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Consolidated Precision Products (CPP) is currently looking for an XRay Level II on 2nd Shift to join our team! They will be reporting to our NDT Supervisor at our aerospace foundry.
This is a great opportunity to join a growing company that has been in business for over 30 years! CPP offers a competitive compensation with many overtime opportunities and a comprehensive benefits package which includes a quarterly bonus program, medical/dental/vision/life insurance and 401k with employer match, paid vacation, sick time and holidays.
Salary Range: $28 - $35 DOE plus 2nd Shift Incentive (Overtime Available)
ESSENTIAL JOB FUNCTIONS/DUTIES
* Non-destructive testing (NDT) Inspector sets up and operates equipment to perform Film Radiographic NDT inspections in accordance with approved work instructions.
* Interprets and evaluates NDT method results for acceptance or rejection, read and interpret engineering drawings/models, work instructions, and specifications.
* Work from verbal and written instructions, such as procedures, repair work orders, technique sheets, engineering drawings etc., to plan and perform the sequence of operations required to inspect parts for conformance.
* Sets up and operates tooling and equipment, and when necessary, make offsets and adjustments to ensure valid test results.
Performs check and calibrations of test process media to maintain test integrity.
* Perform inspection operations and complete all related documentation in accordance with all applicable customer and company policies, procedures, work instructions, specifications, and contract letters.
* Inspects parts for material defects and irregularities.
Interpret test results and accepts parts that meet applicable standards.
Identify non-conformance based on location size, orientation, and pattern in accordance with established criteria.
* Identify recurring inspection issues and recommend changes in methods or equipment to eliminate errors.
* Will perform or assist with new development work, as needed.
* Work with technical support groups and provide technical leadership to develop and experiment with new techniques for inspecting new, revised, or unique parts and/or inspection equipment.
Generate and/or develop procedures and work process documentation to support same.
* Perform equipment standardization, prepare parts and conduct performance checks in in accordance with appropriate work process standards.
* Perform assigned duties and tasks not specifically noted above to support employees' growth and development.
* Refer problems to Level III or Team Leader as appropriate to resolve difficulties
* To perform the X-Ray Level II job successfully, an individual must be able to perform each essential responsibility satisfactorily.
These requirements are representative, but not all - inclusive, of the knowledge, skill, and ability required of this position.
Reasonable accommodations may be made to en...
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Type: Permanent Location: City of Industry, US-CA
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:22
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Are you ready for your career to take off in the
Aerospace Industry?
Come join us for our job fair
where you can tour our facility and see our
titanium aerospace parts being made!
Thursday, August 1 -- 10:00am - 2:00pm
Just Google Pacific Cast Technologies in Albany for directions to
150 Queen Avenue SW, Albany OR 97322
*You must wear long pants and closed toed shoes
*
Bring your resume to the job fair or 'Apply Now' to be considered for any open positions at PCT!
Call 541-967-4855 with questions or for more information.
If you would love to be part of a company that is poised for substantial growth with opportunities for advancement, then working for CPP and its subsidiaries may be the right fit for you! We have multiple facilities in Albany, OR and are a world class supplier of titanium castings and components for the aerospace industry.
If you are selected to join our team you will enjoy benefits such as quarterly bonus, medical, dental, vision, 401(k), company paid life insurance, and other great benefits!
Consolidated Precision Products (CPP) is an industry-leading manufacturer of highly-engineered
components and sub-assemblies, supplying the commercial aerospace, military and industrial markets with small-to-large "function critical" products.
CPP provides its customers with a "total solution" source, taking them from concept to finished product with one of the broadest and most diverse product offerings in the industry.
More information about our company can be found at: http://www.cppcorp.com/
U.S.
person status is required for this position in order to comply with the Arms Export Control and Export Administration Act.
U.S.
persons are U.S.
citizens, legal permanent residents as defined by 8 U.S.C.
1101(a)(20) or protected individuals as defined by 8 U.S.C.
1324b(a)(3).
