- Senior Living Communities (North Branford, CT)
- …for all levels of care. * Communicates with the Concierge or Social Director daily to learn of current and future transportation routes and appointments. * ... * Reports any problems with members to the Social Director or Healthcare Administrator upon return to the campus....of study available for those who have completed a program up to 6 months prior to employment as… more
- The Cigna Group (Philadelphia, PA)
- …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 (Philadelphia, PA)
- …process improvement and automation opportunities, vendor efficiencies, and business critical program and solution support. This role will establish alignment amongst ... Stars and RA goals and objectives. This position reports to the Managing Director of Stars, Risk Adjustment, and Interoperability. The successful candidate for this… more
- 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 (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 (St. Louis, MO)
- …Operations Senior Advisor will report to the Stars and Risk Adjustment Managing Director and will be responsible for internal and external team communications and ... the other lines of businesses, stakeholders, and matrix partners (ex. Clinical , Compliance, Operations, Growth, Finance, etc.), providing proactive identification of… more
- The Cigna Group (Maitland, FL)
- …organization (which includes Market Provider Performance, Sales, Health Services, Clinical , Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting, ... and Network Development & Solutions). Reporting to the Provider Performance Director , the Provider Performance Manager ensures the effective management of the… 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 (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare** serves as an integral member of the Network ... fee for service and sophisticated value-based reimbursements with providers for Cigna 's Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
- The Cigna Group (San Diego, CA)
- …**_HYBRID_** **_position aligned to the San Diego, CA market._** 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 (Houston, TX)
- …cost targets, while preserving an adequate network, to achieve and maintain Cigna 's competitive position. + Creates and manages initiatives that improve total ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- The Cigna Group (St. Louis, MO)
- The Network Solutions Product Strategy Senior Director will have responsibility for product management of existing network and clinical related network product ... will include regulated market network solutions, pharmacists/pharmacies as providers of clinical service, vendor management for solutions tied to networks, quality… more
- The Cigna Group (Charlotte, NC)
- …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 (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 ... across that have the desired effect Functional/Technical Skills + Clinical and Non Clinical functional or technical...details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** … 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 (Nashville, TN)
- …completion of team goals and perform additional tasks as assigned by the Clinical Pharmacy Senior Manager and/or Director . + Communicate and collaborate ... responsible for the daily activities of the Patient Assistance Program (PAP) team which provides a vital service by...with speeds of at least 10Mbps download/5Mbps upload. **About Cigna Healthcare** Cigna Healthcare, a division of… 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 (Scottsdale, AZ)
- …the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to developing a ... details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
