Cigna
Position SummaryEvernorth Accountable Care is a new business focused on partnering with healthcare providers to form value based care relationships, improving care for patients and reducing total healthcare costs. The Agile Product Owner will focus on developing the claims pricing…
The Registered Nurse will perform clinical and operational processes related to transition/coordination of care and utilization/case management of Post Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care,…
Position SummaryEvernorth Accountable Care (ENAC) is a new business focused on partnering with healthcare providers to form value based care relationships, improving care for patients and reducing total healthcare costs. As part of standing up the new business, the Evernorth…
Role DescriptionJoin a team of dynamic healthcare professionals passionate about delivering affordable solutions through creative thought leadership that challenges the status quo.Cigna Healthcare is seeking a Program Epic Owner to support a large multi year roadmap initiative within the Provider…
Job SummaryAs a member of the Process Governance team, you will have the opportunity to influence the PBM through customer centric service delivery and operational excellence. This role will allow you to showcase your talent to lead, facilitate, and drive…
Provides expert content/professional leadership on complex Automation Engineering assignments/projects. Provides expertise in the engineering, design, installation and start up of automated systems. Designs automated systems with moderate complexity and their subsystems utilizing a thorough understanding of available technology, tools and…
The Client Solutions Sr. Advisor is responsible for providing subject matter expertise throughout the end to end sales process. They will be tasked with understanding client needs and recommending solutions based upon those needs. In this role, the Client Solutions…
If youxe2x80x99re looking to add value, make an impact, and use strong analytical and math skills in a fast paced environment, starting your career within the Risk Management & Underwriting Leadership Development Summer Internship Program (RULDP) will allow you to…
The onsite Personal Advocate position is responsible for assisting Bath Iron Works employees and their families in navigating clinical and Non Clinical benefits related to behavioral health. The Advocate tasks are varied and often complex in nature requiring flexibility and…
Position SummaryThe Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and works to streamline processes to meet regulatory requirements and client contractual needs. This role is highly…
Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports…
Cigna Medicare Appeals Reviewer:We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and…
Job SummaryThe Consultant Bid Strategist role within Pitch & Consultant Bid Strategies is a strategic partner for Consultant Relations, Sales, Pricing, and various other internal and external stakeholders to create innovative, winning responses for all of our major consultant partners.…
** Selected candidate must be located within driving distance of the Orlando , Florida office: 6272 Lee Vista Blvd., Orlando, FL 32822**Selected candidate must be available to work at home and flex to rotate IN THE OFFICE 3 times per…
Role Overview:The Enterprise Marketing Operations team is looking for a Marketing Learning & Development Advisor to spearhead a holistic learning and development strategy for our Marketing talent. This individual will be critical to directly influencing our employee net promoter score…
Operations Manager xe2x80x93 Evernorth xe2x80x93 Clearwater FLEvernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.Our mission is to deliver proactive, personalized, and holistic patient care and coaching by…
The IT Strategy Senior Manager will support the Evernorth Consumer Digital organization in delivering innovative digital healthcare technology solutions to our patients, members and customers. They will courageously push the boundaries of our agile engineering culture. They will passionately, persistently…
The Federal Government Affairs Legislative Assistant is a key contributor to the Cigna Government Affairs Advocacy and Public Affairs team. You will join a team of advocacy professionals to support the execution of sophisticated federal government affairs capabilities, including developing…
Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their…
WORK LOCATION: Hybrid position that will require 3 days (Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to…
The job profile for this position is Software Engineering Advisor, which is a Band 4 Senior Contributor Career Track Role with Accredo Health Group, Inc. Design and implement robust backend solutions to business requirements following established designs using Go and…
D elivers specific delegated tasks assigned by a supervisor in Utilization Management. Handles moderately complex medical review, utilization review, credentialing/re credentialing, quality assurance/improvement, and/or health education programs/cases. Collaborates with physicians and multidisciplinary team members to determine appropriate course of action…
The job profile for this position is Application Development Senior Advisor which is a Band 4 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc.Responsiblities Manage all facets of development, maintenance, and support of applications, with strong emphasis on…
Job Description SummaryProvides administrative support, with the majority of duties being high level administrative tasks, which may include planning/coordinating large events, meetings or conferences, screening inquiries or complaints as well as projects, and space planning. Performs budget preparation, scheduling, reporting…
The Business Development Lead on the Pharmacy Clinical Strategy Team will play a key role in shaping our pharmacy clinical programs/products. This individual will be responsible for: Driving product ideation, design and overseeing development. Developing go to market strategies. Leading…
