• Medical Managing Director , Client Growth,…

    The Cigna Group (Bloomfield, CT)
    …Willing to consider other onsite locations.** **OVERVIEW/DESCRIPTION:** As a member of the Cigna Healthcare (CHC) Clinical Leadership team, this role will report ... the clinical elements of sales and growth efforts across Cigna 's health plan. **RESPONSIBILITIES:** + **Drive enterprise results:** Drive the achievement of… more
    The Cigna Group (04/08/25)
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  • Medical Director - Rheumatology

    The Cigna Group (Bloomfield, CT)
    **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna . **Summary description of position** : A Medical ... performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review,… more
    The Cigna Group (04/22/25)
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  • Medical Director - Evernorth Care Group…

    The Cigna Group (Peoria, AZ)
    **MEDICAL DIRECTOR - North West Region (Sun City/Sun City West/Paseo/Arrowhead)** This position combines clinical practice of primary care 40-60% with change ... agent/leadership duties 40-60% The Medical Director will serve as the key medical administrator overseeing...will serve as the key medical administrator overseeing the clinical activities of Primary Care clinicians within the healthcare… more
    The Cigna Group (03/18/25)
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  • Program Management Advisor/ Clinical

    The Cigna Group (St. Louis, MO)
    …but is not restricted to locations that are identified in this posting.** Clinical Program Advisor -Supply Chain/Formulary Consulting **JOB SUMMARY** The ... Clinical Program Advisor provides insight and guidance on complex ...modeling with little to no modeling oversight by Sr. Manager/ Clinical Director + Identifies and recommends process… more
    The Cigna Group (05/13/25)
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  • Director , Provider Contracting Network…

    The Cigna Group (Scottsdale, AZ)
    …to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral member of the ... 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 (04/09/25)
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  • Medical Director -Pediatric Surgery

    The Cigna Group (Bloomfield, CT)
    Director at Evicore part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical ... Medical Director - Pediatric Surgery- Evicore- Remote **We have...intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the… more
    The Cigna Group (05/19/25)
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  • Managing Director - PBM Customer Service…

    The Cigna Group (Bloomfield, CT)
    **Job Description Summary:** The Managing Director of the Pharmacy Benefit Management (PBM) Customer Service Operations will be responsible for leading and ... for enhancing the customer experience. **Scope of Job:** The Managing Director will collaborate extensively with key stakeholders, including business owners, call… more
    The Cigna Group (04/26/25)
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  • Medical Director - Post-Acute Care…

    The Cigna Group (Bloomfield, CT)
    Summary: The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization review ... criteria and renders a clinical opinion about the medical service under review while...details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health… more
    The Cigna Group (04/02/25)
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  • Solutions Engagement Director - Verity…

    The Cigna Group (Bloomfield, CT)
    …client's operations. It is the responsibility of the Solution Engagement Director to explain the technical and functional aspects Verity Solutions' products ... what problems it solves for our clients in various clinical settings. + Promote the benefits of Verity's solutions...through client interactions. + Work collaboratively with the Sales Director in the sales process. + Proactively follow-up with… more
    The Cigna Group (05/21/25)
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  • Clinical Account Executive - Express…

    The Cigna Group (St. Louis, MO)
    …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 (05/20/25)
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  • Senior Director Utilization and Contracting…

    The Cigna Group (Bloomfield, CT)
    **Overall** Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate ... Functions:** + Ability to manage development and execution of clinical UM strategy. This would include both the ongoing...Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to… more
    The Cigna Group (04/04/25)
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  • Medical Principal - Oncologist

    The Cigna Group (Bloomfield, CT)
    …primary care center. Requires an MD, DO or DC. SUMMARY: The Medical Director performs medical review and case management activities. The physician provides ... clinical insight to the organization through peer review, benefit...(claims). Primarily regional with national level case work for Cigna Healthcare. RESPONSIBILITIES: - Performs benefit-driven medical necessity reviews… more
    The Cigna Group (04/02/25)
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  • (RN) Nurse Case Manager - Evernorth Health…

    The Cigna Group (Pittsburgh, PA)
    …and chat interactions.** **Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical ... per role.** **Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.** **Minimum requirements** **Active… more
    The Cigna Group (05/21/25)
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  • RN- Transplant Nurse Case Manager

    The Cigna Group (Bloomfield, CT)
    …chat interactions. + Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical ... role. + Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. **Minimum requirements:** Active unrestricted… more
    The Cigna Group (05/21/25)
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  • Health Center Sr Supervisor RN/LPN - Evernorth

    The Cigna Group (Clearwater, FL)
    …partner in our Health Centers. **Description:** * Reporting to the Operations Director , will be responsible for assisting physicians with the evaluation and ... medication refills, patient/family education, identifying opportunities for preventative screening, clinical issues to evaluate all members, notification of member's… more
    The Cigna Group (04/04/25)
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  • Clinical Director - Enhanced Long…

    EAC Network (Central Islip, NY)
    Clinical Director - Enhanced Long Island Parenting Institute Job Details Job Location 320 Carleton Avenue, Suite 8000 Central Islip, NY, 11722 - Central Islip, ... Job Category Human Service Join Our Team as a Clinical Director ! Are you passionate about supporting...Schedule:9AM-5PM, Monday- Friday Location: Central Islip, NY Reports to: Program Director What drives the core purpose… more
    EAC Network (03/04/25)
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  • Clinical Director - Community Re…

    EAC Network (New York, NY)
    Clinical Director - Community Re entry...in the criminal justice system into an appropriate treatment program and providing clinical support to CRAN ... and NYC, is looking for a dedicated full time Clinical Director to join the Manhattan Community...needed. + Conduct drug testing on clients of the Program as needed. + Provide clinical support… more
    EAC Network (04/09/25)
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  • Senior Director - CCBHC

    Outreach Development Corporation (Richmond Hill, NY)
    …Community Behavioral Health Clinic (CCBHC) is responsible for providing administrative and clinical leadership to Outreach's CCBHC. The Senior Director is ... F/T Sr Director CCBHC; Richmond Hill, NY, US Exempt Salary...to quality care. Oversees the administration, site management, and clinical aspects of the program and ensures… more
    Outreach Development Corporation (05/10/25)
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  • Social Worker

    Outreach Development Corporation (Richmond Hill, NY)
    …in task identification and completion; use time efficiently and work with the Site Director and Program Coordinator to effectively handle volume of work. + ... Health Center is responsible for the delivery of direct clinical services in an integrated mental health and substance...+ Identify, plan, and implement appropriate activities under the director of the Program Coordinator. + Complete… more
    Outreach Development Corporation (05/14/25)
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  • Primary Counselor (Addiction) -FT

    Outreach Development Corporation (Richmond Hill, NY)
    …in task identification and completion; use time efficiently and work with the Site Director and Program Coordinator to effectively handle volume of work. + ... Health Center is responsible for the delivery of direct clinical services in an integrated mental health and substance...+ Identify, plan, and implement appropriate activities under the director of the Program Coordinator. + Complete… more
    Outreach Development Corporation (05/14/25)
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