The Clinical Product Advisor is responsible for service innovation and product design, focused on advancing behavioral\xe2\x80\x99 s current and future clinical and health advocacy programs using evidenced based best clinical practices, opportunity analytics. Using a value based design approach, and…
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…
Please note: This hybrid role will require the incumbent candidate to come into the local Cigna office 2 3 days per week.The Sales Client Account Support Senior Analyst role provides professional input to Client Services assignments and projects for a…
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…
Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications. Establishes patient centric goals and interventions…
As an Enrollment/Billing Senior Representative you would be responsible for reviewing, validating, updating and completing records for Medicare Advantage membership in accordance to Medicare guidelines.Job Duties: Review file data monthly and daily CMS files to ensure appropriate data is collected…
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…
Position DescriptionThe position is full time and 40 hours a week. The shift will be 10 hour shifts between the hours of 12PM and 12AM EST. Shifts may be 12PM 10PM EST or 2PM 12AM EST. Scheduled weekdays vary and…
The Provider Contracting Senior Advisor is a key contributor to the development of the strategic direction and is accountable for the management of value based contracting and network management activities in the assigned market. The West Market includes Texas, Colorado,…
The Disaster Recovery Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the MTO datacenter recovery effort using a BCP tracking tool. This position will be responsible for the oversight of the…
The Technical Support Associate Analyst is responsible for the day to day performance and operation of both PC and LAN hardware and software. The Technical Support Associate Analyst installs, configures, troubleshoots, and repairs computer workstations and local area networks, monitors…
As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth for Cigna, This program will drive a competitive administrative cost structure while delivering consistent, compliant operational performance. This will be accomplished through the implementation of a new operating model…
Do you want to Drive Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst. This highly technical systems role acts as the Subject Matter Expert (SME) for the Claims Configuration…
The mission of the Technology Operations organization is to provide recovery support to our colleagues throughout the United States across both physical offices and a remote workforce while delivering the best possible experience to our colleagues. We are seeking a…
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…
eviCore is hiring two Implementations, Project Managers. The Implementations Project Manager will be responsible for directing all aspects of new client implementations, client expansions and existing clients implementing new programs/features. Maintains ultimate responsibility for the successful completion of an implementation…
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…
Role Overview:The Enterprise Marketing Operations team is looking for a Marketing Enablement 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 (eNPS).Building off…
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 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,…
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 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…
SummaryThe Audit, Controls & Compliance Advisor will support the Internal Monitoring function within the Provider Data Quality & Accuracy (PDQA) team. They will help execute monitoring programs to identify data accuracy issues which negatively impact our ability to meet specific…
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 Overview: The Call Center Manager will oversee the daily operations of a home based care call center, ensuring efficient and effective handling of calls, scheduling appointments, and providing exceptional customer service. They will lead a high volume team of…
SummaryThe Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims…
We\xe2\x80\x99ve got big plans. How big, you ask? Well, we want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. And that\xe2\x80\x99s only the beginning.…
POSITION SUMMARYThe Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is responsible for contributing to and driving the team strategy to ensure continuous improvement and enhancement of the support model.…
Home Infusion Nurse (RN):Empower your patients. Pursue your passion. Be the RN you dreamed of. Because it all matters.Get ready for a nursing career experience unlike any other. Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs,…
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 Pediatric Otolaryngology Medical Director at Evicore part of Evernorth…
Evernorth Workplace Care (EWC) 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…
Pharmacy Clinical Pharmacist\xe2\x80\x93 Clinical Program Senior AdvisorRole Summary:This position is responsible for the development of formulary strategies involving both pharmacy and medical products, clinical actions following release of new/existing drug products, evaluating and managing drug utilization review, and pipeline product…