CPP Corporation is an Equal Opportunity Employer that recruits, hires, trains, and promotes employees in all job classifications without regard to race, color, religion, age, sex, sexual orientation, gender identity, marital status, national origin, disability, veteran's status, or other legally protected status.
This is a full time position
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Type: Permanent Location: Albany, US-OR
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:22
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JOB DESCRIPTION: Formulation Chemist
Burlington, MA, USA
Poly6 is enabling production of complex turbine engine designs by combining additive manufacturing with advanced materials.
Our technology is uniquely suited to increase the efficiency of complex manufacturing processes as well as advance engineering design capabilities.
Long-term benefits of Poly6's products include reduced greenhouse gas emissions for the aviation sector.
You will have the opportunity to work alongside a highly talented team to solve problems in one of the world's most complex engineering sectors: aviation.
Specific job-related tasks include:
OVERVIEW
The Formulation Chemist with at least 5+ years of experience will be responsible for developing and optimizing photopolymer resins for digital light processing (DLP) 3D printing technology.
The ideal candidate will have a strong background in polymer chemistry and photopolymerization processes, with specific experience in formulating resins for additive manufacturing applications.
Responsibilities
* Design, develop, and optimize novel photopolymer formulations for DLP 3D printing technologies.
* Conduct experiments to evaluate and improve resin properties such as cure kinetics, and mechanical strength.
* Analyze and characterize photopolymer materials using various analytical techniques (e.g., FTIR, DSC, TGA, rheology).
* Collaborate with cross-functional teams including engineers, material scientists, and product managers to align formulation development with market needs and manufacturing requirements.
* Troubleshoot and resolve technical issues related to resin performance and printability.
* Stay up to date with the latest advancements in photopolymer chemistry and 3D printing technologies.
* Maintain detailed laboratory records and prepare technical reports on formulation development progress.
* Ensure compliance with safety regulations and environmental standards in the laboratory.
preferable to have some safety.
* Lead company safety culture in the role of Chemical Hygiene Officer.
* Perform other duties assigned by the manager.
Qualities/Skills
* PhD or master's degree in chemistry, Polymer Science, or a related field.
* 5 years of experience in photopolymer formulation development, preferably for 3D printing applications, Paint formulations etc.
* Strong understanding of photopolymerization mechanisms and resin chemistry.
* Hands-on experience with SLA/DLP 3D printing technologies.
* Proficiency in analytical techniques relevant to formulation development, polymer characterization and tying structure property to material quality.
* Excellent problem-solving skills and ability to work independently.
* Adaptability and resilience in dynamic work environments, effectively managing ambiguity and uncertainty.
* Strong communication and teamwork skills.
PREFERRED QUALITIES/SKILLS
* MS/PhD in Polymer Chemistry or rela...
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Type: Permanent Location: Burlington, US-MA
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:21
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The Clinical Analytics unit of Evernorth's Data & Analytics organization is searching for an innovative Business Analytics Senior Advisor to bring best in class solutions to shape the future of Cigna's Custom High Acuity Model (CHAM) for large, strategic national accounts.
This person will be a member of a dynamic and pioneering team that will help lower total medical costs and maintain or improve clinical quality and outcomes.
You will collaborate with other data and analytics teams and medical management business leads to
* assess existing analytic tools
* refine or develop new tools to perform client- and market- level clinical opportunity analytics
* test and measure innovative solutions to customer identification and engagement
* help classify and prioritize clinical opportunities, and leverage provider and market solutions
Role Summary:
The ideal candidate is someone with strong data analytics and visualization background, previous experience in the healthcare industry, statistical acumen, and the ability to effectively communicate data insights and recommendations to business stakeholders.
You will interface across multiple business areas including, but not limited to clinical, pricing, reporting, product development, operations, and marketing departments as needed.
The ideal candidate for this role will be highly motivated, flexible, and a strong critical thinker.
The responsibilities are as follows:
* Perform complex data research and analysis to support business operations and decision making including: creating data mining architectures/models/protocols, and data analysis methodologies to identify trends in large data sets, and assess impacts resulting from an evolving data environment
* Responsible for executing healthcare client, market, and customer level analytics and visualizations
* Closely collaborate with client-dedicated Medical Director, Product, Operations and Clinical Program Manager to identify and prioritize high value clinical and network opportunities for a client
* Perform analytics processes, including data and analytic development and interpretation.
