships with your peers.
You'll start with training and you're not doing it alone.
You'll have the opportunity to cross-train and support overall pharmacy health in other areas like technicians, bulk & prep, and the packing manifest area.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
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 coworkers to ensure that best-practices are shared while maintaining productivity and quality standards.
• Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
• Bulk up of medications from manufacturer bottles, including; visual inspection and labeling of large containers.
• Visual inspection of patient bound medications.
• Orientation of packages for sortation system.
• Preparation of mail sacks or bulk containers for shipment.
• Manual material handling , storage, and stocking of shelves, workstations, and/or channels.
• Sorting and distribution of literature packs to CADS / Averts stations.
• Keep work station clean at all times.
• Other duties assigned as needed.
QUALIFICATIONS
• No prior experience required.
• 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.
What we offer:
* Comradery and Engagement with emphasis on Quarterly Standouts, ap...
....Read more...
Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:57
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The Agile Product Management Senior Advisor uses specialized depth and experience to oversee the writing and modifying of complex technical functional requirements for a complex product - these are derived from the business requirements and form the foundation of what the engineers will code/implement in order to achieve business asks.
POSITION SUMMARY
The Agile Product Owner Senior Advisor is responsible for the initiatives supporting the Specialty Pharmacy Area.
This position utilizes technical and operational aptitude and experience to provide business support to Express Scripts Operations to ensure satisfaction with technology products, systems and services in alignment with ESI objectives.
Assists with ensuring requirements are clear and actionable and that the execution of approved initiatives drives value in the department.
Manages deadlines and ensures overall success of assigned portfolio initiatives from beginning to end.
Responsibilities/ Expectations:
• Proactive and takes an active role in understanding the business case, why a change is being requested and learning the desired future state.
• Focused on continuous learning, adopting probe and learn approach for self-learning
• Leverages knowledge of the product's value stream and system interactions to identify when new features or product changes are needed to achieve business value.
• Has a sound understanding of breaking down a problem/ ask to requirements.
Understands the aspects of well-rounded requirements (functional/ non-functional)
• Communicates stakeholder goals and expected outcomes to the engineering/ Solution Architect/ Principal engineering team and writes definition-of-ready user stories, incorporating architectural changes recommended by engineering.
• Facilitates product backlog grooming sessions, ensuring the highest impact work is delivered soonest.
Responsible for maintaining product technical roadmap and advocating prioritization at the right time for non-functional work.
• Adept at building relationship with business, technology partners to establish a circle of trust with stakeholders.
• Has overall ownership of a defined capability or technical product area, including product value, cost of ownership, health and non-functional requirements (reliability, scalability, usability, security, performance, etc.).
• Cultivates trusted relationships with Business/BAT and Technology partners to foster teamwork and a shared understanding of the product vision, goals and priorities.
• Leads sprint planning , story refinement , feature elaboration sessions with business and technology stakeholders.
• Actively participates in planning sessions that form cohesive, iterative plans and ensure the team's work creates the iterative value (e.g.
supports the completion of MVPs/Epics in concert with other teams).
• Proactively resolve upstream dependencies and resolve conflict effectively across teams.
• Participates in team standups, and retrospectiv...
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Type: Permanent Location: Franklin Lakes, US-NJ
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:57
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Job Description
Provides counsel and advice to top management on significant Clinical Program Management matters, often requiring coordination between organizations.
Focuses on providing thought leadership and technical expertise across multiple disciplines.
Recognized internally as "the go-to person" for the most complex Clinical Program Management assignments.
Represents company externally and serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfaction.
Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.