Position Scope: This is a Dedicated Client Specific Resource Summary description of position:The role of the Clinical Liaison was developed for large clients with an accommodation model to provide effective clinical support to execute on programs and processes Cigna retains…
The Cigna Payer Solutions Contracting Advisor is responsible for drafting and preparation of non standard and standard client contracts, managing redlines and facilitating negotiations, requiring a higher degree of independence and skill. The role also serves as primary Contracting Team…
After completion of application, be sure to complete the required assessment to continue in the hiring process.JOB DESCRIPTIONIf you like to make a difference and help people, have great communication skills and are able to problem solve with a cool…
After completion of application, be sure to complete the required assessment to continue in the hiring process.JOB DESCRIPTIONIf you like to make a difference and help people, have great communication skills and are able to problem solve with a cool…
Express Scripts is looking for an experienced Arizona Certified Pharmacy Technician to work onsite at our Tempe Fulfillment center. We also welcome Arizona licensed Pharmacy Technician Trainees.We have recently increased our starting pay & are currently offering a sign on…
Express Scripts is looking for an experienced Arizona Certified Pharmacy Technician to work onsite at our Tempe Fulfillment center. We also welcome Arizona licensed Pharmacy Technician Trainees.We have recently increased our starting pay & are currently offering a sign on…
Role SummaryAligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the market leader for the dental and vision product for our Florida market supporting our Middle Market Buyer Group. Overall responsibilities are…
Role SummaryAligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the market leader for the dental and vision product for our Florida market supporting our Middle Market Buyer Group. Overall responsibilities are…
Home Infusion Nurse (RN):Empower your patients. Pursue your passion. Be the RN you dreamed of. Because it all matters.Get ready for a nursing career experience unlike any other. Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs,…
ministrative 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 information, a wide variety of complex meeting prep/presentations, as well as…
SummaryThe Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics needs and provide insights which address business questions and influence decision making. You will work closely with colleagues…
Job DescriptionThe Grievance team manages Cigna Healthcare Medicare/Medicaid grievances that are presented by our member\xe2\x80\x99s or their representatives pertaining to the authorization of or delivery of clinical and non clinical services. Grievance works in collaboration with divisions within and outside…
The Executive Medical Director (EMD), In Home Primary Care (IHPC) Clinical Operations will report to the Home Based Care Chief Medical Officer and will work as a dyad partner with the IHPC Operations Director. The EMD Clinical Operations will be…
Home Infusion Nurse (RN):Empower your patients. Pursue your passion. Be the RN you dreamed of. Because it all matters.Get ready for a nursing career experience unlike any other. Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs,…
POSITION SUMMARYThe Financial Audit Analyst has a fundamental understanding of concepts, practices and procedures related to Delegation Oversight. This function supports the Financial Audit Supervisor in completing varied tasks that may be more challenging than a typical request. The Financial…
Work Location Remote, Work from home, United StatesAre you an outstanding Instructional Designer with exceptional facilitation skills who is passionate about learning and performance improvement? Do you have experience straddling both worlds (training design and delivery) and creating magic from…
The Grievance team manages Cigna Healthcare Medicare/Medicaid grievances that are presented by our member\xe2\x80\x99s or their representatives pertaining to the authorization of or delivery of clinical and non clinical services. Grievance works in collaboration with divisions within and outside the…
Cigna, a leading Health Services company, is looking for exceptional data engineers/developers in our Data & Analytics organization. The Full Stack Engineer is responsible for the delivery of a business need end to end starting from understanding the requirements to…
POSITION SUMMARY:This position leads business and operations management activities for one or more teams in the Enterprise Architecture organization and reports to either a Senior Director or Managing Director.As a Senior Advisor focused on ensuring the Enterprise Architecture organization operates…
As a Site Chief Engineer, You will be: Responsible for repair and maintenance of buildings and grounds determined by Lease Language and Site Specific Equipment Inventory. Ensure drug product is maintained in accordance with site, Board of Pharmacy and all…
The Senior Sales Consultant for myMatrixx is primarily responsible for creating new opportunities, managing complex sales strategies and closing new opportunities within the assigned market. This role is responsible for ensuring new program sales goals are met through the development…
