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Production Clerk
Work Hours: 2nd shift 2:30pm - 11pm est.
Location: On-site
Are you ready for a new job that allows you to make an impact and improve the lives of others? Express Scripts by Evernorth Health Services, a division of The Cigna Group, is hiring production clerks like you to stock, pick, and pack pharmacy prescriptions.
Using a high level of attention to detail, as well as your organization, time management, and problem-solving skills, you'll help ensure the accuracy of each prescription order for each patient we serve.
Express Scripts by Evernorth is committed to making pharmacy simpler and better - from our industry-leading supply chain team to our specialized clinical experts, we're focused on making sure patients get and can stay on the medications they need at prices they can afford.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on patient's lives.
This Pharmacy Production Clerk job is located at our on-site office in Fairfield, OH.
How you'll improve the lives of others:
* Dispense and pack prescriptions in preparation for shipment
* Process prescriptions
* Follow-up with patient issues
* Data entry and reference database as needed
Requirements:
* Basic math skills.
* General computer skills.
* General computer program knowledge including Microsoft Office and use of the internet and email.
* Flexibility to adapt to a dynamic work environment; willingness to work a flexible schedule when needed.
* Effective communication skills both written and verbal.
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
Apply now to embark on a rewarding career journey with us!
Address: 4865 Dixie Hwy, Fairfield, OH 45014
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 fami...
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Type: Permanent Location: Fairfield, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:35
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The Cigna Group is seeking an experienced communications professional to join the Evernorth Health Services Communications Team supporting Pharmacy and Care Delivery as a Communications Senior Advisor.
In this role, you will lead and execute the communications strategy for critical programs and leaders across Evernorth Health Services.
Success comes from taking a collaborative, proactive, enterprise approach that drives impact and promotes key business and reputational efforts.
Responsibilities:
* Create and execute internal and external communications strategies to drive key business efforts for our Pharmacy and Care Delivery businesses including but not limited to Accredo, CuraScript SD, and Express Scripts Pharmacy.
* Develop internal and external communications plan(s) and materials aligned to business priorities; supporting product launches, client communications, press releases, social media, newsroom story development, agency management, etc., as well as content and measurement to support these plans.
* Provide counsel and advice - and take lead on the development of work product (e.g., communications materials) - on significant business communications matters, often requiring cross-organization coordination and collaboration across a highly matrixed environment.
* Drive communications efforts for key executives, including internal communications support (e.g., Town Halls, org announcements), social media support (i.e., LinkedIn) and event support (e.g., speechwriting/presentation development, external event coordination, etc.).
* Support issues management work across business as needed.
Qualifications:
* At least 10 years of communications experience.
* Bachelor's or Master's degree in communications, journalism, creative writing, marketing or similar field preferred.
* Health care experience required, experience in benefits management, pharmacy, provider and/or care delivery a plus.
* Proactive mindset; curiosity; passion for learning.
* Strong project and stakeholder management skills.
* Excellent writing skills and ability to flex to a range of executive styles.
* Experience in corporate storytelling, media relations, social media, internal communications, issues and crisis management.
* Experience in public affairs communications a plus.
* Adept at planning, managing, and prioritizing work to meet tight deadlines.
* Strong collaboration and interpersonal skills, highly motivated, creative self-starter who is eager to take on projects, learn new concepts, and dive into new territories.
* Results-oriented, with a proven track record of executing strategic communications programming, preferably in a large matrixed organization.
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 th...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:34
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Accredo Tennessee is looking for a Nationally Certified Pharmacy Technician to "Work at Home".
If you are NOT a Nationally Certified Pharmacy Technician , with a NHA and/or PTCB and do not have a Tennessee Pharmacy Technician license , unfortunately you will NOT be considered.
This is noted under the requirements.
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.
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 20 days PTO +6 holidays off/year, 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.
* National Pharmacy Certification under the PTCB and/or NHA
* 1 to 2 years of relevant experience as a Pharmacy Technician
* 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
ABOUT EXPRESS SCRIPTS
At Express Scripts, we dare to imagine a better health care system, and we're driven to make it happen.
Where some see obstacles, we see possibilities.
We're challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.
We have always acted first to take on the toughest challenges.
We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes - like no one else can.
We believe health care can do more.
We ar...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:33
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Overview
A career within Forsyth Health's Product team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and market insights.
At Forsyth Health, we focus on a collection of data management, business intelligence and advanced analytics capabilities to support various functions within these organizations to meet their business needs around market access and patient support programs.
How you'll make a difference
The Business Analytics Senior Advisor role is a key role to the enterprise and will be supporting a highly complex and growing area within the health care data and product development space.
As a strong individual contributor, the role will collaborate on analytic and product development efforts and help design Forsyth's data products to enable research within the commercial Pharma Analytics space.
Responsibilities include mining unstructured data, development of healthcare domain-specific ontologies, development of use cases, data curation models and algorithms that help bring "research-ready" datasets to market.
This role will work closely with the internal Technology, Analytics, and Client Services teams to support and showcase Forsyth data capabilities with both existing and potential clients.
Role Summary
The Business Analytics Senior Advisor, RWD Product Development position is an opportunity for a data and analytics professional to meaningfully impact the design and development of the Forsyth Enterprise Data Model.