Essential Functions
• Serve as business owner to necessary client work that involves Medicare operational and implementation benefits changes, as well as other non-Medicare LOBs
• Understand client's existing clinical benefit and business philosophy to help avoid unnecessary clarifications
• Accurately capture and document clinical benefit requirements in collaboration with business stakeholders
• Provide excellent customer service and act as a trusted client advisor
• Work with internal partners to ensure all implications of requested clinical benefit requirements are vetted, understood and communicated as necessary
• Provide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager (CAE/IPM's), Ben Ops, Clinical Application Teams (DCRS, FRS, CRS, Criteria), Product Owners
• Manages and tracks all requests to ensure timelines are met
• Develop a deep understanding of claims adjudication system and associated clinical applications
• Leads the development, preparation, and presentation of project plan including execution and delivery for each client(s) assigned
• Participates and contributes in formal and informal training programs and professional development activities which may include taking, developing, and/or conducting sessions
Skills
• Ability to multitask and communicate effectively
• Microsoft office with a strong understanding of Excel and Access
• Written and verbal communication (listening, feedback; translating complex ideas/processes), collaboration, analytical thinking/critical thinking, results-oriented and organizational skills
• Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills
• Ability to learn multiple internal reporting and analytic tools for client management
• Provide project and administrative support to the team and escalate issues, risks, concerns as needed
• Ability to manage timelines and meet tight client deadlines
• Advanced problem-solving skills and the ability to work collaboratively with other departments to create solutions and to resolve issues
• Must be able to work under pressure and perform continual follow up in a...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:56
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The job profile for this position is Agile Product Owner Senior Advisor which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services, Inc.
Job Description:
Collaborate effectively with business partners with a primary focus on the customer experience, and on reinforcing empathy as to the "why" behind Cigna's business needs.
Provide servant-leadership for teams and supports continuous improvement activities to help a team consistently deliver working code.
Leads 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.
Coordinate and complete release activities, including release notes, communications, user documentation, and reporting.
Prepare and conduct sprint reviews and agile demo meetings for product stakeholders.
Virtual / work from home benefit available.
Qualifications:
Requires a Master's degree in Computer Science, Computer Applications, Information Technology, or related field, plus 3 years IT experience (or a Bachelor's degree and 5 years of IT experience).
Must have experience with: working in a lean/agile environment; data science; demonstrated understanding of modern architecture, including cloud, microservices, event systems, and CICD; JavaScript; Angular; GitLab; AWS; Oracle; MySQL; SoapUI; Postman; Dynatrace; Tealeaf; ServiceNow; and, Splunk.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, 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 toba...
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Type: Permanent Location: Raleigh, US-NC
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:55
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Summary
The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team.
Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims, clinical outcomes, customer enrollment patterns, and financial information to make recommendations based on relevant findings.
The Clinical, STARS, and Risk Adjustment Analytics team seeks to provide operational and analytical support to our partners to improve clinical programs, customer value, growth, and retention for Cigna Medicare.
This role will help us accomplish this through data science, strategic insights, and collaboration with our internal partners.
The Data Scientist Lead analyst will interface across multiple business areas, including, but not limited to clinical, pricing, reporting, product development, operations, and marketing departments as needed.
The ideal candidate for this role will be highly motivated, flexible, embrace change, as well as develop analytical and statistical models and methodologies to predict, quantify, and/or forecast business metrics.
Responsibilities
* Extract and analyze large healthcare claims using SAS, SQL, R, Python, Teradata, Hadoop, etc.
for predictive modeling, machine learning, and other data science techniques
* Document the methodology, process, code, and results of their work
* Proactively works with more senior team members to understand project goals and priorities
* Clearly and concisely communicates project results and methodologies
* Demonstrates problem solving skills
* Present technical topics and results to non-technical stakeholders
* Use data science techniques to classify, quantify, and/or forecast business metrics that help customers make sound business decisions related to clinical and customer strategy
Qualifications
* 2+ years' common health care data knowledge (e.g., claims, EHR, laboratory data)
* Familiarity with applied machine learning and model development
* Ability to develop and deploy ML/predictive models to production and cloud environment
* Familiarity with Python, SQL, Git and/or related tools
* Training in data analytics, statistical methods, and machine learning w/ Python, R, Keras, TensorFlow and/or similar tools
* Follows best programming practices and writes clean, documented, and well-structured code
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 83,000 - 138,300 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 ...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:54
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The Cigna Group is looking for talented people with prior audit experience, who are interested in being a part of The Cigna Group's rapidly evolving strategy.This position provides exposure to key stakeholders, who are an integral part of ongoing initiatives, specifically as we leverage our strengths in new and revolutionary ways to serve our customers.
To achieve best in class service for our stakeholders, Internal Audit supports individual and team development through various trainings, coaching, and internal/external development opportunities.
Additionally, The Cigna Group supports the attainment, and maintenance of, relevant certifications and memberships for ongoing professional growth.
