- 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)
- …and affordability related experience preferred + 3+ years' experience within Claims operations strongly preferred + Medicare experience preferred + Strong ... Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a...cost trend reduction through strategic collaboration with business and clinical leaders who bring innovative ideas and projects from… more
- The Cigna Group (Bloomfield, CT)
- …$5,000 in addition to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an ... overall operational market goals in conjunction with market network operations , stars strategy and vendor partners. The role will...expertise to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk… 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)
- 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