The job responsibilities include, but are not limited to the following:
* Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) using SQL to gain a deep understanding of patient / clinical activity from Forsyth data and investigate gaps and anomalies both within and longitudinally across patient records.
* Influence the data model to enable expedient and meaningful observational research.
* Work with Analytics team to develop algorithms for derived variables and metrics for inclusion in data product.
* Compile detailed requirements for data model development and work with Data team to implement and test the resulting data sets.
* Develop vocabularies and ontologies towards standardizing data - for granular structured data and for unstructured / free-text data with an eye on automation and scale.
* Collaborate with Data team to create detailed documentation for data product, including ERD's and best practices for onboarding and maintenance of licensed data.
* Assist in providing RWD training, analytic guidance, and use case development and support for clients.
* Continually assess new data sources and work with internal teams to map and incorporate new data into existing model or to expand the model accordingly.
* Project management and prioritization - Advisor role willsupportmultiple projects per Product roadmap and will work with Client Solutions, Data and Analytics teams to manage multi...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:33
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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 handles each inquiry with care, detail, and most importantly, empathy.
Here's a little more on how you'll make a difference:
Responsibilities
* Help patients get the medication they need.Use the knowledge you gain from training, your problem-solving skills and support from your teamto coordinate and ensure services are covered under insurance coverage.
* Interact directly with plan providers.
You'll research and solve issues on benefits coverage with pharmacist and doctors' offices.
* 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.
Qualifications
* Previous 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)
Requirements
* High School Diploma / GED required, a bachelor's degree is preferred.
* Must have reliable internet connectivity through a wired internet connection.
(Hot spots or mobile internet are not allowed)
* Must have a private dedicated workspace that is free of distractions.
* Availability to attend 100% of training within the first 90 days of employment.
Why you'll love working here
* Fun, friendly, and unique culture - Bring your whole self to work every day!
* Choice of 3 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 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...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:31
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*
*MUST Reside in MA!
Certified Pharmacy Technician preferred
Customer Service Representative - Work from Home MA- Freedom Fertility
Ready for a job encouraging you to use your communication and problem-solving skills? If
so, prepare to use those skills to help your patients' dreams of having a family come true!
As a Customer Service Representative at Freedom Fertility, you'll use your empathy and
listening skills to handle inbound and outbound calls from patients and learn more about their medical history and challenges with fertility.
This is not your average customer service job - you'll work for a company that truly cares about people while helping our patients achieve happiness.
Here's a little more on how you'll make a difference:
* Handle 25-30 calls (IB & OB)
* Ensure process efficiency - Work with patients and physicians to coordinate fertility
* plans and medications.
Own the patient experience by resolving customer issues and ensuring 100% follow-up to customers.
* Pay attention to detail - Accurately obtain and enter patient information, including
* shipping, insurance, and payment information.
Why join us?
* Health coverage effective day 1 (including medical, dental, and 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 need to do the job:
* An empathetic and fun-loving personality with a few good jokes on the ready
* High School Diploma or GED required
* Excellent customer service, organization, and time management skills
* PC skills including knowledge of Microsoft Office Suite and Internet
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 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the predic...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:31
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Pick Packer
Location: Work on site
Hours: Mon-Fri 11:30-8:00 pm est
Pick Packer is responsible for pulling, packing, and shipping of pharmaceuticals (both refrigerated and non-refrigerated) and medical supplies.
Uses various warehouse equipment, RF units, computer system AS400, manifest machines, and cherry pickers.
Performs other warehouse functions including but not limited to: stocking pack stations with packing supplies.
How you'll improve the lives of others:
* Pulls order accurately, according to RF unit and order ticket.
* Verifies orders before sending to pack station.
* Manifest cartons using carrier manifest stations and verifying the carton label to the pick-ticket.
* Stack and shrink wrap cartons to specific skids by carrier ship level.
* Packs orders according to order ticket paying attention to items needing extra dunnage, ice, and special instructions.
* Use warehouse equipment, RF units, manifest machines, cherry picker and computer system.
* General housekeeping of warehouse and pack stations.
* Restocking pack stations with shipping supplies (boxes, bubble wrap, paper, air pillows, etc.) return totes and carts to proper areas.
* Ability to speak English is required for this position due to the need to communicate safety rules on the shop floor
Requirements:
* Minimum six months in a distribution center environment preferred
* Basic computer skills required
* Ability to read, write and type English required
* Attention to detail to ensure accuracy required
* Ability to lift 50 lbs required
* Prior experience using handheld RF units preferred
* Prior experience using material handling equipment (forklifts, etc) preferred
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
* Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
Apply now to embark on a rewarding career journey with us!
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, disabilit...
....Read more...
Type: Permanent Location: Newark, US-DE
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:29
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Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We're looking for a Medical Assistant to join our fast-paced, customer-focused primary care/adult medicine departments for Evernorth Care Group across the Phoenix Valley.
If you've always wanted to work in the outpatient healthcare setting and enjoy a friendly work environment, we're sure you'll love this position.
Work hours: Typically, Monday-Friday 630-8 a.m.- 330-5 p.m.
