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The Managing Director, Value-Based Care Product & Strategy for Evernorth Accountable Care will be responsible for providing strategic direction and leadership to the Value Based Care Product portfolio.
This role is key in ensuring that all value-based care products and services offered are based on a deep working knowledge of VBC reimbursement models and executed to advance quality outcomes for our customers, providers, and their patients.
The role will also be responsible for clinical insights across operations, contracting and strategy.
ESSENTIAL FUNCTIONS:
* Identifies customer problems and translates market and customer needs into commercial solutions offerings with defensible differentiation and competitive advantages.
* Leverages cross-functional teams and external solution/service providers to develop integrated solutions and service offerings.
* Understands and drives solutions/service features, functions, benefits, and pricing strategies, in collaboration with finance, analytics and operations teams.
* Leverages methodology to drive innovation and develop consistent deliverables throughout the solutions development lifecycle incorporating necessary cross-functional input options analysis for management decisions.
* Manages overall solutions/services portfolio and Capital budget.
* Recommends strategic metrics measure solutions/services effectiveness, profitability and impact and uses learnings to refine solutions/services offering.
* Client and Provider-Facing Clinical/Clinical Program Subject Matter Expert/Influencer for ENAC.
* Industry engagement across multiple external organizations.
Communicate and align with ENAC leadership on efficient and effective support for solutions.
* Consult with Operations Team to integrate solutions within ENAC framework and business processes.
* Partner with Technology on Platform solution roadmap.
* Build solutions to enable Provider Contracting strategy.
* Expense Management to meet budget commitments.
* Drive lowest net cost/elevated level of service from all vendor contracts through negotiation.
* Ensure all vendor contracts are compliant with Risk-Based Supplier Management.
QUALIFICATIONS:
* 12-16 years relevant experience with 10+ years of relevant experience health care and Value based care.
* Experiencing supporting value-based care growth & strategy and the evolution of product, services, and technology.
* Detailed knowledge Health-care industry.
Knowledge of current products and services.
* College Degree in Business Administration or related field.
Master's or Doctorate Degree preferred.
* Experience navigating a matrixed organization and collaborating with multiple cross functional teams and levels of employees and/or customers.
* Focus on excellent quality and customer service.
* Ability to think with an enterprise mindset and to continuously challenge the status quo.
* Demons...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:15
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Enterprise Coach
TheEnterprise Coachat Cigna Group is someone responsible for partnering with organizational leadership to enable the delivery of value efficiently and effectively to our customers.
The Enterprise Coach co-creates meaningful, sustainable change, through enterprise-level transitions, employing relevant methodologies and techniques.
This role emphasizes leadership, collaboration, mentoring, and adaptability, with hands-on experience in various industry-proven scenarios to foster continuous improvement.
Key Responsibilities:
* Strategic Guidance:Collaborate with IT and business leaders to catalyze sustainable and impactful change, evaluating and shaping organizational design, structure, and culture.
* Coaching and Development:Mentor and upskill team members across the organization, from portfolio to team level, both locally and globally, while fostering a culture of continuous learning and improvement.
* Organizational Alignment:Utilize Cigna's Enterprise Operating Model to develop and refine training, materials, and guidelines, ensuring integration with organizational objectives.
* Advocacy and Education:Serve as a catalyst for transformational/efficient practices, promoting a culture of adaptability and responsiveness across the organization.
* Support and Implementation:Interface with all levels of leadership to support organizational change, including process, practice, and tooling changes.
Work with globally distributed teams to implement Lean, Agile, Customer Centricity, and other relevant principles, with a focus on demonstrating the impact of coaching changes.
* Community Building:Create a culture of shared best practices, proactively address organizational obstacles, and provide coaching, mentoring, and training at all organizational levels.
Accountable for building relationships & having the right conversations.
* Product Coaching:Collaborating with cross-functional teams to establish a shared vision and set clear, measurable goals that align with customer needs and business objectives.
Qualifications:
* Strong collaborative leadership skills with business and technology acumen
* Demonstrated ability to work well with others and lead Change Management initiatives
* Expertise in various scaling practices and shifting from project to product-centric paradigms
* Capacity to challenge existing assumptions and overcome resistance
* Comprehensive experience in a variety of enterprise roles and responsibilities
* Expertise in Scrum, Kanban, scaling frameworks (such as the Scaled Agile Framework), and related methodologies
* Capable of evaluating organizational health metrics and disseminating insightful data through visual management techniques
Summary:
TheEnterprise Coachis uniquely positioned to facilitate business responsiveness through insightful leadership, assessment, and other initiatives to increase organizational effectiveness.
