- The Cigna Group (Atlanta, GA)
- …collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment ... & Solutions). Reporting to the Network Operations Senior Manager or Director , this individual ensures the effective performance management of the provider… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Clinical Senior Director will provide overall clinical leadership for the Health Plan Division. This leader is accountable for ... comprehensively. The position is charged with creating, executing, and maintaining Clinical Account Executive (CAE) client engagement strategies that empower CAEs to… more
- The Cigna Group (Bloomfield, CT)
- …others? Then look no further! As a Clinical Biochemical Genetics or Clinical Molecular Genetics and Genomics Medical Director at eviCore, part of Evernorth ... Health Services, a division of The Cigna Group, you'll use your clinical know-how...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- The Cigna Group (Bloomfield, CT)
- **JOB SUMMARY** I. Evernorth Business Title: Medical Director , Durable Medical Equipment Cigna Title: Utilization Review Medical Principal II. Department Name ... Number: Product Clinical Management 2500 III. Reports to: Executive Medical Director , Durable Medical Equipment IV. Summary: The Medical Director provides… more
- The Cigna Group (Glendale, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the Glendale, CA market._** The ** Director ,** **Provider Contracting** serves as an integral member of the ... cost targets, while preserving an adequate network, to achieve and maintain Cigna 's competitive position. + Creates and manages initiatives that improve total… more
- The Cigna Group (Bloomfield, CT)
- …Professionals. The Nurse Executive Sr Manager will report to the Nurse Executive Sr. Director and will be a member of the CSNO Leadership Team. This position has ... strategy and priorities, team capabilities to execute and optimal deployment of clinical resources. The Nurse Executive Sr Manager through partnership with Regional… more
- The Cigna Group (Bloomfield, CT)
- …medical necessity review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, peer ... resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles. - Works to achieve quality… more
- The Cigna Group (Chattanooga, TN)
- …East Tennessee market. Must reside within Chattanooga, Knoxville or TriCities.** The ** Director , Provider Contracting** serves as an integral member of the Provider ... cost targets, while preserving an adequate network, to achieve and maintain Cigna 's competitive position. + Creates and manages initiatives that improve total… more
- The Cigna Group (Bloomfield, CT)
- …and cross-functional teams. * Works with the Evernorth Workplace Care Senior Medical Director , and other clinical leaders, in identifying emerging and existing ... **_Evernorth Workplace Care - Personalized Care Where You Are_** ** Director , Occupational Health Services** Provides strategic thought leadership and directs… more
- The Cigna Group (St. Louis, MO)
- …plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with ... models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical ...details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health… more
- The Cigna Group (Clearwater, FL)
- …Excellence, Cigna Care Network physicians, or other quality networks. Combining clinical skills with caring staff using Cigna 's integrated data, our ... paperwork to complete. We offer a highly competitive salary with excellent Cigna benefits including medical, dental, 401K, CME time and allowance, generous PTO,… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Care Navigator - Clinical Pharmacist Part time 32 hour/week - California (remote)** **_Pharmacy Care Navigators are healthcare professionals, who serve as ... its promise to help members navigate and maximize their benefit, help improve clinical outcomes and optimize drug therapy._** **Day in the Life Responsibilities:** +… more
- The Cigna Group (Pittsburgh, PA)
- …and chat interactions.** **Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical ... per role.** **Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.** **Minimum requirements** **Active… more
- The Cigna Group (Bloomfield, CT)
- **Summary of Position:** Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company. ... reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical...ratings and reimbursement. + ENHB In Home Primary Care Program (Model 2): health plans look to us to… more
- The Cigna Group (Bloomfield, CT)
- …chat interactions. + Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical ... role. + Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. **Minimum requirements:** Active unrestricted… more
- The Cigna Group (Bloomfield, CT)
- …will be responsible for achieving a sales quota given to them by their sales director in addition to providing education to these offices to ensure good patient care ... provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.… more
- The Cigna Group (Warrendale, PA)
- …Line Management team. This role serves as a business owner, supporting the Director and supporting key initiatives in the RARE or Blood Disorders Therapeutic ... and works in close coordination with other Product partners, Clinical , Physician Engagement, Pharma Account Management, Payor Account Management, Operations,… more
- The Cigna Group (Morris Plains, NJ)
- The Director , Account Management will assist in developing strategies for effective client management. This position will direct and assess the account management ... policies and services. Works with cross-functional areas such as sales, clinical programs, product management and operations to ensure successful implementations.… more
- BriteLife Recovery (West Kill, NY)
- CLINICAL DIRECTOR Do you work for a...Enjoy a fully sponsored Health plan through APA with Cigna Network, ensuring your health needs are met with ease ... and a half for holidays worked. + Employee Assistance Program (EAP): Gain access to emotional and work-life counseling,...place to work. What you will be doing? The Clinical Director is responsible for overseeing the… more
- CommonSpirit Health at Home (Loveland, OH)
- …to support agency locations for interim needs in managing all or portions of the Director , Clinical Services/Area Director , Clinical Service role, via ... assignments, or tasks for which they are qualified. The Director , Clinical Services (DCS)/Area Director ,...Quality + Responsible for the location's quality improvement and clinical excellence program . + Assures effective and… more
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