Responsibilities:
* Ensure day-to-day operations run smoothly in the clinic, use your organizational skills to help manage the health care needs of our varied patent populations.
* Room patients and complete vital signs, enter data in patient charts, assist with in-office procedures, review medications and outreach to patients and providers for the purpose of continuing care.
* Accurately follow all policies and procedures, practice in alignment with the scope of your certification.
* Provide excellent and friendly customer service through all avenues of communication.
* Document your efforts of all the care and information provided to our patients.
* Return patient calls, complete referrals, chart prep and forms management.
* Help answer questions, concerns, and requests, either in person, through our electronic health record system EPIC and patient portal, or by phone.
* Partner with the clinicians, your peers and the patients to meet the needs of the practice.
* Appropriately manage ambiguity, recognize appropriate ways to deal with conflict management.
* Cross train in the Front Office
* All other duties as assigned.
Minimum qualifications Required:
* Graduate of an approved Medical Assistant program or
* Graduate of an unapproved program with successful completion of state certification examination or
* Graduate of a US Armed Forces medical services program.
* Previous experience working in a healthcare environment
* BCLS certification
Preferred qualifications:
* 1+ year experience in the outpatient setting
* Bilingual (English/Spanish) skills
* Front office experience.
* Experience working with Microsoft Office and comfortable with data entry into our electronic health record system EPIC
* Excellent customer skills, and care deeply about providing empathetic, quality care to customers
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 ...
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Type: Permanent Location: Surprise, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:29
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Health Coach Supervisor (2 openings)
The Health Coach Supervisor is an integral member of the Evernorth Workplace Care management team.
Supervisor will be involved in the hiring, evaluation, and management of onsite coach team members.
They will report directly to the Coach Manager.
The individual must have the ability to function in an autonomous manner, but also collaborate with team and Manager to ensure optimal coaching services in responsible manner.
Operations Management:
Responsibilities include working with, communicating, directing, planning, organizing, financial/operational monitoring, and integrating operations in order to facilitate the delivery of cost effective, high quality coaching services in an ever-changing environment.
Actively drives and achieves results with accountable matrix partners.
Oversees the day-to-day operations activities for coaching programs under EWC Coach Manager.
Provides ongoing support and leadership direction to resolve problems and issues as they arise, utilizing independent judgment and discretion.
Collaborates with all levels of staff in a variety of departments; providers, customers, training teams, reporting teams, quality managers, recruiters, and matrix partners.
Quality:
Ensures quality of coaching program of EWC Onsite Coaching by collectively forming a Quality Taskforce, responsible for evaluating coaching documentation providing an in-house quality solution.
This will be an updated process to utilize NCQA standards, CVT reviews, and Deskside feedback.
This process includes new employees, as well as seasoned staff at varying levels of performance.
Coaching:
The Coach Supervisor will continue to fulfill client duties by providing customer and client support.
This includes identifying customer health education needs through targeted health assessment activities.
Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
Empower customers to become an active participant in their own health outcomes.
Assist Customer in overcoming barriers to better health.
Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
Collaborate with our matrix partners to support the overall health and wellness strategy the aligned client.
Responsible for providing operational leadership, ensuring business discipline is a component of the decision making process necessary for the successful operation of EWC Onsite Coaching.
The individual will work directly...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:28
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Individual & Family Plans (IFP) is a fast-paced Cigna Healthcare business unit serving the Affordable Care Act (ACA) market.
In this role within Evernorth, you will join the IFP Analytics team responsible for supporting clinical initiatives and population health programs to drive improved health outcomes for our customers.
You will be engaged in a collaborative, cross-functional group spanning a variety of functional areas (e.g.
clinical operations, product, population health, finance, and actuarial) to design strategic programs and deliver personalized insights and recommendations for customer engagement.
There's no shortage of deep dives and insights to be uncovered, and in this role, you'll have the agency to drive real, measurable change within the healthcare ecosystem.
If you're continually curious, eager to try new things, and passionate about making a difference for your peers, the organization, and the people Cigna Healthcare has the privilege to serve, then this role is for you! Data is at the backbone of everything that this team does, and you will be viewed as a data and analytics expert.
Therefore, you have experience working with large databases and combining different healthcare data domains together using SQL and or Python.
Responsibilities
* Own the reporting and evaluation of clinical programs including matched case-control studies and/or other statistical analyses for determining their effectiveness
* Conduct analyses to identify customer clinical needs and opportunities for intervention (care gaps, unmanaged chronic conditions, medication adherence, etc.)
* Partner with others to design and evaluate strategic initiatives across the segment to improve clinical engagement and outcomes and potentially address social determinants of health disparities
* Manage a wide variety of ad hoc analyses, while prioritizing multiple stakeholder needs
* Develop clear and thoughtful materials to communicate results/recommendations to varying levels of individuals and teams within the organization
Qualifications
* Bachelor's Degree or higher in a quantitative field (e.g.
mathematics, statistics, data science, business, MIS, actuarial science, finance, etc.)