Ensure code and outputs are appropriately documented and can be understood by other analysts
* Own and engage with stakeholders to assess business needs and understand how analytics affects the broader business, bridging the gap between data insights and business goals with regular and clear communication
* Collaborate with partners in Account Management, Operations, Clinical Program, Product, Network Analytics, and others to align on features of work in required focus areas and execute on new initiatives
* Effective communication of analytic strategies, opportunities, timelines, and outcomes to internal and external stakeholders
* Influence key matrix partners to ensure goals and targets are met
Qualifications:
* Advanced degree required in preferred fields of Statistics, Biostatistics, Econometri...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:20
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Role Summary
Accountable for sourcing activities and associated strategies across the Enterprise Operations & Pharmacy category as it relates to the identification, negotiation and procurement of the various products and services to support Cigna's pharmaceutical and claims operations life cycle.
This includes leading sourcing projects of various sizes and complexities and supporting larger projects.
This role will involve the creation, market analysis, strategic development, negotiation, and maintenance for activities around identifying a supplier, managing the competitive process and recommending a supplier that best meets the business objectives.
This resource must have experience in dealing with dynamic requirements that are tied to strategic level business and claims operations services In order to effectively engage suppliers, this resource must have experience dealing at various management levels to achieve desired outcomes through sourced engagements.
This role may have one direct report.
Responsibilities
* Identifies opportunities to improve the sourcing approach and procurement process which could have significant financial impact on the organization.
* Ensures that contracted relationships have enabled supplier performance measurement and reporting function.
* Analyzes overall business requirements, supplier relationship structures and processes to improve performance and overall value.
* Analyzes industries, supply, markets, and sourcing best practices to define alternative supplier relationship structures to meet enterprise-wide requirements, manage costs, and maximize value for dollars spent.
* Recommends new sourcing strategies, process improvements and supplier relationship structures for the enterprise.
* Manages execution and implementation of sourcing initiatives within assigned commodity.
* Develops timelines and organizes matrix teams to implement sourcing strategies and initiatives.
* Manages day-to-day execution of sourcing and contracts process and facilitates involvement of expert resources.
* Collaborates with business staff and manages development of RFPs and other selection and supplier evaluation tools.
* Develops negotiation strategy performing and overseeing detailed financial analysis to determine market and world class costs for specified products and services.
* Prepares negotiation and facilitates negotiation strategy in conjunction with the Business Staff and Supply Chain Management leadership where appropriate and able to lead negotiations.
* Monitors and reports progress against performance objectives and sourcing initiatives.
Qualifications
* BA / BS strongly preferred, ideally in Business, Supply Chain, Claim Operations or related field.
* Excellent project management skills.
* Prior military and or law enforcement experience is a plus.
* Strong communication, facilitation and leadership skills with a proven ability to lea...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:20
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POSITION SUMMARY
The PBM Operations Business Product Owner (BPO) serves as the key interface and liaison between the business sponsor, or client and technology counterparts to advance high ROI/efficiency, division-wide and enterprise-wide initiatives.
This individual would have responsibility for the accuracy and comprehensiveness of business requirements of new and modified business applications and/or products.
The Business Product Owner serves as the interface to the Technical Product Owners (TPO) for business applications, product or client requests to:
* Contribute to business requirements for new and existing systems from ideation through production and project oversight
* Participate heavily in:
+ the extraction of requirements from business sources
+ discussions with technical resources on business intent and requirements
+ skills to discuss, if not influence, technical design of associated applications
+ the ability to guide technical support
Primary Functions
* Participate in defining business requirements with business sponsors, TPO and System Engineering teams for new and modified business applications, product, or client requests
* Apply new technical tools and techniques to support business within the digital and communication BPO space.
* Apply Express Scripts project tools and methodologies to advance business applications, products, or client requests.
* Provide input and insight into technical design of new and existing business applications.