The Role:As an XD Discovery Lead, you\xe2\x80\x99ll play a critical role in the discovery and definition of Cigna digital experience. You\xe2\x80\x99ll work in a highly collaborative environment with Product & Engineering peers to rapidly define, test and iterate your way…
Role SummaryThis role will support the Provider IT organization and is an opportunity to collaborate closely with business partners in Finance, Technology, Business Management, Procurement, Accounting and Portfolio Management. This role has monthly close responsibilities including quarterly forecast, and the…
Home Infusion Nurse (RN):Empower your patients. Pursue your passion. Be the RN you dreamed of. Because it all matters.Get ready for a nursing career experience unlike any other. Accredo Infusion Nurses travel to patient homes and deliver critical infusion drugs,…
This is a HYBRID role with on site expectation in either St. Louis, MO or Morris Plains, NJPOSITION SUMMARYThe successful candidate will become an expert in the setup, payment, tracking and reporting of performance guarantees in accordance with Express Script\xe2\x80\x99s…
**Multiple positions available** External applicants must have prior Cigna Implementation experiencePlease note: This hybrid role will require the incumbent candidate to come into a local Cigna office 3 full days per week. The incumbent candidate can be based out of…
Evernorth Care Group (ENCG) is a leader in integrated primary care and an industry pioneer in value based care. We focus on providing high quality, affordable and accessible care for our patients across Arizona.The Care Management team works closely with…
POSITION SUMMARY for Senior Account Executive Neurology and Rare Disorders**Ideal candidate will reside in Colorado or Oklahoma and will support Denver/Oklahoma City**The Sr Sales Account Executive is primarily responsible for selling Accredo Specialty Pharmacy services to prescribing offices of Multiple…
The Warehouse Associate Representative is responsible for performing tasks related to receiving products, 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…
Reporting to the head of Business Analysis (BA), this associate will be responsible for leading critical analytical work necessary to move the Customer Experience and Operations Enablement (CX&OE) organization forward.The role will lead a business analysis team within the CX&O…
The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered within Evernorth. The RN Coordinator will educate the patient on healthcare options, provide patient education and answer questions as they arise.…
Work Location Remote, United StatesSummary:The Quality Review & Governance Lead Auditor for IFP supports the U.S. Government Governance team as an audit, risk, and control subject matter expert. The Quality Review & Governance Lead Auditor is responsible for the design,…
This is a HYBRID role with on site expectations. Only local candidates will be considered.POSITION SUMMARYThe primary function of the role is analytical support for Finance Planning team Managers as well as Business Partners within ESI. Position will play a…
Warehouse AssistantHours: AM and PM hours 1st Shift\xe2\x80\x945:00am \xe2\x80\x93 3:30pm Sunday through Wednesday 2nd Shift 3:20pm 11:50pm Sunday through Thursday Are you ready to step into a position that combines your communication skills, attention to detail and ability to multitask?…
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…
Primary Function: Responsible for coordinating the delivery of cost effective, quality \xe2\x80\x93based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources.…
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…
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…
This role is Worksite dependent and can only be performed onsite.*** This float role is eligible for 6% premium pay. If you elect to transition out of the float position in the future, you will forfeit this incentive. ******* This…
As a member of The Cigna Group\'s Actuarial Executive Development Program (AEDP), you will take your analytical and technical skills and put them to work in a business setting, making a difference for millions across the globe!The AEDP develops actuaries…
The Strategic Planning Principal will guide Commercial Division executive leadership strategic planning decisions and provide advice that has significant impact to the division. They will lead the development of new initiatives that drive the overall growth strategy for Commercial Division.…
Help us test our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have end to end testing and analysis experience? If so, prepare to innovate, create, and inspire.…
Cigna Medicare Part C Appeals Reviewer: Appeals Processing AnalystWe 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…
Position Summary:Plans, implements, and evaluates appropriate health care services to assist the customer throughout their Utilizes clinical skills to assess, coordinate, monitor and evaluate options and services in order to facilitate appropriate health care outcomes for customers. Ensures that case…
The job profile for this position is Infrastructure Engineering Advisor which is a Band 4 Senior Contributor Career Track Role with eviCore Healthcare MSI, LLC.Review and enhance existing security practices related to code management, access management, and release/deployment practices.Manage and…