* Preferred MS/MPH in public health, statistics, economics, or related fields; or ASA/FSA
* 3-5 years of work experience in health insurance analytics
* Strong familiarity with medical and pharmacy claims data (ICD10, DRG, APC, HCPCS, CPT considered a plus)
* Experience with evaluation methodologies such as matched case control or randomized trials
* Strong database manipulation and SQL/Python coding (or comparable programming experience) skills
* Ability to work with business partners in consultative manner
* Strong communication skills (e.g.
experience translating complex analyses into easy-to-follow slides/materials)
* Ability to independently prioritize and manage multiple responsibilities
If you will be working ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:27
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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.
Reporting to the Customer Operations Enablement Senior Director, the Pharmacy Benefit Management (PBM) Operations Enablement (OE) Senior Manager will own the development and execution of all operational enablement functions to support the needs of the PBM Operations including instructional design, training delivery, knowledge management, and operational performance improvement.
This role demands a technology-forward and innovative leader who can leverage modern tools and methodologies to transform the enablement environment.
This leader will work closely with leadership to align business strategies with operational goals, manage the execution of strategic initiatives, and oversee day to day enablement operations for the PBM ensuring the organization operates efficiently and effectively to meet monthly performance metrics.
Problems faced are often complex and will require the ability to influence others, including senior leaders, through effective communication and decision making.
Key responsibilities:
* Aligns the vision and strategy of the PBM Operations Enablement team to key business priorities and initiatives, considering the strategy & vision of the broader Customer Operations Enablement organization.
* Serves as a trusted partner to our PBM Operations internal stakeholders in understanding the business needs and translating that into an effective support model.
* Ensures the PBM Operations Enablement team is deployed to the highest value creation opportunities, maximizing cost savings and realized efficiencies to contribute and support future growth opportunities in support of the enterprise strategy.
* Acts as a strategist for future instructional design, knowledge, and training delivery needs to support the evolution of our business and workforce.
* Drives efficiency through the implementation of enhanced technology and leverages data insights to drive decisions.
* Owns identification and execution of process improvement initiatives within the operations necessary to continuously drive our operational readiness and learning strategies.
Drives strategic deliverables for initiatives/projects to support strategic roadmaps, objectives and opportunity analysis.
* Establishes and leverages global service partner relationships to deliver on the broader Customer Operations Enablement strategy.
* Collaborates with cross functional matrix partners, operations, and human resources teams to ensure planning, execution, adoption, and reporting strategies for related areas of responsibility
* Ensures effective communication with key stakeholders and internal management
* Effectively manages teams through instilling a healthy culture and driving results
* Fosters a connection and a sense of personal purpose to our Operati...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:27
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Position scope:
Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna.
Summary description of position: A Medical Principal performs medical review and case management activities.
The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers.
He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims).
This is an entry to mid-level position for a physician interested in a career in health care administration.
Major responsibilities and required results:
* Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles.
* Works to achieve quality outcomes for customers/members with a focus on service and cost
* Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills.
* Balances customer/member needs with business needs while serving as a customer/member advocate at all times.
* Participates in all levels of the Appeal process as appropriate and allowed by applicable regulatory agencies and accreditation organizations
* Participates in coverage guideline development, development and maintenance of medical management projects, initiatives and committees.
* Participates in quality processes such as audits, inter-rater reliability clinical reviews, and quality projects
* Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes.
* Improves health care professional relations through direct communication, knowledge of appropriate evidence-based clinical information and the fostering of positive collegial relationships.
* Demonstrates knowledge as a peer reviewer by applying current evidence-based guidelines, including novel treatments, to support high-quality clinical decision-making across medical and behavioral health conditions, diseases, treatments, and procedures.
Medical directors are required to maintain and update their knowledge base through monthly focused updates of Cigna's comprehensive evidence-based coverage policies, as well as through mandatory inter-rater reliability testing, continuing medical education, and maintenance of board certification.
* Addresses customer service issues with mentoring and support from leadership staff.
* Investigates and responds to client and/or regulatory questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff.
* Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:26
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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.
Reporting to the Operations Readiness Senior Manager, the Operations Readiness Senior Advisor role is a critical, strategic and forward-thinking role that will be responsible for execution and coordination of key change, process, and people readiness for critical initiatives across CX&OE, driving and executing upon critical initiatives and projects across CX&OE.
Reporting to the Senior Manager, this role will also assist with program inventory and tracking, creatively finding ways to story tell through the data, and ensuring coordination across the Operations Readiness team.
The Senior Advisor will work with OE and Operations leads to drive program delivery using standard engagement and implementation processes, ensuring timely and efficient execution, as well as identifying and mitigating risks and dependencies and maintaining the data to ensure adequate forward visibility into potential impacts and change saturation for customers and advocates.
This individual will be expected to partner closely with Product, Tech, Ops and OE leads to ensure alignment, maintain visibility and contribute to the overall Ops Readiness efforts.
Key Responsibilities
* Support Ops Readiness efforts for business as usual and portfolio funded projects by ensuring coordination and tracking
* Serves as a trusted partner to our internal stakeholders in understanding business needs and driving innovative solutions
* Helps manage project/program inventory tracking across the Ops Readiness team
* Collaborates with OE and Operations leads to facilitate program delivery, leveraging standard engagement and implementation processes.
* Ensure timely and efficient delivery of projects.