The Senior Internal Auditor will be:
* Empowered to lead the execution of audit and advisory projects focused on risks that matter;
* In a position to deliver meaningful insights to our key stakeholders through execution of our audit and advisory services;
* Leading experienced auditors on specific audit engagements through all phases of the engagement (planning, fieldwork and reporting);
* Supporting the Audit Manager in project administration items, understanding the objectives of the audit, and developing project timelines.
* Reporting findings to business management and evaluating necessary corrective action and process improvements.
* Providing assistance to team members with issues requiring technical expertise or advance knowledge.
The mission of Internal Audit is to help our colleagues identify and evaluate risks and internal controls so we can better deliver on our mission - together.
Internal Audit helps the Company accomplish its objectives by bringing a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control, and governance processes.
To achieve best in class service for our stakeholders, Internal Audit supports individual and team development through various trainings, coaching, and internal/external development opportunities.
Additionally, we support the attainment, and maintenance of, relevant certifications and memberships for ongoing professional growth.
Qualifications:
* Bachelor's degree in accounting, finance, business administration, or related field
* 3 to 5 years of internal audit experience in the healthcare industry and/or public accounting experience including 1+ years of in-charge/senior auditor experience.
* Knowledge of healthcare industry and audit experience preferred
* Master's degree, CPA or CIA preferred or willing to pursue
* Requires in-depth understanding of accounting principles, control procedures, and audit standards, practices and techniques.
* Thorough understanding of risk assessment, audit execution and written and verbal reporting skills required.
Knowledge and Abilities:
* Leads assigned portions of assurance and risk advisory projects related to Cigna's global business units;
* Ability to le...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:53
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Job Summary:
Provides advanced professional input to complex Data Measurement & Reporting assignments/projects.
Provides analytical and operational reporting, business performance measurement and management dashboards, and fulfills data and measurement requests from business partners, and assists in project management for the Risk Adjustment Quality and Audit teams.
Responsible for managing advanced data/analytics projects that are used to develop actionable insights and recommendations.
Supports and provides direction to more junior professionals.
Works autonomously, only requiring "expert" level technical support from others.
Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.
Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Data Measurement & Reporting.
Manages data projects across multiple teams throughout the risk adjustment organization.
Core Responsibilities:
* Extract and analyze large healthcare data using SAS, SQL, R, Python, Teradata, Hadoop, Excel etc.
* Identify, analyze and interpret trends or patterns in data sets through descriptive and multivariate statistics.
* Develop actionable insights and present results to non-technical business partners and stakeholders to drive the decision-making process.
* Collaborate with matrix partners to understand project developments, assess impacts to data and analytics.
* Develop methods for improving internal techniques and processes with expertise in creating highly effective, visual graphics that tell complex stories in formats that can be easily conveyed to leadership and executive clients.
* Maintain audit performance dashboards from external data sources, leveraging and improving on existing templates
Minimum Qualifications:
* 3+ years of healthcare-related data/analytics experience solving business problems through the application of analytic approaches.
* Experience with diverse healthcare data preferred, including claims, EHR, demographic, pharmacy, lab, biometrics, genomic, and text.
* Previous experience conducting program evaluation/outcomes research methods, predictive modeling and data mining is required.
* Experience with statistical software program such as SQL, SAS/SAS EG, R and/or Python is required.
* Comprehension of healthcare data (e.g., claims, utilization, provider information) and demonstrated understanding of health care and delivery system processes.
* Leadership competencies including the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, think and act strategically, and influence key leaders with a strong customer focus and management of stakeholder expectations.
* Knowledge of Risk Adjustment HCC methodology is required
* HCC coding experience/exposure is preferred
If ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:53
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Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs.
They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
* Customer Strong: I deliver world-class experiences for all my customers.
* Me to We: I take accountability to trust, partner, and deliver.
* Own It: I see a need and deliver value because I care.
* Evolve and Adapt: I learn and adapt to meet evolving business needs.
* Be Bold: I pioneer and think broadly to solve challenges.
* Take Care: I prioritize self-care and act with compassion toward colleague.
Day in the Life Responsibilities
* Collaborates with customer in creation of care plan and documents plan in medical management system.
* Partners with each customer to establish goals and interventions to meet the customer's needs.
* Establishes plan of care in conjunction with the customer and provider then document into a medical management system.
* Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
* Empowers customers with skills to enhance interaction with their providers.
* Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
* Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
* Tracks daily activities to trend volume and outcomes.