The ideal candida...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:14
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Candidates for this position should reside in the greater Ft.
Lauderdale region, and will supervise nurses working throughout south Florida.
This is a hybrid role between Work at Home, and in-office in Ft.
Lauderdale, FL.
What You'll Do :
* Provide specialized infusion therapies and clinically excellent professional nursing services to patients and caregivers at home or in alternate settings.
* Supervise daily nursing activities and ensure quality patient care, as directed by the Nurse Manager.
* Ensure RNs are knowledgeable of the patient's disease state, trained/educated on the medication and have demonstrated competency in use of ancillary supplies/pump/access devices.
* Conduct skills return demonstration and supervisory visits for all RN staff announced and unannounced to assess delivery of quality patient care in a clinical setting.
* Supervise receipt, evaluation, acceptance and execution for the initial patient intake process to ensure that patient verification, assessment, teaching and the ongoing scheduling of nursing service occurs in a timely appropriate manner.
* Monitor the daily nurse scheduler application to ensure nursing team is compliant with nursing note submission, availability and completion of plans of treatment.
* Supervise the completion of all patient-related documentation to ensure accuracy, timeliness, and regulatory compliance.
* Identify operational opportunities and areas for process development, improvement and administration applicable to clinical product offerings and present recommendations to leadership.
What You'll Need :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years of experience in critical care, acute care, or home care/home infusion environment
* 2-3 years supervisory experience is required
* Strong IV insertion skills
* Previous home infusion / home healthcare experience strongly preferred
* Solid understanding of the health insurance industry
* Ability to navigate and support both public and private insurance/plan requirements
* Managed care exposure
* Understanding or ability to implement utilization management principles
* Excellent verbal and written communication and presentation skills
* Proficient use/navigation of Microsoft and Apple technology
* Ability to work Monday-Friday, but also have evening and weekend flexibility, as needed
* Ability to travel up to 10%
Your Benefits as an Accredo Home Infusion Sr.
Supervisor :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tui...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:14
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*Must reside in Philadelphia
Job Description: Coding Education Specialist (AHIMA or AAPC certified)
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions.
If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
What you must have in order to do the job:
* Remote, Work from Home - must be located in Nashville, TN - required to work in the field/visit multiple provider offices each week
* Coding certification required (at least one of the below):
Certified Professional Coder (CPC)
Certified Risk Adjustment Coder (CRC)
Certified Coding Specialist for Providers (CCS-P)
Certified Coding Specialist for Hospitals (CCS-H)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
* OR - RN/LVN/LPN licensure (must obtain one of the above coding certifications within one year of hire)
* At least two years of hospital inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience.
* Extensive knowledge and adherence to ICD-10-CM/outpatient and CPT coding principles and guidelines.
* Excellent understanding of medical terminology, disease process and anatomy and physiology.
* Working knowledge of CPT/Evaluation and Management guidelines
* Working Knowledge of CMS Risk Adjustment and HCC Coding Process
* Strong computer skills (i.e.
MS Office)
* Prior audit/quality experience.
* Prior experiences teaching/training others on correct coding guidelines and/or have the ability to present to large groups of Physicians/Providers.
* Minimal travel may be required for this position and person needs to be available for day, evening and weekend training sessions and meetings.
Core Responsibilities:
* Develop relationships with clinical providers and staff
* Ability to communicate coding and documentation guidelines and education
* Conduct provider training on health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation
* Customize presentations to educate providers and staff.
* Understands, develops, tracks, monitors and reports on key program performance metrics for coding initiative
* Conduct chart reviews for providers and review provider performance.T his is accomplished by doing virtual training sessions or traveling to the individual practices and performing side-by-side education.
* Work closely with internal representative for needs and support
* Evaluate documentation to ensure that diagnosis coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures
* Query providers regarding missing, unclear or conflicting health record documentation b...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:13
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Please note: This hybrid role will require the incumbent candidate to come into the local Cigna office 2-3 days per week.
The Sales Client Account Support Senior Analyst role provides professional input to Client Services assignments and projects for a designated book of business.
This role delivers specific delegated tasks in managing a moderately complex book of business as assigned by the manager.
Accountable to proactively manage, respond and address client and broker inquiries through service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth.