POSITION SUMMARYReporting to the head of the Customer Experience and Operations Enablement (CX&OE) Business Analysis (BA) team, this individual will lead critical analytical work necessary to identify and advance Coverage Review Operations (CRO) strategic priorities. CRO provides a variety of…
Registered Dietitian Onsite Health Coach Evernorth Falls Church VAHybrid work on site in Falls Church VA / Fairfax County VA and part time work from homeOur Custom Coaching program connects employees with a highly skilled wellness coach for face to…
You will be responsible for the delivery of a business need end to end starting from understanding the requirements to deploying the software into production.The focus for this team is on the delivery of innovative solutions to complex problems, with…
Job Description:This is a global role focused on leading IT general computing control testing support for both Sarbanes Oxley (SOX) and non SOX environments, such as System and Organization Controls (SOC) Reports within the Internal Audit SOX/SOC Center of Excellence…
The primary function of this role is to support our clinical telephonic nurse team by connecting calls to ensure we deliver upon our commitment and promises. HOURS will be M F 10:30 7pm EST.Responsibilities Adhering to quality and production standards…
Summary:As a member of the HR Operations & Strategy (HR&S) organization and Global Workplace/Real Estate (GWP) Leadership team, the GWP Design & Experience Leader will report directly to the Vice President of GWP. This role requires a highly experienced and…
The job profile for this position is QA & Testing Senior Advisor which is a Band 4 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc.Responsibilities Define testing criteria using relevant business specifications. Design and develop optimal test environment…
Senior Accountant Enterprise Sarbanes Oxley (SOX) Internal ControlsThe Sarbanes Oxley (SOX) Project Management Office (PMO) is seeking an individual to assist in leading our enterprise SOX efforts including scoping, coordinating and overseeing the execution of controls testing, issue identification and…
Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We're looking for a Registered Nurse to join our fast paced, customer focused primary care/adult medicine teams for…
The job profile for this position is Software Engineering Lead Analyst which is a Band 3 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc. Design, code, and deliver Pega solutions. Identify tasks and responsibilities for Pega implementation. Create…
Dedicated Well Being Coordinator Role Summary The Well Being Coordinator is designated to one Cigna client and works closely with the Cigna account management team and the client's human resources/ well being team to execute the client's employee health engagement…
The job profile for this position is Application Development Advisor which is a Band 4 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc.Responsibilities Deliver complex business need software products, starting from analyzing and understanding business requirements to deploying…
Customer Service Associate Representative Hybrid Honolulu, HIMust already live in HawaiiPerforms Customer Service duties under direct instruction and close supervision. Work is allocated on a day to day or task by task basis with clear instructions.Entry point into professional roles.Main…
As a Compounding Pharmacy Technician, you will be working on a specialized team focused on compounding medications for critically ill patients. This role is very detail oriented, requires specialized training (provided in house) and has significant physical requirements. You'll spend…
Performs various inventory related functions. Refer to what you'll do listed below. Utilizes material handling equipment for product movement. Daily use of Excel and additional Microsoft applications. Interacts closely with other internal departments to research and to resolve discrepancies.What you'll…
Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We're looking for a Medical Assistant to join our fast paced, customer focused primary care/adult medicine for Evernorth…
POSITION SUMMARYThis position is located onsite at our New Castle, DE location. This role is worksite dependent and can only be performed onsite.The shift for this position is Monday through Friday 8:00 am 4:30 pm Eastern Time.The Staff Pharmacist interprets…
Job Summary:The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for…
Work Location Remote, Texas (must live in/or near area).Bilingual (English/Spanish), requiredMust pass company proficiency language testJob Summary:In this pivotal role, Cigna Medicare Agent Resource Representatives effectively handle inquiries from internal and external sales agents that are received via phone and…
The job profile for this position is Software Engineering Advisor Hybrid which is a Band 4 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc.Requirements Provide expert content and professional leadership on complex software engineering assignments and projects.Design and…
Home Infusion Registered Nurse AccredoTake your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications…
Senior Pharmacy Communications Owner*This is a hybrid role and will require the ability to work in person*Role Description:This role is responsible for defining and driving Express Scripts Pharmacy communications strategy and initiatives to deliver on communication outcomes for the Patient…
Position Overview:The job profile for this position is Scrum Master Advisor, which is a Band 4 Senior Contributor career track role.The Claims & Enrollment Applications organization is looking for a skilled and motivated leader with technology acumen, an agile software…
Implements policies and standards, evaluate new treatments, and conduct medical research to ensure the quality of the medical care provided to patients. Implements utilization and financial initiatives. Develops and manages efforts to improve and maintain cost and utilization trends. Requires…
