- The Cigna Group (Houston, TX)
- …solutions and develop an integrated strategy to improve access and affordability for Cigna Medicare members and stakeholders. This leader will be responsible for ... solutions and develop actionable strategies to improve access and affordability for Cigna Medicare members and stakeholders. + Identification of barriers to… more
- The Cigna Group (Scottsdale, AZ)
- …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 (Houston, TX)
- **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational ... 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 (Atlanta, GA)
- …a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations , Stars & Risk Adjustment, Finance , ... Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director, this individual ensures the effective performance… 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 (Baltimore, MD)
- …working with external vendors that may have specialized skills and insights on Medicare Advantage customer experience to improve Cigna 's customer engagement and ... Leads the development of customer onboarding and marketing plans for the Medicare Advantage customer journey. Communication plans will be multi-modal to include… 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)
- Clinical Program Senior Advisor - BCGP / LTC Focused **POSITION SUMMARY** + The Senior Clinical Geriatric Consultant Pharmacist will support quality, safety, and ... based on broad view of the organization. + Support pharmacy operations and research for claims adjudication, formulary management and STAR metrics.… 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 (Nashville, TN)
- 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
- 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
- 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