* Follows standard operating procedures.
* Toggles between multiple systems and applications.
* Research relevant topics in health promotion and disease prevention, as required for specific customers.
* Prioritizes work to meet commitments aligned with organizational goals.
* Understands and adheres to Case Management performance measures to deliver on key results.
* Completes training within the communicated time limit as required per role.
* Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Minimum requirements:
Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
Minimum of two years full-time direct patient care as an RN required.
Preferred requirements:
* Nursing experience in Transplant strongly preferred
* Must have an active and unencumbered RN License
* Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:52
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ABOUT THE DEPARTMENT
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.
In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.
ESSENTIAL FUNCTIONS
* Prepares and reviews claims to ensure billing accuracy
* Pursues collection activities to obtain reimbursement from payers and/or patients
* Bills and/or collects outstanding/delinquent payments or issues payments
* Frequent follow up with payers and/or patients on outstanding accounts
* Escalates delinquent and/or complex claims to Sr.
Billing & Reimbursement Specialists for appropriate action
* Provides financial related support for banking and/or billing related functions to new and/or existing accounts
* Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts
* Works with internal/external customers, banks, vendors, and/or partners to resolve issues
* May create, analyze and respond to standard and/or non-standard reports
* Audits accounts for compliance
QUALIFICATIONS
* High School Diploma or GED
* 2+ years' relevant experience
* PC Skills including Microsoft Outlook, Excel, Word
* Detail oriented and strong organizational skills
* Strong verbal & written communication skills
* Self-starter and team player
* Focus on quality and service
* Demonstrated ability to meet multiple deadlines and manage a heavy workload
* Integrity to handle sensitive or confidential information is critical
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 - 24 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...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:51
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The Operations Lead Analyst works as an integral part in achieving the Individual Family Plans (IFP) and Cigna Small Group (CSG) Premium/financial operations oversight and project support.
Partnership and collaboration with internal and external partners on project support and execution.
Vendor oversight to ensure performance improvements.
Internal and external partners include Cigna Accounting, Finance, Internal Audit, External Audit, IT Project managers, Business Project Managers, IFP and CSG senior leaders.
Core Responsibilities:
* Position requires strong analytical, communication, and organizational skills.
* Manages the daily premium operations activities for IFP and CSG.
* Support and complete all month and quarter end accounting activities.
* Support and complete internal and external Audits.
* Compiles and analyzes financial results for identification of improvement opportunities with recommendations that directly impact the business bottom line.
* Participates and gets involved in the evaluation of business requirements and the development of new procedures/processes/policy solutions to address complex needs in quality premium reporting and revenue capture.
* Collaborates with Government and individual marketplace partners to ensure HHS government policies and procedures of processing government subsidy payments are followed, gaps identified and closed.
* Analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements.
* Provides measurement and cost savings support (development, reporting, validation and improvement) with IFP and CSG vendor partner.
* Negotiates change through matrix partners; serves as a procedural or workflow subject matter expert for matrix partners and management.
* Identify opportunities to build cross functional relationships with other IFP and CSG teams like Accounting, Finance and IT.
* Support ad-hoc requests for IFP and CSG Premium metrics or information in cooperation with our external vendors.
* Supports Operations Manager in identifying, defining, and maintaining cross-functional program and project work.
Minimum Qualifications:
* Developing and managing business intelligence solutions using Alteryx preferred.
* Good analytical and problem-solving skills
* Strong written and verbal communication skills
* Strong organizational and interpersonal skills
* Strong influencing and matrix management skills preferred.
* Self-motivated learner with the ability to learn on the fly.
* Ability to work independently and in conjunction with co-workers of all levels.
* Ability to create and implement contingency plans and solutions for problems that arise.
* Demonstrated ability to drive results required.
* Comfortable with raising questions, issues, ideas or suggestions to co-workers of all levels acr...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:50
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Express Scriptsand AccredoSpecialty Pharmacyarenow part of Cigna.
Together, we have got big plans.
We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes.
And that's only the beginning.
Read on to learn more about working with us.
As an Eligibility Representative, Patient Access, Accredo,you'll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer.
This role is on the front lines with patients anddoctorsoffices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.
Here's a little more on how you'll make a difference:
* Help patients get the medication they need.Use the knowledge you gain from training, your problem-solving skills and support from your teamtoanswer patient calls effectively.
