• Medicare Affordability Value Program…

    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 (05/13/24)
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  • HCC Coding Provider Education Senior Analyst-…

    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 (05/29/24)
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  • Medical Director - Pulmonologist/Nephrologist…

    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 (04/26/24)
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  • Per Diem Home Care Physician - Birmingham, AL

    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 (06/01/24)
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  • Provider Contracting Senior Manager - Evernorth…

    The Cigna Group (Bloomfield, CT)
    …Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to developing a performance ... develop a competitive intel process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors, Medical Directors,… more
    The Cigna Group (06/05/24)
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