- The Cigna Group (Bloomfield, CT)
- **Position Scope:** + Responsible for all CMS deliverables for Clinical Operations + Leads all internal/external audit activities + Serves as liaison with ... adherence to established processes and engagement models. Minimum Requirements: + Operations experience preferred in Utilization Management and Special Needs Plans; … more
- The Cigna Group (Bloomfield, CT)
- …a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations , Stars & Risk Adjustment, Finance , ... Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manger or Director, this individual ensures the effective performance… more
- 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 ... + Compact license a plus + Minimum 2-3 years clinical experience. + Experience in regulated managed care setting...details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** … 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)
- …strategy for Cigna Healthcare, performing research and analysis within the Medicare Stars program with a focus on HEDIS Stars measures. This position is ... operational and analytical support to internal and external partners to improve Cigna 's Medicare Star Ratings. The Business Analytics Advisor will analyze… more
- The Cigna Group (Bloomfield, CT)
- …Business Analytics Senior Advisor will be responsible for leading the analytics strategy for Cigna Healthcare within the Medicare Stars program with a focus on ... provide operational and analytical support to internal and external partners to improve Cigna 's Medicare Star Ratings. The Business Analytics Senior Advisor will… more
- The Cigna Group (Bloomfield, CT)
- …will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify and ... Drive savings opportunity assessment and knowledge sharing. Engage with policy and operations teams to accurately assess financial impact of new clinical … more
- The Cigna Group (Bloomfield, CT)
- …Claims 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)
- …that aligns with general organization orientation. * Provides ongoing orientation to operations and other leaders to assure their effective oversight of occupational ... for outcome measurement and research; works with Evernorth analytics and operations in the preparation of operational and statistical reports for management,… more