You'll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations.
* Interact directly with healthcare providers.
You'll research issues on benefits coverage with pharmacist and doctors' office and provide guidance to our patients about medication coverage.
* Juggle multiple tasks without sacrificing attention to detail.You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.
What You Should Have:
* High School Diploma / GED required, a bachelor's degree is preferred.
* Customer Service experience
* Health care experience withknowledge ofmedical insuranceand terminology is preferred and will make you successful in this role!
* General PC knowledge includingexperience working withMicrosoft Office
* Excellent communication skills (verbal and written)
What you'll love about working here:
* Fun, friendly, and unique culture - Bring your whole self to work every day!
* Choice of three unique medical plans
* Prescription Drug, Dental, Vision and Life Insurance
* Employee Contributions for HRA and HSA accounts
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Tuition Assistance
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 rega...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:49
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We've got big plans.
How big, you ask? Well, we want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes.
And that's only the beginning.
Read on to learn more about working with us.
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to patients? We're looking for certified pharmacy technicians to join our pharmacy team.
If you've worked in Pharmacy Operations before, this role is different - you'll take your knowledge and expand it beyond your belief.Take a break from a retail environment, enjoy a set schedule, and come enjoy the satisfaction of helping others! Prepare prescriptions on a large scale while working closely with our team of Pharmacists as need.We're pretty sure you'll love this position.
*
*
* 2nd Shift Monday through Friday 2:00 PM - 10:30PM EST
*
*
*
How you'll make a difference:
* Be a superstar in the eyes of your team and the end patient: Select and retrieve appropriate quantities of medication and prepare the labels that correspond.
No need to answer any patient questions as those are answered by another skilled team.
* Use your expert problem solving skills to help our patients be at their best every day: Work with a skilled team in a temperature controlled warehouse environment to ensure patients get the medication they need in a timely manner.
* Create new knowledge with our systems and new relationships with your peers: You'll start with training, but you're not doing it alone.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
Speaking of supportive environments, did you know we offer 8 paid holidays/year and 18 days of PTO , tuition reimbursement, benefits that start on day one, and 401K match? Well, now you do.
What you should have:
* Valid Pharmacy technician license/certification/registration as required by state laws.
* High School Diploma / GED required, a bachelor's degree is preferred.
* Basic math skills and General PC knowledge including Microsoft Office, use of the internet and email is required.
* Excellent verbal and written communication skills.
MORE ABOUT THE TEAM:
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.
In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.
ABOUT EXPRESS SCRIPTS:
At Express Scripts, we dare to imagine a better health care system, and we're driven to mak...
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Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:48
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Role Summary
Develops and implements sales strategies for targeted accounts within a defined broker assignment.
Creates deep relationships within the assignment to promote Cigna and sell new business, but also leverage for intelligence on Cigna competitors, including vendors outside the top four health insurance carriers.
This individual needs to be very knowledgeable of our complete line of product and services, and how they can best solve for an organization's issues and needs, inclusive of C-suite and benefits team.
This is a 'hunter' role and requires a minimum of five years of industry experience.
Responsibilities
* Sell new business within the defined broker assignment.
* Meet or exceed annual business plan as measured by new firms, revenue, membership and profitability objectives.
* Maintain prescribed weekly activity levels including promotion of Cigna products and services, as well as relationship building.
* Manage the sales process for Medical, Dental, Pharmacy, and Behavioral products.
* Review and respond to RFP's, manage internal strategy and present financials and capabilities.
* Oversee implementation of new accounts.
* Manage database of prospects and assigned producers.
* Create annual business strategies on how they will deliver on organizational goals.
* Work within a collaborative team environment.
* Serve as an informal leader and intelligence officer for the broader account team.
* Create new avenues and leads to promote Cigna.
Qualifications
* 3+ years sales experience strongly preferred
* Prior insurance experience in Underwriting, Operations, Product, or proven sales track record
* 1-2+ years' experience in managed care sales
* Highly motivated with excellent organizational skills
* Self-starter with ability to work independently as well as within a team to achieve goals and objectives
* Excellent presentation skills, verbal and written communication skills
* Ability to work strategically with matrix partners to design presale strategies and proposals, as well as problem solve and bring industry intelligence to create new solutions
* Licensed producer
* Acceptable driving record with ability to travel frequently and with 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.