* Serves as a champion for change by driving innovated solutions to enhance adoption for new initiatives.
* Ensure operations leaders have visibility into the initiative pipeline and runway for upcoming impacts to their teams, ensuring risks, dependencies and timeline adjustments are mitigated.
* Partner with Product, Technology, Ops and OE to ensure alignment and execution of initiatives and workflows.
* Assist in identifying process improvements, barriers and opportunities to optimize workflows and enhance efficiency.
* Contribute to cross-functional collaboration, fostering strong relationships across Ops Readiness teams.
Qualifications and Competencies
* High School Diploma or G.E.D required
* Bachelor's degree, post graduate degree or professional certifications preferred
* 6+ years of experience in Operations Enablement, Operations Readiness, or a similar field required
* 3+ years of experience in Project Management required; Change Management experience preferred
* Demonstrated ability to think strategically and facilitate discussions acros...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:25
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The job profile for this position is Software Engineering Adivsor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities-
* Provide expert content on complex software engineering assignments and projects.
* Design and develop a consolidated, conformed enterprise data warehouse and data lake that stores critical data.
* Design, develop, and implement methods, processes, tools, and analyses to sift through large amounts of data stored in a data warehouse or data mart to find relationships and patterns.
* Participate in the delivery of the definitive enterprise information environment that enables strategic decision-making capabilities across enterprise via analytics and reporting.
* Assist onboarding of new team members, provide knowledge transfer to the application, as well as guidance to any technical / process questions.
Hybrid work schedule.
Qualifications-
Master's or foreign equivalent degree in computers or engineering plus three years of experience as a software developer or a bachelor's or foreign equivalent degree in computers or engineering plus five years of experience as a software developer.
Must have experience with: performing operations with GIT such as code merging, resolving conflicts, pull, push, stash, and creating a pull request; implementing RESTful APIs using Spring framework, Maven, Hibernate, and Oracle DB; using log4j for logging information and for testing; developing Junit test cases to test APIs; using POSTMAN to test APIs; working with front-end developers on integrating API's; using Jenkins for CI/CD and Pivotal Cloud Platform for deploying applications; configuring Jenkins pipeline for auto deployments; perform code reviews and fixes necessary to address defects observed in the QA environment; verifying expected system behavior after deployment; production support for ongoing issues; performing release support during elevation windows; integrating tools such as checkmarx to resolve all checks; Behavior Driven Development to build out required software test scripts to meet standards and improve the maintainability of robust, performant software.
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...
....Read more...
Type: Permanent Location: Fairfield, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:24
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Location: Warrendale, PA
Work site: On-site
Hours: Varied Mon-Thur 4 X10 hr shift and Mon-Fri 8 hour shift
Sign-on Bonus
Are you ready for a new job that allows you to make an impact and improve the lives of others? Accredo is the specialty pharmacy for Evernorth Health Services, a division of The Cigna Group, and we're hiring caring production clerks like you to stock, pick, and pack pharmacy prescriptions.
Using a high level of attention to detail, as well as your organization, time management, and problem-solving skills, you'll help ensure the accuracy of each prescription order for each patient we serve.
We're also offering a sign-on bonus for this job!
For more than 30 years, Accredo by Evernorth® has delivered dedicated, first-class care and services for patients.
We partner closely with prescribers, payers, and specialty manufacturers.
Bring your drive and passion for purpose.
You'll get the opportunity to make a lasting impact on patient lives.
This Pharmacy Production Clerk job offers 3-week rotating shifts Monday - Friday at our on-site office in Warrendale, PA.
Mid-Shifts are from 11:30 am to 8:30 pm and 9:00 am to 8:00 pm.
How you'll improve the lives of others:
* Dispense and pack prescriptions in preparation for shipment
* Copy, fax, and process prescriptions
* Follow-up with patient issues
* Data entry and reference database as needed
Requirements:
* Basic math skills
* General computer skills
* General computer program knowledge including Microsoft Office and use of the internet and email
* Flexibility to adapt to a dynamic work environment; willingness to work a flexible schedule when needed
* Able to lift 40 pounds
* Effective communication skills both written and verbal
* HS diploma or equivalent required.
Why Choose Us?
* Comprehensive Health Coverage from Day One (including medical, dental, vision).
* Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
* Robust 401K Plan with Company Match.
* Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment.
Apply now to embark on a rewarding career journey with us!
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 applican...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:23
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Job Description
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 :
The experienced MA provides front and back office assistance to the providers in the preparation for, e xamination and treatment of patients, and is a critical partner in our Health Centers.
* Greet and check in patients at the health care centers by verifying coverage and eligibility and completing appropriate paperwork.
* O btains the patient history, takes vital signs, and assists with coordination of care.
* Administers medications
* Prepares examination room
* Cleans and sterilizes instrument per protocol
* Answer telephone in compliance with departmental procedures.
Ascertain nature of call and route appropriately.
If necessary, take accurate and legible messages.
* Schedule appointments and verify membership according to various benefit coverage
* Reviews preprinted instruction sheets with patients
* Attends department Staff Meetings and In-service programs
* Cross-trains to new procedures and departments.