The ideal candidate will have demonstrated experience and ability to manage all services aspects of Client Account service delivery, product offerings, funding types and platforms for assigned accounts within a market/region.
This includes managing business relationships, delivery of moderately complex client and broker requests, using independent judgment and discretion, proactive service support and management of sensitive cases.
Key responsibilities will also include facilitating root cause analysts and issuing resolution across matrix lines.
The incumbent candidate must be based out of the following office:
Colorado (Denver) or Utah (Salt Lake City)
Responsibilities:
• Serve as primary point of contact for a designated book of business and responsible to service excellence for clients and broker partners that include handling day-to- day service related needs, proactive issue identification, resolution and root cause analysis.
• Coordinates with manager and/or account manager to meet clients' needs and ensure potential problems are averted.
Keeps account manager informed of account status and opportunities for expanded business.
• Attend geographically assigned local market client/broker meetings
• Completes day-to-day Client Account Support tasks without immediate supervision, but has ready access to advice from more experienced team members.
Tasks involve a degree of forward planning and anticipation of needs/issues.
Resolves non-routine issues escalated from more junior team members.
• Builds strong relationships with the client/broker, proactively identifying the needs of the customer and satisfying the customer in a timely manner.
Makes on-site presentations to existing and prospective clients to educate and inform on products as required and in support of client retention.
• Exhibits expert knowledge and understanding of moderately complex processes, compliance and regulatory requirements and can effectively apply in a fast- paced environment.
Understands multi-product and benefit options for dual systems, platforms, funding types.
• Provide support for designated Client Service Operations Lead team on all issues and initiatives related to resolving issues or delegating to matrix business partners as needed.
• Accountable to collaborate with the Sales team to understand the products, be...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:13
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on
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
* Ability to work Monday-Friday, day shift, as well as the ability to do occasional evening or weekend patient visits as needed.
* Flexibility to work alternate shifts on short notice and be on call for field visits as determined by business need
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
If you will be working at home occasionally or permanentl...
....Read more...
Type: Permanent Location: Mansfield, US-OH
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:12
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CANDIDATE MUST RESIDE IN CENTRAL FLORIDA AREA AND WILLING TO TRAVEL LOCALLY TO ORLANDO AND TAMPA
Job Summary:
This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.
The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics.
This role will work directly with providers to assist in achieving accurate and complete coding documentation and addressing Stars gaps in care.
The role will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall operational market goals in conjunction with market network operations, stars strategy and vendor partners.
The role will provide subject matter expertise to assigned providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes.
It will require expertise in ICD-10-CM/outpatient and CPT coding principles and guidelines and use of own discretion to deliver compliant, effective strategies to meet established goals.
Core Responsibilities:
* Responsible for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned provider groups (PODs/IPAs).
* Accountable to complete and accurate review of multi-year diagnosis coding of assigned population.
* Understands, develops, tracks, monitors and reports on key program performance metrics for coding initiatives.
* Work closely with matrix partners including Network Operations, Stars or Clinical Operations, and vendors to ensure provider office communications are effective and efficient.
* Review and act on any assigned audit educational opportunities timely and provide primary care or specialty care provider trainings as necessary to educate on audit findings.
* Analyze data regarding trends or patterns identified in provider office diagnosis coding.
Implement provider office education, where necessary, and provide formal training to providers and staff regarding coding and documentation standards.
* Rely upon independent judgment and decision-making at provider sites, whether conducting chart review or providing training/education, both for historical and/or real time data.
* Develop relationships with clinical providers/staff and communicate coding and documentation guidelines.
* Conduct provider training on health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation.
* Conduct chart reviews for providers and review provider performance.T his is accomplished by doing virtual training sessions, traveling to the individual practices and/or performing side-by-side education.
* Assists with research, analysis and response to inquiries from all internal and external audit departments regarding compliance, coding, and inapp...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:12
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
* Ability to work Monday-Friday, day shift, as well as the ability to do occasional evening or weekend patient visits as needed.
* Flexibility to work alternate shifts on short notice and be on call for field visits as determined by business need
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
If you will be working at home occasionally or permanently, t...
....Read more...
Type: Permanent Location: New Hyde Park, US-NY
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:11
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Work Location: Remote
Must have a Maryland Counseling License
Evernorth Behavioral Health
Job Title: Case Management Lead Analyst (Licensed Telephonic Counselor)
ROLE SUMMARY:
A great opportunity to help military members and their families!