This role is also anticipated to be eligible to participate in an incentive compensation 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, comp...
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Type: Permanent Location: Morristown, US-NJ
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:48
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Summary
This role will be responsible for leading marketing analytics and reporting within Cigna Healthcare's Individual and Family Plan business segment.
The ideal candidate will partner closely with the marketing team, agency partners and other key stakeholders to develop a measurement framework for assessing the impact of marketing efforts as well as delivering actionable insights to prove/disprove hypotheses and optimize marketing performance.
They will deliver insightful data visualizations and employ advanced analytics techniques to drive meaningful impact for the business and across the enterprise.
Primary Responsibilities:
* Collaborate with marketing leaders to identify analytics challenges and develop solutions.
* Partner with internal clients to leverage predictive analytics, reporting and advanced statistical techniques to drive strategic thinking and effective decision making.
* Develop and manage reporting and data visualizations/dashboards across all marketing and distribution channels including call center, online and broker.
* Lead the development of predictive models, segmentation, audience selection, experimentation and statistical analysis to improve the performance of marketing efforts.
* Lead learning agenda development, hypothesis formulation, test design (including A/B and/or multivariate), measurement and optimization of all marketing communications across acquisition, engagement, retention and broker communications.
* Develop overall marketing attribution models for measuring marketing's impact on business growth and sales funnel development.
* Ensure timely delivery of reporting and improve the communication of marketing performance across the enterprise.
* Ensure accuracy and consistency in data, marketing campaign tracking, and reporting.
* Identify gaps in data/processes, perform root cause analysis where needed and partner with key stakeholders on issue resolution.
* Develop and maintain sales and other forecasts as needed.
* Lead effort to automate reporting and analytics workflows and develop best practices.
* Assist Marketing and the IFP business with ad hoc analytics support as needed.
Ideal candidates will offer:
* 5+ years of relevant experience in marketing analytics, business analytics, data analytics and/or digital analytics; preferably focused on health insurance and/or healthcare analytics.
* MBA or Master's degree in Data Analytics, Statistics, Applied Mathematics, Business/Marketing Analytics or closely related field is highly desirable.
* Professional hands-on experience in designing and evaluating marketing campaigns and translating campaign outcomes into actionable insights and business value is a plus.
* Strong understanding of experimental approaches in marketing strategies and A/B and/or multivariate testing.
* A high level of skill with data modelling, data extraction, manipulation, and warehousing tools (S...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:47
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Accredo Specialty Pharmacy Fulfillment Center part of Evernorth Health Services, a division of the Cigna Group, is looking for a fulltime experienced Pharmacy Technician.
We provide competitive pay, stable hours, great benefits and perks! Apply to learn more!
SECOND shift only.
Rotating schedule:
Week 1: Monday - Friday 1:30-10pm /
Week 2: Monday - Thursday 1:30-10pm and Saturday 4am-12pm
We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes.
And that's only the beginning.
Read on to learn more about working with us.
Are you passionate about working for a company on a mission to make medicine safer, more affordable, and accessible for millions of Americans? Express Scripts is looking for high-energy, positive individuals to join our pharmacy technician team.
Members of this team are tasked with ensuring prescriptions are processed and shipped appropriately so they can arrive in the hands of the 100 million patients whose health depends on their delivery.
Join us in our mission to change lives!
ESSENTIAL FUNCTIONS:
• Process requests for new and refill prescriptions
• Select and retrieve appropriate medications
• Verify quantities and prepare labels for bottles
• Send orders to pharmacy staff for completion and verification of prescription-based programs
• Select appropriate packing materials and prepare packages for shipment
• Enclose client specified materials to orders
• Affix shipping labels on packages and sort by carrier
• Clean equipment and replenish workstation supply like pill bottles, caps, safety seals, and paper
• Other duties as assigned
QUALIFICATIONS:
• High School diploma or GED required
• A pharmacy technician license/certification/registration is required based on your state's laws (PTCB certification preferred)
• Basic math skills and general PC knowledge (i.e.
Microsoft Office, Internet, and Email).
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 sta...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:46
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Major Job Responsibilities
* Responsible for leveraging clinical and/or coding experience and perform facility and provider medical record reviews in support the development of a dispute decision as it relates to Payment Integrity Program Claim disputes (i.e.
Claims XTEN, Prepay Vendors, etc.).