* Owns the creation of epics to support analytic needs
* Participates in essential meetings, ceremonies, and release planning conversations to ensure training or documentation resources support a successful adoption
* Communicate and report on progress regularly with stakeholders
* Prioritize and manage workload and meet project deadlines.
* Business, technical and financial acumen applied to projects and portfolio
Key Qualifications
* High school diploma required
* Bachelor's degree preferred
* 5 years experience with program management or product owner preferred
* Knowledge of agile methodology preferred
* Proficiency in Jira preferred
* Business, technical and financial acumen preferred
* Ability to operate within a fast paced work environment a plus
* Excellent communication (oral and written), facilitation, presentation, and organization skills required
* Excellent organization skills preferred
* Proven ability to manage multiple projects simultaneously required
* Demonstrated problem solving and organization capabilities preferred
* Proven ability to manage multiple project simultaneously and work well within an ambiguous environment preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of a...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:19
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The Micro-Market Business Finance Advisorwill be responsible for overseeing a highly complex and regulated Medicare Advantage business which is a key pillar of our enterprise growth strategy.
This role will manage the financial strategy of the sub-market Texas region and includes a broad portfolio of products and provider risk arrangements.
The skill sets needed to manage this wide spectrum of responsibility will be inclusive of Agility, Influential leadership, and Drive for results.
This role will oversee financial strategy, planning, and analysis for Medicare Advantage.
The candidate will participate in the annual bid strategy process balancing growth and profitability and will be responsible for leading the region's financial reporting, analysis, and business support through a strong collaborative relationship.
The candidate will be responsible for partnering with their respective group of matrix partners to drive optimal provider group performance.
Responsibilities :
* Responsible for all aspects of FP&A function of region, including annual bids, budgeting, and trend analysis, while proactively looking for opportunities to deliver improved results.
* Develop strong partnerships across a highly matrixed, cross functional business team to drive outcomes.
* Partner with the TX BFO and Market President to drive the highly complex Medicare annual bid process, appropriately balancing enterprise expectations related to growth and profitability.
* In partnership with the TX BFO and Market President, establishes a multi-year financial strategy in alignment with the market's business plan.
Requirements :
* Bachelor's degree in Actuarial Science, Finance, Accounting, or other related field
* 5+ years of extensive experience in Financial Analysis, Healthcare, or related area
* Superior financial skills, with experience achieving profitable growth through management of relevant profit levers
* Ability to communicate with Senior Leaders, on both technical and non-technical aspects of the business
* Strategic agility, influence management, and matrix management skills
* Capable of discovering problems/solutions/alternatives across financial/clinical/operational workflows
* Strong Excel and Data Analysis skillset, SQL knowledge a plus
* Excellent judgment, communication, interpersonal and organizational abilities
* Some travel may be required
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in drivin...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:18
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This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist those members experiencing the burdens of illness and injury.
The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's health needs within case load assignments of a defined population based on business perspectives.
The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and a consumerism approach through education and health advocacy to members serviced.
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment.
Position Scope:
* Manages/coordinates an active caseload of case management cases for Cigna Medicare.
Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications.
* Establishes patient centric goals and interventions to meet the member's needs
* Interfaces with the member, family members/caregivers, and the healthcare team, and embedded care coordinator as well as internal matrix partners.
* Build solid working relationships with internal staff, matrix partners, key functional areas, customers, and providers
Major responsibilities and desired results:
" Obtains informed verbal consent and takes all steps to obtain written consent as appropriate.
* Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes.
* Promote consumerism through education and health advocacy.
* Assesses member's health status and treatment plan and identifies any gaps or barriers to healthcare.
Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.
* Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis.
* Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures
* Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
* Demonstrates sensitivity to culturally diverse situations, clients and customers.
Requirements:
* Active unrestricted Registered Nurse (RN) license in state of residency .
Two years full-time equivalent of direct clinical care to the consumer
* Compact Nursing License Required
...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:17
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Implementation Administrator - Verity Solutions
*Currently hiring for 2 positions
*
1.