This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family.
Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources.
Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term.
Non-medical Counseling topics are varied but often include the following issues:
* Stress
* Transition/Relocation
* Grief and loss
* Employment issues
* Marital/couple conflict or communication
* Parent-Child Relational Problems
* Academic or Educational problems
* Problems related to Primary Support
The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation.
The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments.
The team is staffed 24/7 in support of the schedules of military members around the world.
This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
Duties and Responsibilities:
* Provide participants with confidential, non-medical counseling services
* Assess the participant's immediate risk and biopsychosocial needs
* Provide appropriate referrals for resources and treatment
* Use clinical expertise, professional judgment and best practices
* Execute duty to warn/mandated reporting processes
* Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
* Demonstrate the ability to be agile and flexible in work process.
* Deliver excellent clinical judgment and interpersonal communication skills
* Understand confidentiality and privacy regulations
* Demonstrate excellent verbal and written communication
* Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.
Qualifications:
* Must be a U.S.
Citizen
* Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling
* Current, valid, unrestricted counseling license/certification ...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:11
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Ability to work at least 2 weekdays each week (M-F, day shift), as well as the ability to do occasional evening or weekend patient visits as needed.
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Door-to-door pay
* Mileage reimbursement
* 401K with Company Match
* Paid Time Off
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
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 Servi...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:10
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Production Designer, Internal Agency
THE TEAM
We're a full-service internal agency that just happens to take up residence inside a global health company.
A company with an incredibly ambitious mission: to improve the health and vitality of those we serve.We show up every day to advance this mission for The Cigna Group, Cigna Healthcare and Evernorth Health Services.It takes a heck of a lot of grit.
But most importantly, it takes our unique blend of health care expertise and artful storytelling to craft the meaningful campaigns, content and experiences that inspire healthy action.
POSITION SUMMARY
Our internal agency is seeking a Production Designer to join our creative team, reporting directly to the Group Creative Director of Cigna Healthcare.
You will contribute mainly to projects that support our highly regulated Medicare line of business.
To do this, you'll need to embrace the technical (and somewhat tedious) task of managing layouts and production preparation of long-form multipage documents.
All of this with a goal of delivering meaningful and consistent brand experiences for our customers, clients and partners.
WHAT YOU'LL DO
* Partner with both clients and members of the internal agency team to prepare layouts with an emphasis on thorough production standards and attention to detail
* Generate picture-perfect production assets that meet required specifications for print and digital mediums, including accessibility standards
* Confidently articulate production standards and technical requirements within internal creative reviews and with clients
* Apply your expertise in design thinking/principles/typography to additional assignments as needed, which may include digital display, email, direct mail, print collateral, presentation narratives and identity development
* Demonstrate a curiosity to stay on top of emerging trends, while keeping the pulse of design industry shifts and best practice
* Quickly become an expert with regard to Cigna Healthcare and its robust offering of products and solutions
* Act as a steward of our brand and be responsible for maintaining consistency of visual identity across all experiences
IDEAL CANDIDATES WILL OFFER
* Bachelor's degree in advertising or design (BFA in graphic design preferred)
* 2+ years of design production experience in an advertising agency, design studio or highly strategic in-house agency
* A world-class portfolio that demonstrates work with flawless execution across channels
* Solid foundation in accessibility standards
* An impeccable visual aesthetic paired with a firm understanding of the fundamentals of design (layout, hierarchy, typography, color and image selection)
* Experience working within established brand guidelines and ensuring consistency across various collateral
* An enviable (almost to the point of being annoying) level of attention to detail when creating design assets
* An aptitude for ea...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:10
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Primary Function:
Coordinate and manage relationships with participating provider practices.
Maintain detailed understanding of HEDIS / STAR performance measures.
Develop and maintain a process to ensure all customers in participating provider practices meet all quality metrics.
Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources.
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan.
Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers.
Responsibilities:
* Identifies gaps in needed quality metrics for customers and communicates to provider
* Maintains physical presence in participating provider practices
* Identifies high-risk/high-cost patients for possible case management intervention.
* Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning, and alternative treatment plan development.
* Identifies customer needs, coordinates and supports planned and unplanned transitions and post discharge follow up calls which may include primary care physician and specialist appointment scheduling
* Collaborates with the attending physician to achieve identified patient outcomes.