The job profile for this position is Architecture Senior Advisor which is a Band 4 Senior Contributor Career Track Role with Cigna Evernorth Services, Inc.Build Synthetic Data as a Service solution for Enterprise solution architecture. Build Framework/API Services.Provide Architecture solution…
Responsibilities: Responsible for repair and maintenance of buildings and grounds determined by Lease Language and Site Specific Equipment Inventory. Ensure drug product is maintained in accordance with site, Board of Pharmacy and all regulatory agencies. Maintaining compliance with all applicable…
Pharmacy Tech (Pharmacy Care Coordinator) Evernorth CaliforniaSummary:The Pharmacy Care Coordinator helps analyze client data to identify members that would benefit from Evernorth intervention, contact members and execute select intervention activity. Interventions include, but are not limited to, recommending low cost…
Responsibilities: Manage clinical programs through their life cycle, including market strategy, product direction, clinical design, program outcomes, reporting, client satisfaction, and future innovative product development. Be the source of truth and subject matter expert for all stakeholders involved in the…
After completion of application, be sure to complete the required assessment to continue in the hiring process.SUMMARYeviCore Healthcare, a subsidiary of The Cigna Group, is committed to making a positive impact on healthcare by delivering excellent patient provider care and…
SummaryForsyth Health is our newest data strategy & services company in the Evernorth family of solutions. We are launching this data strategy & services company focused on unique data sharing capabilities with pharma manufacturers that will ultimately strengthen better health…
Position SummaryThe primary purpose for the Business Analytics Lead Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Prospect Analytics division. The analyst will provide reporting, analytic support, and consultation to our…
Position SummaryThe primary purpose for the Business Analytics Senior Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Prospect Analytics division through extraction and interpretation of prospect data directly from our data…
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 certified pharmacy technicians to join our fast paced, customer focused pharmacy teams at EVERNORTH Care…
DIVISION SUMMARY:Accredo is a leading provider of specialty pharmacy services, offering a broad range of healthcare products and services for individuals with chronic health conditions, such as, hemophilia, oncology, multiple sclerosis, and rheumatoid arthritis. Accredo also provides comprehensive patient management…
Healthcare Information Management \xe2\x80\x93 Summer InternWhere You\xe2\x80\x99ll Work:Evernorth\xe2\x80\x99s Global Data & Analytics team is seeking a 2025 Summer Intern who has a passion for improving processes and loves working on things that make an impact. Be a part of our…
The Individual Dental Strategy & Business Development Director will be responsible to maximize Cigna\'s performance by developing a comprehensive strategy for our individual dental portfolio across matrix partners that supports the development of a prioritized and actionable execution roadmap to…
Job DescriptionThe 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 role within…
**Our ideal candidate for this role will have the ability to support frequent local market client events and engage in local community events in North Florida.**The National Account Manager (NAM) will have responsibility of overall operational performance strategy and execution…
Job Posting Title: Digital Operations \xe2\x80\x93 Embedded Digital Ops Lead \xe2\x80\x93 Operating Effectiveness Sr AdvisorJob DescriptionAs a member of the Digital team, you will join a team transforming health care and health services for over 170M people worldwide. Our team…
Job DescriptionEngagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to Cigna Select Buyer Group Clients. In working with Cigna Clients with diverse employee populations, this role identifies the right wellness program mix and the program…
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 collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: inpatient admissions, outpatient services, surgical and diagnostic procedures, home health, durable…
Job SummaryThis Business Development Principal is responsible for building and maintaining key strategic relationships within their respective client portfolio inclusive of Specialty Pharma Manufacturers, assisting with RFP\xe2\x80\x99s and new sales. Proactively drive strategic growth opportunities with senior executives, using market…
ResponsibilitiesThe incumbent owns the value delivery of a key discipline within the capabilities/products.Manages product portfolio intake, coordinating assessment of new project requestsDevelops and distributes appropriate value added reports for the portfolio, including but not limited to epic level status reports,…
Accredo Specialty PharmacyAre you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help others? If you\xe2\x80\x99ve always wanted to work in pharmacy operations and enjoy a fast…
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 the Evernorth Accountable Care Provider Operations team,…
*** Candidate will be required to be in office Tuesday, Wednesday and Thursday. Monday and Friday will be Work at Home ***The Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to the Select & Middle…