- The Cigna Group (Bloomfield, CT)
- …2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office.** **This position is a Hybrid role where the Cigna policy ... strategy opportunities and formulary product enhancements to drive pharmacy affordability to Cigna Health Plan clients + Responsible for the development of complex… more
- The Cigna Group (Bloomfield, CT)
- …and some overnight regional travel. The Medicare Advantage Value-Based Contracting Regional Director serves as an integral member of the Medicare Advantage Expansion ... Provider Contracting Team and reports to the Provider Contracting Director . This role is a key contributor to the...while preserving an adequate network, to achieve and maintain Cigna 's competitive position. + Identify and manages initiatives that… more
- The Cigna Group (Bloomfield, CT)
- …Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other Administrators. Provider Performance Enablement (PPE) is responsible for ... and this position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… 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)
- …be responsible for strategizing and leading operational analytics, reporting and program implementation initiatives supporting Cigna Health plan affordability ... financial reporting on both mature and new strategic concepts, value-based program innovation, leveraging appropriate analytics from cross-functional team of data… more
- The Cigna Group (Bloomfield, CT)
- **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) **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...in a career in health care administration. The Medical Director role is a Medical Principal who also manages… 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 (Bloomfield, CT)
- ** Director , Product Management - Digital Benefits Platform** As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the ... and capabilities. This role will report into the Product Strategy Senior Director and will be responsible for innovating, identifying opportunities and executing… more
- The Cigna Group (Bloomfield, CT)
- Medical Director , Post-Acute Care Summary: The Medical Director (MD) provides timely expert medical review of medical necessity requests for clinical ... do not meet utilization review criteria and renders a clinical opinion about the medical service under review while...details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health… more
- The Cigna Group (Bloomfield, CT)
- **JOB SUMMARY** The Clinical Program Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects. Exercises considerable ... modeling with little to no modeling oversight by Sr. Manager/ Clinical Director + Identifies and recommends process...details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health… more
- The Cigna Group (Bloomfield, CT)
- …(MA) Provider Contracting Senior Advisor** is a critical contributor to Cigna 's enterprise quality and affordability initiatives. The National Ancillary MA team ... currently manages greater than 80 national contracts including clinical programs, MA Supplemental benefits, and direct provider agreements. This role operates at a… 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 (Bloomfield, CT)
- …the available information and as well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional ... ** Cigna Medicare Part C Appeals Reviewer: Appeals Processing...across that have the desired effect Functional/Technical Skills + Clinical and Non Clinical functional or technical… 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)
- …insights/knowledge, while working cross functionally with product, account management, operations, clinical and sales. This position has ownership of the contract, ... and achieving business unit strategic goals within their respective manufacturer portfolio. The Director is required to be a subject matter expert of their Pharma… more
- The Cigna Group (Bloomfield, CT)
- 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
- Wheeler Clinic (Bristol, CT)
- …Works with Director /Associate Director to develop, monitor, and analyze clinical and program performance and outcomes and develops and monitors quality ... Care Supervisor oversees the daily activities of the Behavioral Health Access Team program , including clinical supervision of staff and case managers. The… more
- Wheeler Clinic (Waterbury, CT)
- …that impact health outcomes. Works directly with VP of Health Center Operations, Medical Director and clinical staff to gather, review trends and share UDS data; ... through Centivo + Comprehensive dental and vision insurance through Cigna + Access to wellness programs to support your...clinical oversight in the absence of the Medical Director . Assists the department vice president in developing … more
- Wheeler Clinic (New Britain, CT)
- …this position. This position may provide services within one or more Wheeler program (s), and the relative concentration between and within programs may change with ... prescription insurance through Centivo + Comprehensive dental and vision insurance through Cigna + Access to wellness programs to support your physical and mental… more