* Attend and participate in weekly Complete Health Team rounds -market dependent.
* Perform telephonic outreach
* Communicates with all departments to resolve issues or document trends.
* Understands and follows administrative guidelines (policy and procedure) of the unit.
* Attends and actively participates in staff meetings.
* Other Duties as assigned.
Supervisory Responsibilities:
* None
Job Related Skills:
* Verbal and written communication skills
* Interpersonal skills
* Basic Mathematical and statistical ability
* Organizational skills
* Typing and computer knowledge- able to type 35WPM
* Knowledge of utilization review requirements and procedures
* Knowledge of current health care practices and appropriate treatments.
* Knowledge of community resources
* Ability to travel to and work at participating provider offices
* Works independently with minimum of supervision
* Bilingual - preferred Spanish both conversational and written
Ideal candidate must reside in one of the following counties (Jackson, Hancock, Harrison or Stone) and willing to drive to: Biloxi, Gulfport, Pascaqoula and Ocean Springs.
Experience:
* Current Licensure as a LPN/LVN or RN, in the state of residence in good standing.
* Associates degree, diploma or B.S.
in Nursing
* ...
....Read more...
Type: Permanent Location: Hattiesburg, US-MS
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:09
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Home Infusion Nurse (RN)-Per Diem:
Monday-Friday and No On Call
This role will require comfortability driving long distances in remote areas.
Territories will include but not limited to the following: Port Angeles, Port Townsend, Poulsbo, Hoodsport, Belfair, Olympia and surrounding areas.
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Ability to work at least 2 weekdays each week (M-F, day shift), as well as the ability to do occasional evening or weekend patient visits as needed.
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Door-to-door pay
* Mileage reimbursement
* 401K with Company Match
* Paid Time Off
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multip...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:09
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
* Ability to work Monday-Friday, day shift, as well as the ability to do occasional evening or weekend patient visits as needed.
* Flexibility to work alternate shifts on short notice and be on call for field visits as determined by business need
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
If you will be working at home occasionally or permanently, t...
....Read more...
Type: Permanent Location: Salisbury, US-MD
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:09
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Overview:
The Third Party Risk Management Analyst will support efforts to assess and mitigate third-party risk by supporting and performing the Supplier Due Diligence process within Global Procurement & Third Party Management.
This role will help to enhance supplier due diligence processes, manage operational aspects of established due diligence processes and perform other third party risk related functions as needed.
Responsibilities:
* Performs third-party risk evaluations and supplier due diligence processes through our enterprise risk assessment tool
* Researches and consults with internal experts to understand and document risks identified through risk evaluations and due diligence processes
* Analyzes and anticipates market trends regarding commercially available supplier due diligence and risk tools and systems
* Supports and creates third party risk reporting and key risk metrics, and assists with coordinating and communicating third-party risk results and reports to stakeholders to inform business decisions
* Serves as an initial reviewer and checkpoint of basic contractual risk compliance with the line of business
* Develops business intelligence dashboards or templates for due diligence activities to inform decision-making and facilitate risk monitoring among categories of suppliers
* Maintains and monitors third-party profiles and risk workspaces within our third party risk tool
* Identifies and communicates third-party risks to business owners and other stakeholders during the Sourcing process and Category planning Participates in special projects and assessments pertaining to third-party risk and due diligence
* Escalates issues or risks internally when appropriate
* Partners with stakeholders, matrix partners, and other subject matter experts to continuously improve our third party risk processes
* Analyze financial health of companies as needed during the risk diligence process
* Maintains and promotes TPRM related policies, SOPs, and procedures and communicates changes to these documents effectively to the larger procurement or stakeholder community
* Recommends changes and improvements as needed to sourcing and vendor management processes across procurement that may improve third party risk mitigation
Qualifications:
* Knowledge of third-party risk management, due diligence, and KYS (Know your Supplier) concepts, TPRM best practices and related industry best practices
* Ability to comprehend third-party financial statements and interpret their meaning or risk for internal stakeholders
* Identify markers within an organization that contribute to increased financial or other risk
* Demonstrate basic project management and documentation skills to manage multiple parallel workstreams
* Ability to compile reports, summaries, and presentations to communicate findings to key stakeholders within the business
* Excellent communication sk...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:08
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Work Location - Remote, United States
60% travel required, including some overnights
Valid insurance license required
Summary:
The Regional Vice President for Cigna Supplemental Benefits (CSB) will be a critical team member responsible for making CSB a market leader in the Medicare Supplement and individual ancillary products space.