Provides administrative support, with the majority of duties being high level administrative tasks, which may include planning/coordinating large events, meetings or conferences, screening inquiries or complaints as well as projects, and space planning. Performs budget preparation, scheduling, reporting and tracking…
Position Summary:Responsible for ensuring quality and accuracy are held to the highest standard through the warehouse and forwards stock locations. Will be assigned an area to ensure work is completed timely and accurately. Serves as a resource to supervisor and…
Role Summary The Provider Performance Lead Analyst is a key member of the market that drives the performance and development of the provider network with an emphasis on quality metrics. The Lead Analyst is the primary conduit to the providers…
Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We\xe2\x80\x99re looking for a Medical Assistant to join our fast paced, customer focused primary care/adult medicine/pediatric teams for…
Prolastin Home Infusion Nurse:What you must have:Active, unencumbered Registered Nurse (RN) license in the state of residencePrefer experience administering Prolastin IV infusionsAbility to flex your schedule to meet the needs of the Prolastin patients.Strong IV insertion skillsValid driver\xe2\x80\x99s licenseWillingness to…
The Product Manager on the Pharmacy Clinical Strategy team will be the responsible for leading the development and launch of new products and product enhancements for our pharmacy clinical programs, formulary, and/or utilization management offerings.This Product Manager will work closely…
The Lead Analyst role focuses on supporting our health plan partners grow their pharmacy lives business through RFP execution. This unique role is a part of the Express Scripts Health Plan Growth team, a cutting edge consulting group that gives…
Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Nephrology Medical Director at eviCore, part of Evernorth Health…
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights…
Network Development and Competitive Insights InternshipLooking for an internship program where you\'ll make a real difference rather than just completing busy work? Then you\'ve come to the right place. The Cigna Group\'s Summer Internship Program is designed to assign you…
Job Description:POSITION SUMMARYThe Account Director provides strategic support to the Sr. Account Director team for a select number of accounts (approximately 15). Responsibilities include, but are not limited to, financial analysis, data interpretation, Strategic Business Review development and participation in…
POSITION SUMMARY:This position is mainly remote/work from home, but attendance for training and meetings in person in Whitestown, IN as necessary is required.Schedule: Monday Friday for 8 hour shift with flexibility to start workday between 6am 9am EST.Join our team…
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights…
Accredo Specialty Pharmacy Fulfillment Center part of Evernorth Health Services, a division of the Cigna Group, is looking for a fulltime experienced Pharmacy Technician. We provide competitive pay, stable hours, great benefits and perks! Apply to learn more!SECOND shift only.…
Job Description The job profile for this position is Customer Service Senior Supervisor, which is a Band 3 Management Career Track Role. Customer Service Senior Supervisor MedicareThe Government Business CTM (Complaint Tracking Module) Complaint Resolutions Senior Supervisor is a leadership…
REQUIRED WORK HOURS:Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time.As a 24/7 Clinical…
The Pharmacy Technician Lead Representative will work within the Cigna Medicare Pharmacy Quality Improvement Department . The technician is responsible for maintaining a high level of customer service, quality, and accuracyto support Medicare pharmacy services and programs. The Pharmacy Technician…
Remote, Work from Home in PA, OH, IL, and Missouri Start Date 11/25/2024Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask and unrelenting drive to help others? As a Customer…
Pharmacy TechnicianThis role is Worksite dependent and can only be performed onsite.Are you ready to step into a position that combines your organizational skills, ability to multitask, and unrelenting drive to help others? We\'re looking for certified pharmacy technicians to…
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights…
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights…
Position SummaryThe Senior Director, Learning and Development, will lead the planning and execution of Evernorth\'s Sales and Account Management Learning and Development strategies. This role will drive strategic objectives forward and oversee the creation and delivery of high quality adult…
Position Overview:The individual is accountable to the Cigna Healthcare Medicare Operations Issue Management Team. This role will serve supporting the Issue Management Team for all reporting needs and analyze data as it pertains to issues reporting by the business. We…
Role Summary:The successful candidate will lead a team of individuals that review credential and re credential files potentially posing a risk, as well as sanctions monitoring activities for Health Care Practitioners. Provides direction and guidance regarding policies, procedures, workflows, file…
Please Note: This role is hybrid with the expectation of working 3 days per week onsite and 2 days per week remote.The Provider Contracting Advisor (PCA) is responsible for the overall management of the Behavioral Outpatient network which consists of…
The Quality Support Team\'s mission is to maintain a strong stakeholder experience by scheduling peer reviews within compliance timeframes. The Care Coordinator role is a fast paced position that is inclusive of all of the Evernorth cultural beliefs and comprises…
The Senior Accountant is primarily responsible for completing complex rebate accounting activities relating to the maintenance of a complete and accurate general ledger for rebates including journal entries and reconciliations. This position will work with team members as well as…
