- The Cigna Group (Bloomfield, CT)
- …training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. + Demonstrates sensitivity to ... States. Compact RN license a plus. + Two years full-time equivalent of direct clinical care to the consumer. + Previous case management experience with the … more
- The Cigna Group (Bloomfield, CT)
- …in daily work plan + Communicates with all levels of staff within Clinical Operations and matrix partners; externally with customers, medical providers, vendors, ... For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna… 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 (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 (Bloomfield, CT)
- The Medicare Advantage (MA) Finance Enablement VBA Modeling Advisor will manage FP&A models for provider groups engaged via a professional capitation, risk/surplus ... variety of stakeholders for proposed updates (such as Accounting, Network Operations , Analytics, Medical Economics, etc.). **Responsibilities** + Act as model… more