This individual will be part of a rapidly growing business unit that will execute on CSB's national broker distribution strategy with National Marketing Organizations (NMO's) and other topline distributors.
You will recruit, train, and motivate a group of external distributors/wholesalers that will deliver industry leading results via business development activities.
Responsibilities:
* Prospects, appoints and manages agency relationships to achieve sales and profitability objectives.
* Develop and execute a market level distribution strategy that drives significant sales growth of Medicare Supplement and ancillary products with their accounts.
* Build and maintain strong, focused relationships with distributors at all levels.
* Train current and new National Marketing Organizations along with their downline agencies on our processes and procedures.
* Participate in planning and execution with internal business units in order to drive sales and profit growth.
* Develop and execute sales plan with each NMO partner to help contribute to our corporate objectives of doubling revenue over a 5 year period.
* Maintain up-to-date knowledge of local market trends, competitive intelligence, core product strategies, and other indicators ensuring a competitive edge.
* Represent our organization at trade shows and industry events.
Qualifications:
* Bachelor's degree or equivalent relevant work experience; advanced degree desirable.
* 10 or more years' experience securing and retaining National Marketing Organizations to market Medicare Supplement and all supplemental health insurance products.
* Must be able to demonstrate critical, strategic thinking skills to drive positive outcomes with key NMO partners.
* Build strong working relationships with internal and external partners, driving positive energy through influential leadership.
* Strong presentation and public speaking skills.
* Strategic thinker capable of developing long term and best in class distribution relationships.
* 60% overnight travel required
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 hea...
....Read more...
Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:08
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Are you ready to step into a position that combines your communication skills, attention to detail and ability to multitask? In a climate-controlled factory that delivers to hundreds of thousands of patients each week, the Warehouse Associate is responsible for performing tasks related to receiving products, stocking and replenishment, and inventory control.
If you've always wanted to work in pharmacy operations and enjoy a fast-paced and friendly company environment, this is the opportunity for you.
How You'll Make an Impact:
• Unpack and evaluate incoming products safely for correct count and condition in comparison to purchase orders.
• Operate material handling equipment and hand tools such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc.-to unload trucks and stock the warehouse/pharmacy.
• Enter data accurately and retrieve using computers, and scanners (PDA).
ESSENTIAL FUNCTIONS
• Ensure appropriate workflow for assigned area to include filling movement requests from between warehouse and other stock locations.
• Responsible for ensuring quality and accuracy are held to the highest standards throughout the warehouse and stock locations.
• Assist in all assigned work areas in Warehouse and Support area, completing assigned tasks thoroughly and correctly in a timely manner.
• Serve as a resource to supervisor and back up team leads and team members.
• Support productivity, quality, and safety efforts by accurately operating production equipment, assisting in troubleshooting and rectifying issues, training, and mentoring team members.
• Other duties as assigned.
QUALIFICATIONS
• 0-1-year relevant work experience
• Basic math, organization, computer, and communication skills
• Ability to do repetitive bending, squatting, standing, walking, pushing, pulling and hand motions.
• Must be able to lift 50 lbs.
• Must be able to be on feet for entire shift; walking, bending, and lifting.
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, ...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:07
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
* Ability to work Monday-Friday, day shift, as well as the ability to do occasional evening or weekend patient visits as needed.
* Flexibility to work alternate shifts on short notice and be on call for field visits as determined by business need
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
If you will be working at home occasionally or permanently, t...
....Read more...
Type: Permanent Location: Lowell, US-MA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:06
-
Shift:
Rotating 3 week schedule M-F
Mid-Shifts 11:30a-8:30p M-F
9am-8pm, 4 days week M-F
Sign on Bonus
Interview onsite now - If you would like to interview now at the site you can interview Monday- Friday 11am - 4pm est.
Address: 3000 Ericsson Dr PA, Warrendale
Inform guard you are there for interview
Have you heard? Express Scripts and Accredo is now part of Cigna.
Together, we've got big plans.
How big, you ask? 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.
That's only the beginning.
Read on to learn more about working with us.
As a Stocker and Packer, you will love the rewarding nature of working with a team that goes above and beyond for our patients.
Here's an opportunity to work differently.
Accredo is a specialty pharmacy that serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders and multiple sclerosis.
We understand the complexity of these conditions and treatments.