* Assists in orienting new employees and temporary pool staff to job responsibilities.
What we expect from you :
* Preferred graduate of Registered Medical Assistant Program
* Current BCLS required
* At least 1 or more years of front and back office experience
* Solid Computer skills including Electronic Health Records
* Excellent customer service skills required
* Team oriented
* Strong time management skills
* Responsible and reliable
* Ability to work clinic hours
Bonus points for :
* CMA or RMA Certification
* Customer-centric Focus
* Dynamic personality
This is a Monday - Friday position, based in the health center in Austin TX.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, ag...
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Type: Permanent Location: Austin, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:22
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The job profile for this position is Agile Product Management Senior Advisors, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities-
* Own the product development lifecycle of assigned product or capability areas, including status reports.
* Translate complex business objectives into effective communication strategies and agile implementations.
* Work collaboratively with cross-functional partners to deliver the business requirements intake(s), prioritization, design solutions, and delivery while maintaining the healthy backlog of work assignments.
Partial virtual/work from home benefit available.
Qualifications-
Requires a Master's degree in Business Analytics, Healthcare Analytics, or a related field, as well as 3 years of Healthcare-related analytics and project management experience (or Bachelor's degree in Business Analytics, Healthcare Analytics, or a related field and 5 years of Healthcare-related analytics and project management experience).
Must have experience with: hands on experience as Test Lead, collaborating with developers, product specialists, Business Analysts, Project Managers, testers, and business stakeholders; cloud technologies; functional and non-functional test methodologies; performance testing; Test Management Tools; Defect Management Tools; Event Systems; and CICD.
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 tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be conside...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:22
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Position Scope Hours for the Position: Must be able to work an 8-hour-shift between the business hours of 9a-9p EST.
Flexibility is required to meet business needs.
Must be open to work evenings.
Nurse 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 setting as an RN required.
* Must be flexible to work days...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:21
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This role will be work at home and will support our national dental networks and Client Management teams.
* Provides advanced professional input to complex Provider Network Strategy assignments/projects for existing and prospective clients.
* Analyzes and reviews reporting and projects impact of network recruitment and retention strategies.
* Develops and monitors dental and vision network performance guarantees.
Coordinates with Provider Contracting, Provider Relations and Provider Service areas to drive execution on performance guarantees (PG).
Monitor and track progress of PGs, including report outs to account and sales teams.
* Prepares responses for Network RFP questions.Prepare materials and make presentations to existing and prospective clients and or market sales teams.
* Responds to the complex service issues and inquiries, identifying resources for resolution of client network issues.
Handle non-routine problems ensuring client satisfaction with products and service.
* Support provider recruitment or retention nationally via field work as needed.
* Support and provide 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.
Responsibilities:
* Manage a territory acting as a liaison between account management teams and provider network teams.
* Ability to gather critical information, swiftly assess type of inquiry and the level of complexity and determine to process or direct the work to the appropriate teams for resolution for escalated issues.
* Interact professionally with clear, effective communication and set the appropriate expectations on timeline of deliverables.
Provide updates to clients, matrix partners, and/or contracted providers on status and resolution.
* Leverage internal resources and use independent judgement and discretion to resolve complex client inquiries and solve non-routine problems, which ensure client satisfaction with products and services.
* Develop and maintain effective business partnerships to ensure service issues are managed proactively; communicated clearly, accurately, and effectively with all business partners.
* Coordinate with internal business partners to ensure provider and member needs are met and potential problems are averted.
* Effectively drive teams for improved provider experience, both for contracted and prospective dentists.
* Support teams to meet overall dental earnings targets.
Qualifications:
* 5+ years of experience with dental DHMO and PPO provider facing roles required.
Working knowledge of dental insurance products.
* 5+ years of experience in provider/client/customer service insurance environment strongly preferred
* Self-motivated individual with the ability to multi-task, manage and res...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:20
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This is a PRN role as a staff pharmacist in our backend fulfillment center.
This role is worksite dependent and is located onsite at our Elmsford, NY location.
Hours will vary based on coverage needed for leave of absences and PTO coverage.
Hours of operation may include evenings and weekends as needed.
Coverage will fall within the hours of operation, mostly mid-week hours: Monday -Friday 8:30 am - 5 pm Eastern Time.
POSITION SUMMARY
The Staff Pharmacist, Per Diem interprets physicians' prescriptions, contacts doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of order.
This position is responsible for compounding and dispensing medications within corporate and regulatory guidelines.
The Staff Pharmacist will track order status and outstanding issues as well as consult with patients regarding the use of medications and potential drug interactions.
This individual may take calls from customers regarding lost orders or dispensing errors, maintain daily production, quality and service levels, vary work priorities and activities to accommodate business needs.
The Staff Pharmacist may also train less experienced pharmacists.