Help us support our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have troubleshooting and customer service experience? If so, prepare to innovate, create, and inspire. The Technical…
The CIGNA Tax Department is seeking an experienced Tax Professional for a Tax Accountant role that will directly support its Statutory Accounting operations. The Tax Department is known throughout the company for its technical innovation. Our Tax Accountants are encouraged…
Join the Cigna Government Business segment for an exciting opportunity to build a new solution to support Small Group Employers (2 50 lives) provide high quality care to their employees. You will oversee the end to end enrollment of all…
The Cigna Group is looking for talented people with prior audit experience, who are interested in being a part of The Cigna Group\'s rapidly evolving strategy. This position provides exposure to key stakeholders, who are an integral part of ongoing…
The Product Management Sr. Advisor provides leadership and strategic direction in the analysis, the reporting, maintenance, and growth of key products within the SafeGuardRx platform. This position will be responsible for product positioning, product communications, coordinating with cross functional partners,…
The Medical 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 fee for service (FFS) basis. They will manage a small team of direct reports…
The Evernorth Software Management Director will lead Software Engineering teams that deliver innovative digital healthcare technology solutions to our patients, members and customers. They will courageously push the boundaries of our agile engineering culture. They will passionately, persistently and productively…
SummaryThe Business Analytics Advisor will be responsible for supporting the development and maintenance of a reporting and analytics environment within the Sales and Provider Analytics organization to provide insights and inform decision making across the organization. This role will partner…
The Systems Analysis Senior Advisor is a member of the Agile Team and a conduit between the Agile Team and the business. This individual is responsible for defining the vision, scope, and priority of the detailed requirements to be delivered…
The Marketing Operations Advisor (Campaign Engagement Strategist) is responsible for execution, monitoring and measurement of all the engagement campaigns across various channels (e.g. direct mail, email, IVR, SMS).Key Responsibilities: Define member centric engagement strategies in alignment with patient activation and…
Medicare Advantage Product Lead Analyst EGWP ProductsThe Medicare Advantage Product Lead Analyst will support product development strategies designed to maximize profitable growth and membership targets for Medicare group business, including group Medicare Advantage and group Medicare Part D plans.They will…
The position requires an experienced actuarial viewpoint with a proven ability to work collaboratively with cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses and projections, financial forecasts,…
POSITION SUMMARYThis Business Analytics Senior Advisor will be responsible for leading critical analytical work that supports Customer Experience and Operations Enablement (CX&OE) strategic priorities. They will work closely with CX&OE leadership and their teams to deeply understand the business problems…
The Warehouse Associate Representative is responsible for performing tasks related to receiving product, stocking and replenishment, and inventory control. This includes safely unloading trucks and unpacking received product, comparing the purchase order to the product received for accuracy, counting quantities…
The Provider Contracting Advisor serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network…
Claims Representative \xe2\x80\x93 RemoteSUMMARYThe claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or…
Are you looking for a new role where you can use your expert knowledge andbuild new skills while improving the lives of others? Join us as a Managed CarePharmacist at Cigna Healthcare or Evernorth Health Services, divisions of TheCigna Group…
Role SummaryResponsible for growing membership within existing accounts and for directly managing business relationships with client accounts. Ensures that systems and processes are in place to meet the needs of internal and external clients. Develops and implements strategies and policies…
The Senior Advisor of Governance and Reporting for the Medicare Workforce Management (WFM) and Operations Support team will be responsible for owning the operating model strategy and governance model.. Workforce Management is comprised of front and back office planning teams.…
Home Infusion Registered Nurse AccredoTake your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications…
The Warehouse Associate Representative is responsible for performing tasks related to receiving product, stocking and replenishment, and inventory control. This includes safely unloading trucks and unpacking received product, comparing the purchase order to the product received for accuracy, counting quantities…
Position Summary:Responsible for ensuring quality and accuracy are held to the highest standard through the warehouse and forwards stock locations. Will be assigned an area to ensure work is completed timely and accurately. Serves as a resource to supervisor and…
POSITION SUMMARYFinancial Analysis Advisor will support portfolio expense and DOD client gross margin financial planning and analysis for Accredo. Primary function of the role is analytical support for Finance Planning Team leadership as well as non Finance Business Partners within…
Position OverviewThe Engineer will work with a team of talented individuals and be engineering lead to build and test Medicare provider applications and its components that interface with complex systems and external vendor managed SaaS systems. Engineer will have solid…