Our specialty-trained staff are available to provide personalized care to patients.
What you'll do:
* Accurately dispense and pack prescriptions for shipment
* Responsible for copying, faxing and processing prescriptions
* Responsible for ownership of customer issues and ensuring 100% follow-up to patients
What you need to do the job:
* Excellent Quality with the patient in mind, ensure accuracy
* Use of technology data entry skills and reference database as needed
* Be Efficient- attention to detail, organization skills, time management, and problem solving skills will be important
* Be Flexible- ability to adapt in a dynamic work environment; willingness to work a flexible schedule when needed
* Be an effective communicator with solid interpersonal, written and verbal skills
* Some computer knowledge General PC knowledge including Microsoft Office, use of internet and email is required
Qualifications:
* 0-1 years relevant experience.
* Clerical experience preferred.
* Basic math skills and general PC knowledge including Microsoft Office, Internet, and email required.
* Strong verbal and written communication skills desired.
ABOUT ACCREDO
Through the range of healthcare products and services Accredo offers, team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiencies.
In addition to the wide range of healthcare products offered to these patients, we provide comprehensive management services, including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
In these very high-touch roles, employees leave every day knowing they made a positive impact on patient lives.
If you will be working at home occasionally or permanently, the internet connection must be obtained through...
....Read more...
Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:06
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
* Ability to work Monday-Friday, day shift, as well as the ability to do occasional evening or weekend patient visits as needed.
* Flexibility to work alternate shifts on short notice and be on call for field visits as determined by business need
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Medical, Prescription Drug, Dental, Vision, and Life Insurance
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Bonus Eligibility
* Mileage reimbursement
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
If you will be working at home occasionally or permanently, t...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:05
-
Home Infusion Nurse (RN):
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Ability to work at least 2 weekdays each week (M-F, day shift), as well as the ability to do occasional evening or weekend patient visits as needed.
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Door-to-door pay
* Mileage reimbursement
* 401K with Company Match
* Paid Time Off
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
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 Servi...
....Read more...
Type: Permanent Location: Cedar Rapids, US-IA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:05
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Customer Service Associate Representative - Hybrid - Honolulu, HI
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*Must already live in Hawaii
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Performs Customer Service duties under direct instruction and close supervision.
Work is allocated on a day-to-day or task-by-task basis with clear instructions.
Entry point into professional roles.
Main job functions include:
* Helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively.
* While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions.
* Assisting patients with prescription refills, scheduling shipments and addressing billing questions.
What You Should Have:
* High School Diploma / GED required
* 1 year of relevant call center experience preferred
* 1 year Previous medical insurance or pharmacy experience preferred
* General PC knowledge including Microsoft Office and outlook
* Excellent communication skills (verbal and written)
* Empathetic and genuine customer service skills
What you'll love about working here:
* Fun, friendly, and unique culture
* 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
Our Patient Care Advocates are dedicated team members who excel at customer service, helping us elevate our patient care to new heights.
In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.
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 - 18 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 soluti...
....Read more...
Type: Permanent Location: Honolulu, US-HI
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:04
-
Home Infusion Nurse (RN):
Candidates for this position should live in the Sebring/Wauchula area.
Empower your patients.
Pursue your passion.
Be the RN you dreamed of.
Because it all matters.
Get ready for a nursing career experience unlike any other.
Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs, but that's only half of our story.
The other half? It's being able to develop meaningful relationships with patients - without feeling rushed or pressure to move on to the next.
In this role, you'll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you're making every single day.
How you'll make a difference:
* Be a coach to empower your patients to be at their best.
Focus on the overall well-being of your patients and work with Pharmacists and Therapeutic Resource Center (TRC) to ensure your patients' needs are met.
* Take full ownership of the patient experience.
Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
* Be the single point of contact for regular updates on patient status.
Armed with a tablet, you are the single point of contact to ensure all clinicians are in the know about your patient.
You'll be expected to document all interactions and communication with patients including assessments, treatments, responses, disease progression, etc.
* Challenge yourself to be a better nurse every day.
Use your commitment to your craft, confidence in your abilities, positive attitude, and adaptability to handle even the most difficult situations with the support of your leader and team.
What you must have :
* Ability to work at least 2 weekdays each week (M-F, day shift), as well as the ability to do occasional evening or weekend patient visits as needed.