ESSENTIAL FUNCTIONS
o Provide oversight and quality assurance to pharmacy technicians.
o Interpret physicians' or prescribers' prescriptions.
o Contact doctors and/or patients to verify information on prescriptions such as drug strength, prescription sig., and drug name in order to expedite processing of orders.
o Verify and confirm validity of controlled substances.
o Verify prescription information entered in the system by data entry or order entry.
o Contact physicians for new and/or transfer authorization.
o Work with physicians to convert prescriptions to generic or preferred drugs whenever possible.
o Consult with patients regarding the use of medications and potential drug interactions.
o Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
oOn Call Responsibilities
QUALIFICATIONS
o Current resident pharmacist license in good standing
o5+ years of experience
o Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues.
o Good oral and written communication skills.
o Ability to read and interpret prescriptions.
o Strong focus on customer service, quality and accuracy.
o Ability to manage timelines and meet tight client deadlines.
o Ability to adapt in a changing environment.
o Ability to work a flexible schedule for peak volume times.
ABOUT ACCREDO
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 ...
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Type: Permanent Location: Elmsford, US-NY
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:20
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This role is worksite dependent at an Express Scripts site.
Ideal candidate will reside near Fairfield, OH.
Shift for this role is an 8-hour day shift Monday through Friday 6 am - 2:30 pm.
As a Pharmacy Staff Pharmacist Operations Manager, you will oversee a team of pharmacists and technicians in the pharmacy at Express Scripts.
What you'll do:
* Provide leadership to the pharmacists and technicians.
* Engage as needed with Account Management, Service Delivery, Corporate Finance or other cross functional teams to ensure client satisfaction and shipment of orders
* Address staff concerns and day to day operational, system, customer service, quality, and professional issues
* Set clear performance expectations with staff, including adherence to all company guidelines, policies, and procedures
* Represents the pharmacy in cross-functional meetings and projects.
Prepare for, implement and communicate new corporate initiatives and processes within the pharmacy.
* May facilitate tours for client visits.
What you'll need:
* RPh.
or Pharm D preferred, degree in management or finance or equivalent is an asset
* Current resident pharmacist license in good standing
* Four to six years of experience supervising in a pharmacy
* An advanced understanding of home delivery pharmacy, pharmacy regulations, insurance benefits, and internal processes in order to successfully fulfill expectations of Payers, Pharma, Physicians and Patients is preferred
* Strong computer skills including Outlook and MS office, especially Excel and PowerPoint
* Demonstrated leadership skills including ability to effectively develop, assist, train and coach
* Excellent oral and written communication skills
* Ability to adapt in a dynamic work environment and make independent decisions
* Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions
Through our range of health care products and services offered, Express Scripts team members provide in-depth care for Home Delivery patients with chronic health conditions.
By performing in these roles, employees have a daily opportunity to make a positive impact on their patients' lives.
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 pre...
....Read more...
Type: Permanent Location: Fairfield, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:18
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Experienced privacy attorney will support the Office of Privacy and Innovation Governance, reporting to the Chief Privacy Counsel.
This role will counsel on matters related to privacy, cybersecurity, data use, and technology matters, and partner closely with IT, Cigna Information Protection, Procurement, Data & Analytics, Sales, Account Management, and Internal Audit.
This role requires expertise in HIPAA, state and federal privacy laws, data use regulations, and breach notification laws; seasoned judgment; diplomacy; exceptional communication skills; and a demonstrated ability to proactively identify and resolve issues.
Key Responsibilities :
* Provide legal advice and leadership for data loss incident preparation and incident response.
* Provide counsel related to advanced and cutting-edge data use and acquisition, as well as data mapping, classification, and related data management and governance.
* Manage complex legal issues and risk related to data analytics, AI, de-identification, and use of nascent and emergent technologies.
* Support the privacy, security, and data protection aspects of relationships and contracts with technology companies, "switch" vendors, HIEs, EMRs, app developers, and data aggregators.
* Interpret and apply privacy and data protection law and contractual requirements to a wide variety of business initiatives, such as (i) the development of clinical programs for patients and plan members; (ii) communications to providers and patients; (iii) policy development; (iv) collaboration and data exchange between affiliated and outside entities; and (v) digital initiatives such as website, email, text, social media, mobile apps, etc.
* Negotiate privacy and data use provisions, consistent with the company's strategy and goals.
* Collaborate with other attorneys in the Legal Department as a subject matter expert.
* Stay abreast of, and communicate clearly and succinctly to non-lawyers, changes to or developments in privacy and data protection laws and regulations and their impact on business operations.
* Apply sound business judgment to the provision of legal advice and continuously look for opportunities to improve service.
Qualifications:
* Juris Doctor required.
* 6-8 years healthcare regulatory compliance experience, in-house privacy experience at a large, matrixed healthcare company preferred.
* Deep understanding of HIPAA, state and federal privacy laws, data use regulations, and breach notification requirements.
* Extensive experience assessing and mitigating legal risks associated with privacy and data governance, cybersecurity, data and digital transactions, and consumer experience.
* Demonstrated ability to work collaboratively with cross-functional teams and provide clear, concise, and actionable legal guidance.
* Strong contract negotiation skills.
* Highly collaborative individual with the ability to influence others and build st...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:16
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Role Summary:
Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose.
As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of data critical to ECHO operations, programs, and strategies.
Ideal candidates should have strong background on health care payer Clinical operations / programs and related clinical data standards with drive towards business enablement and quality improvement.