* Utilize clinical data and/or coding guidelines, medical information, benefit plan, coverage policies, LCDs and NCDs to support defensible and accurate dispute decisions.
* Initiate referrals and interact with Medical Directors.
* Function independently in a fast paced and continuously evolving department.
* Collaborate with matrixed partners such as Physicians, Operations, Vendors, etc.
* Adheres to production and quality metric goals.
* Support for client facing teams as needed relating to client inquiries related to provider disputes.
* Communicate and partner with Operations teams regarding important issues and trends.
* Manages escalated cases expediently.
* Secures supervisory assistance with problem solving and decision making as needed.
* Utilizes effective communication, courtesy, and professionalism in all interactions, both internally and externally.
* Identify and refer cases for possible fraud to the appropriate matrix partners.
* Participates in special projects as needed.
* Performs additional duties as assigned.
Requirements
* Bachelor's or associate Degree or Nursing Diploma.
* Current RN licensure (unrestricted) in state where reside.
Must maintain active nursing license as required by state and company guidelines.
* Clinical experience in acute setting for 2 or more years.
* Experience with Medicare Advantage clinical reviews for claims, disputes or appeals.
* Experience with Diagnosis Related Grouping (DRG), LCDs and NCDs, Medically Unlikely Edits (MUE), Medical Necessity and Readmissions.
* This position requires at least one year experience in coding knowledge and industry expertise to ensure adherence to proper coding and billing guidelines [i.e.
International Classification of Diseases, Ninth and Tenth Revisions, Clinical Modification and Procedure Coding System (ICD-9 and 10, CM and PCS) American Medical Association Current Procedural Terminology (CPT) Coding system, and Healthcare Common Procedure Coding System (HCPCS) codes].
Preferred Requirements
* Recent Utilization Review or Claims Review experience.
* Knowledge of the Insurance Industry.
* Knowledge of NCQA and URAC Guidelines.
* Certified Coder.
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 62,900 - 104,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:45
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Cigna's Government Pharmacy line of business is a critical driver of enterprise earnings and ongoing Medicare growth.
The Medicare Part D Actuarial organization currently drives a wide range of analytics focused on customer growth, retention, value, product design, and distribution.
This role presents an opportunity to extend and enhance that work to drive insights that span across the Medicare Part D landscape.
As a dedicated analytics partner for the Government Pharmacy team, this person will become a trusted thought leader, responsible for developing analytical outputs and communicating the results to senior business leaders.
In particular, they will develop our Government Pharmacy data infrastructure, advance a more granular understanding of customer economics across enterprise value levers, develop more sophisticated modeling to forecast customer retention, lifetime value and purchasing behavior.
The right candidate will have a deep analytics background, strong technical skills, financial acumen, familiarity with Medicare Part D and experience collaborating with business leadership.
The person in this role will be comfortable working in a fast-paced, changing environment, managing through ambiguity, and translating between strategic objectives and analytical insights.
Responsibilities:
* Create tables within our Teradata and SAS environment that consolidates historical Government Pharmacy data
* Consult and collaborate with business leadership, product, finance, actuarial, sales, and marketing teams to identify business challenges and opportunities that can be addressed through consumer insights and analytical tools
* Support strategic decision-making (e.g.
new product development, distribution strategy, customer retention investments, cross-business initiatives, etc.) with data-driven insights
* Develop and produce standardized reporting packages/tools, with a particular focus on customer sales, retention, and cohort economics
* Develop subject-matter expertise in Government Pharmacy data sources and provide perspective on next-gen data infrastructure needed
* Support insights and analytics collaboration opportunities across the Medicare segment, including Medicare Advantage and Medicare Supplement lines of business
* Perform other ad-hoc analyses as needed
Qualifications:
* Bachelor's Degree preferred, ideally in a quantitative field (e.g.
mathematics, statistics, data science, business, MIS, actuarial science, finance, etc.)
* ASA designation preferred but not required
* Prior pharmacy analytics or actuarial experience preferred, experience with Medicare Part D preferred
* Strong database and querying skills (e.g.
SQL, Teradata, SAS etc.)
* Proven track record of extracting meaningful insights from large and complex data sets
* Strong financial acumen, including demonstrated ability to translate between financial modeling and business insights
* Demonstrated expe...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-09-28 08:45:44