* Registered Nurse (RN) license in good standing in the state of residence
* BSN degree, plus 2+ years of relevant RN experience; or
* ASN degree, plus 5+ years of relevant RN experience; or
* Nursing Diploma, plus 8+ years of relevant RN experience
* 1+ years as a specialty RN in a critical care, acute, or home healthcare environment
* Strong IV insertion skills
* Valid driver's license
* Willingness to travel within an assigned geographic area
Your Benefits as an Accredo Home Infusion Nurse (RN) :
* Door-to-door pay
* Mileage reimbursement
* 401K with Company Match
* Paid Time Off
* Internal Career Training Resources
* Tuition Assistance
Accredo, Evernorth Health Services' specialty pharmacy, serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.
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...
....Read more...
Type: Permanent Location: Plant City, US-FL
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:04
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This is a HYBRID role that requires on-site presence 3 days per week (required days on Tuesday and Wednesday, 3rd day your choice)
POSITION SUMMARY
Responsible for ensuring DOD Finance daily operations are performed as outlined in departmental policies and procedures.
Ensure compliance with contractual response requirements for correcting records.
Maintain complete and contractually compliant records for reconciliation.
Escalate issues as identified during analysis.
ESSENTIAL FUNCTIONS
* Handle adjustments, cancellations or corrections to clear edit errors as required by contract to ensure financial transactions are complete and correctly recorded.
* Back up other team members through cross training and workflow support
* Aid team in the identification of barriers to performance using quality improvement methodologies such as root cause analysis, process mapping, and issue prioritization.
* Process data requirements by assuring data integrity, accuracy ofinformation, timely submissions and management notifications when results are outside of expected parameters.
* Identify and resolve correction issues and errors.
QUALIFICATIONS
* Bachelor's degree in Business, Accounting or related field.
* 1+ years work experience in related field.
* Excellent analytical and problem-solving skills.
* Works and communicates efficiently with team members at all levels within the company.
* Performs well under pressure within team and individual setting.
* Internal drive to finish work by deadlines (self motivated).
* Experience with software applications such as Access, Monarch, Word and Excel.
* Excellent communication and customer service skills (i.e.
presentation and written, listening, phone skills).
* Effective positive and professional communication with internal and external individuals in various functional areas at all levels of management.
* Proven ability to plan for and integrate multiple tasks concurrently as well as work independently.
* Ability to work cross-functionality to resolve client issues.
* Ability to manage timeliness and meet tight client deadlines.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you.
Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader.
We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.
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 hea...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:03
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The Financial Medical Expense Modeling Enablement Advisor will carry out projection and results analysis for core Medical Advantage Part C medical claims expense processed and paid on a fee-for-service (FFS) basis.
This includes a quarterly update of projection assumptions based on emerging results and running the models to calculate the proposed GAAP projection.
On a monthly basis, results relative to projection are reviewed, and research may be undertaken to explain variances to projection.
Outside of core deliverables, the Advisor will implement model enhancements for greater efficiency, granularity, and accuracy.
This individual will work with various teams including, but not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations, and external Audit Firms.
Responsibilities:
* Extract, analyze, and validate large sets of data used for quarterly projections.
* Develop new analytical tools and resources.
* Deliver quarterly projections to Finance leadership and other key business partners.
* Develop, maintain, and troubleshoot complex MS Excel and SQL-based models.
* Assist in coordinating and documenting financial analysis projects and/or financial reporting.
* Analyze and identify trends, variances, and key issues and provide recommendations for adjustment.
* Prepare and improve financial analysis and forecasting methodologies.
* Assist with ad hoc projects/requests.
Preferred Competencies:
* Strong analytical and problem-solving skills.
* Advanced data manipulation and analysis skills.
* Team player able to work in a matrix environment to meet reporting deadlines.
* Ability to utilize independent judgment and discretion, identify variances, and recommend solutions.
* A strong desire to learn and innovate.
* Ability to communicate results of analysis to a multitude of individuals/groups.
Qualifications:
* Bachelor's degree in Finance, Actuarial Science, Business or Economics preferred.
* 4+ years in a financial, actuarial or a highly analytical position.
* ASA, FSA, MBA, or CPA are a plus (but not required).
* Must have experience with data extraction/manipulation via SQL and strong Excel modeling/analysis skills.
* Excellent judgment, communication, interpersonal, and organization abilities .
* Understanding of or experience with financial projections.
* Experience in a highly-regulated business environment.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 93,100 - 155,100 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be hea...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-06-30 08:05:03