Responsibilities:
* Implements data ownership / data stewardship practices and serves as the primary business contact for data-related decisions and accountability to ensure appropriate data use, access, standards, quality, controls, and metadata / knowledge management for Clinical data and data assets.
* Leads Data Governance initiatives and collaborations with Clinical business and IT operational stakeholders to:
+ Set data governance priorities based on business operational needs and regulatory / market demands
+ Work closely with business and technology partners to implement data governance priorities / requirements
+ Continuously improves and enhances data governance best practices for the organization
* Implements Operational Data Governance, controls, and risk management as 1st Line of Defense
* Partners closely with Enterprise Data Governance and Data Stewards to align / implement enterprise data standards and data governance best practices and support 2nd Line of Defense data governance oversight, standards, and monitoring at the enterprise level as well as 3rd Line of Defense activities with Internal and External Audit parties as required.
Qualifications:
* Bachelor's degree or higher
* 7+ years professional work experience in:
+ Data Governance, Data Management, Data Quality, or Process Improvement practices
+ Healthcare payer data products and processes
+ Clinical data standards and operations, including:
o Clinical terminology, concepts, business processes and data management lifecycle related to Health Services, Care Management, and Health / Wellness programs (e.g., utilization management, case management, demand management, medical review, care plans, health care coaching, incentives, etc.)
o Health Profiles / History (e.g., health assessments, electronic medical records, etc.)
o Health Measurement (population health, evidence-based medicine, episodes of care, gaps in care, health risk scores, next best actions, HEDIS, NCQA, performance guarantees, etc.)
o Clinical operational source systems (e.g., TruCare, Evicore, MDLive, etc.) and related operational / analytic reporting systems
o Healthcare Interoperability, HIE / EDI data exchange, and EMR standards and solutions (e.g., HL7...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:14
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Help us automate and maintain our future.
Get ready for a job that encourages you to think strategically yet stay connected with your teams.
Do you have problem-solving or strategy experience? If so, prepare to innovate, create, and inspire.
The Automation Engineering Senior Analyst is primarily responsible for providing first-level electrical and process Controls support for a highly automated pharmaceutical filling and packaging system.
Perform emergency, corrective, and preventive maintenance activities to restore equipment.
In addition, key responsibilities will involve implementing equipment and system upgrades, engineering change controls, and continuous improvements.
The position will support equipment installations, upgrades, or equipment expansions.
Automation engineer also trains, mentors, and supports the development of other team members.
Shift schedule: Monday-Friday 2:00 PM -10:30 PM.
Responsibilities
* Performs advanced level maintenance and service on automated equipment by using and understanding electrical, mechanical, and pneumatic drawings and schematics, and using special test equipment and tools.
* Maintains reliability of the pharmacy automation equipment by executing preventive, corrective, and emergency work orders.
* Troubleshoot, service, install and repair automated production equipment, to include equipment modifications, upgrades, and spare parts inventory
* Utilizes knowledge and skill to monitor and improve the Mean Time Between Failures (MTBF) of the electro-mechanical equipment, and supporting application software systems.
* Observe system for degraded performance using routine inspections, maintenance rounds, and diagnostic equipment.
* Use a computerized maintenance management system (MAXIMO) to record labor hours, repair parts, and monitor pharmacy equipment performance.
* Recommend alterations to developers and designers to improve the quality or performance of processes and/or machines.
* Interpret the output of the reporting systems and take appropriate action that will result in the removal of the root cause problem from the system on a permanent basis.
* Document all emergency, corrective, and preventive maintenance work via work orders associated with Computerized Maintenance Management System (CMMS - MAXIMO).
* Operates on-site in an on-call capacity.
Qualifications
* High School diploma; Associates degree preferred.
* Associate's degree in Industrial Maintenance or related technical field or 2 - 4 years of maintenance experience in an industrial setting preferred.
* Experience working in high-volume production or pharmaceutical environment.
* Experience in troubleshooting complex PLC/computer-operated electro-mechanical equipment; PLC's, I/O, and field devices; repairing, setting up, adjusting, and tuning mechanical systems and pneumatic systems.
* Experience using all tools and procedures needed to repair precision electr...
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Type: Permanent Location: Whitestown, US-IN
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:13
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Medical Director - Pediatric Surgery- Evicore- Remote
We have both full-time and part-time opportunities available.
Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Surgery Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.
Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
This role offers you the opportunity to build new skills while enhancing the health and vitality of others.
We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.
Drive growth in your career with our innovative team.
How you'll make a difference:
* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
* Benefits start on day one
* Predictable work schedules
* 100% work from home
* 8 Paid Holidays + 23 PTO Days
* 401(K) with company match
* Reimbursement for continuing medical education
* Career growth opportunities across the enterprise
* Networking with peers across multiple medical specialties
Requirements:
* M.D.
or D.O.
with a current, active, U.S.
state medical license and board certified inPediatric Surgery recognized by the American Board of Medical Specialties, or American Osteopathic Association
* Eligible to acquire additional state licensureas required
* 5 years of relevant clinical experience post residency/fellowship
* Knowledge of applicable state federal laws
* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
* Ability to commit to a set, weekly work schedule (Monday through Friday)
* Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
* In accordance with our HITECH Security Accreditation, compa...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-23 08:42:13
