- The Cigna Group (Bloomfield, CT)
- …objectives and financial goals. + Supports teams across CM Department and throughout Clinical Operations as needed. + Active participation and completion of all ... and management of medical cases + Proficient knowledge of policies and procedures, Medicare , HIPAA and NCQA standards + Professional demeanor and the ability to work… 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)
- …and analytical support to our partners to improve customer care and affordability for Cigna Medicare . This role will help us accomplish this through reporting, ... Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics.… more
- The Cigna Group (Bloomfield, CT)
- …The **National Ancillary Senior Advisor** is a key role that supports ** Cigna 's Medicare Advantage** line of business, directly addressing customer and ... Operations , required + 2+ years Relation Management experience, required + Medicare experience, highly preferred + Clinical experience working with… 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 ... not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. **Responsibilities** + Review and approve… 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
- The Cigna Group (Bloomfield, CT)
- …Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to developing a performance ... develop a competitive intel process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors, Medical Directors,… more