- The Cigna Group (Tucson, AZ)
- …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)
- …TO ORLANDO AND TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned ... expertise to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk...initiatives. + Work closely with matrix partners including Network Operations , Stars or Clinical Operations ,… more
- The Cigna Group (Anaheim, CA)
- …and sophisticated value-based reimbursements with hospitals and other providers for both Cigna 's US Commercial and Medicare product lines (eg, Hospital systems, ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- The Cigna Group (Atlanta, GA)
- …and sophisticated value-based reimbursements with hospitals and other providers for both Cigna 's US Commercial and Medicare product lines (eg, Hospital systems, ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- The Cigna Group (Sandy, UT)
- …with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and ... 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 (Morris Plains, NJ)
- …provides strategic, financial, clinical , relationship, and organizational leadership for the Medicare D and Exchange lines of business within the Sales & Account ... retention, productivity, and engagement. + Partner with Sales & Account Management Operations and serve as escalation point to ensure smooth on-going delivery of… more
- The Cigna Group (Bloomington, MN)
- …the Account Management Lead Associate must collaborate with the Account Manager, Operations Sr. Manager, Account Executive, and Clinical Account Executive to ... benefit set-up and project support as requested within the Medicare and/or Exchange lines of business. The primary focus...Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to… more
- The Cigna Group (Bloomfield, CT)
- …Provides counsel and advice to top management on significant Clinical Program Management matters, often requiring coordination between organizations. Focuses ... Recognized internally as "the go-to person" for the most complex Clinical Program Management assignments. Represents company externally and serves as conduit… more
- The Cigna Group (Bloomfield, CT)
- …-- Cigna , & CareAllies. Market and Regional level case work for Cigna Medicare . **Summary description of position** : A Medical Principal performs medical ... review and case management activities. The physician provides clinical insight to the organization through peer review, benefit...business acumen experience a plus. + Fluency in Spanish ( Cigna Medicare ) or other languages If you… more
- The Cigna Group (Bloomfield, CT)
- …supervising physicians to join our growing teams as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial clients. ... Evernorth Home based Care (ENHB), a division of Cigna , is the premier home-based healthcare provider and...reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical… more
- The Cigna Group (Nashville, TN)
- …ACO trends, variances, problem areas and opportunities + Collaborate with Local Network Operations Team on a scheduled and as needed basis + Participate in the ... Baccalaureate degree preferred + Three or more years of clinical experience in an acute care, post-acute care or...preferred **Knowledge:** Must possess or attain knowledge of: + Medicare regulations and MSSP regulations + HIPAA regulations +… more
- The Cigna Group (Nashville, TN)
- …and managing the execution of the organization's strategic initiatives and key operations in order to support the achievement of Home-Based Care's mission, ... role requires a natural leader with experience in managing care delivery operations , particularly in a primary care setting, and core strengths in multi-solution… more
- CommonSpirit Health at Home (Lexington, KY)
- …hard work! + Excellent Vacation + Fidelity 401(K) Plan + Lyra Mental Health Benefits + Cigna Life/AD&D Plans + Cigna Long Term Disability + Cigna Short Term ... if a patient would benefit from Infusion services. + Explain Medicare and Medicaid guidelines, insurance plan benefits, financing options, and organizational… more