- The Cigna Group (Bloomfield, CT)
- …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... a regulated environment preferred + Minimum of 2+ years clinical experience + Strong customer orientation + Strong organizational,...details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** … more
- The Cigna Group (Bloomfield, CT)
- …member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) and ... Chief Medical Officer for Cigna Medicare (CMO), and will be responsible...role will assist in the management process for the Clinical Quality, Strategy and Solutions leadership team, including facilitating… more
- The Cigna Group (Bloomfield, CT)
- …initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. Demonstrates sensitivity to culturally ... States. Compact RN license a plus. Two years full-time equivalent of direct clinical care to the consumer. Ideal candidate would have previous case management… more
- The Cigna Group (Bloomfield, CT)
- …and sophisticated value-based reimbursements with hospitals and other providers for Cigna 's Medicare product lines (eg, Hospital systems, ancillaries, and ... This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an...but not limited to, local market provider engagement, claims operations , clinical , Legal, analytics, compliance, sales, and… more
- The Cigna Group (Bloomfield, CT)
- …and sophisticated value-based reimbursements with hospitals and other providers for Cigna 's Medicare product lines (eg, Hospital systems, Ancillaries, and ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- The Cigna Group (Bloomfield, CT)
- …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 ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides...providers, provider staff, and/or physician leadership. + Manage joint operations committee (JOC) meetings. This includes: formulating meeting agenda,… more
- The Cigna Group (Bloomfield, CT)
- …This hybrid role will require the incumbent candidate to come into a local Cigna office 3 days per week.** The **Provider Network Contractor** serves as an integral ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- The Cigna Group (Bloomfield, CT)
- …Experience with Medicare Advantage - Supplemental Benefits, CMS guidelines, FDR Operations , Clinical Programs, STARS ratings, etc. + A broad, enterprise-wide ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE position The...Provider Contracting Senior Advisor** is a critical contributor to Cigna 's enterprise quality and affordability initiatives. The National Ancillary… more
- The Cigna Group (Bloomfield, CT)
- …Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a ... but not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. Given the close partnership between this… more
- The Cigna Group (Bloomfield, CT)
- The Medicare Advantage (MA) Finance Enablement VBA Modeling Advisor will manage FP&A models for provider groups engaged via a professional capitation, risk/surplus ... variety of stakeholders for proposed updates (such as Accounting, Network Operations , Analytics, Medical Economics, etc.). **Responsibilities** + Act as model… more
- The Cigna Group (Bloomfield, CT)
- …both chronic disease management and palliative care as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial ... for medically complex patients with chronic illnesses in an effort improve clinical outcomes. Our team provides medical treatment, diagnostic workup, chronic disease… more