Contract Pharmacy Implementation Administrator
Preferred Experience in:
* Retail pharmacy
* Health industry
* EMR Project Management
* 340b Third Party Administrator
2.
Split Billing Implementation Administrator
Preferred Experience in:
* Working in a Hospital
* Inventory Management Implementation
* Supply Chain
Job Description Summery
Administers the installation of assigned accounts, including, but not limited to: structure and billing set up, eligibility collection, data base loading, ID cards, preparation of plan materials such as administrative documents and customer education materials.
Provides support to assigned accounts by responding to inquiries or resolving complex issues using independent judgment and discretion.
May act as a Technical Coach, providing desk-level coaching and identifying opportunities aimed at improving overall operational performance.
Completes day-to-day Account Installation tasks without immediate supervision, but has ready access to advice from more experienced team members.
Tasks involve a degree of forward planning and anticipation of needs/issues.
Resolves non-routine issues escalated from more junior team members.
Job Objective:
Responsible for role modeling and executing all aspects of project leadership, planning, and execution to onboard Software as a service (SaaS) projects for new and existing customers.
Serves as the subject matter expert in the implementation process for all V340B products and features.
Mentors others on the team to promote department standards including ongoing education and consistency of execution for a superior customer experience.
Duties and Responsibilities:
* Drive and manage multiple, assigned implementation projects from initial customer engagement through planning, execution, and launch phases - managing all key steps and stakeholders of each project.
* Serve as the senior subject matter expert for both customers and team members.
* Review, analyze, and repair data from a variety of data sources in support of new Verity Solutions v340B.
* Develop initial operations relationship with customers to understand their 3408 program, pain points and other pertinent data to develop clear success factors around their implementation.
* Ensure a positive onboarding experience with Verity's software solutions including oversight to ensure accurate customer data extract set ups, wholesaler interactions, and configuration for software solutions.
* Responsible for thorough training on software functions and key customer interactions to facilitate smooth and confident transition to 'live' project state and transition to account management as applicable.
* Facilitate proactive, timely, and comprehensive communication and demonstrations with customers and all Verity stakeholders key to the critical path success of a project impl...
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Type: Permanent Location: Kirkland, US-WA
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:17
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* Description
Provides engineering leadership, oversight on design and development of Middleware products and services for an international health services company, with a primary focus on Automation, Resiliency, and Availability.
Responsible for the design, engineering and development of Middleware solutions based on system architecture, compatibility of system components, project requirements, and customer expectations.
Document design specifications, installation instructions, and other system-related information.
Support the diagnosis and correction of application problems in the messaging domain.
May serve as the primary contact for vendors in support of messaging products.
Bachelor degree in Computer Science or a related discipline and at least four, typically six or more years of work experience.
Responsibilities
Install, upgrade, and support Middleware software products on various platforms (Linux/VMs, K8s, public cloud)
Manage configurations and tuning to meet performance and security objectives.
Build or write scripts to manage Middleware systems and dashboards
Build or write scripts to aid in automation of systems and administrative tasks
Troubleshoot infrastructure issues in conjunction with application, infrastructure, and vendor groups.
Document installations, changes, and configurations.
Cross-train engineers.
Current Middleware products that the team is responsible for: Solo Gloo Mesh, Kong Enterprise GW, Redis Enterprise, Jboss Data Grid, Jboss Fuse
Qualifications
Bachelor's degree or higher strongly preferred in technology field or equivalent work experience preferred.
Experience in implementing and configuring Middleware products with a focus on automation and scripting knowledge.
Experience with a diverse range of monitoring suites and tools with specialization in at least one
Knowledge of Availability, Capacity, Service Level and Event Management concepts
Deep experience of troubleshooting
Scripting knowledge including but not limited to python, perl, Ansible
Level III support for Middleware Products
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:16
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Desired Traits:
* Ability to build relationships and partner across organization to collaboratively achieve goals
* Ability to support conflict resolution at the team level, as well as with key Stakeholders and Subject Matter Experts
* Ability to communicate effectively and concisely with team members and key Stakeholders
* Exhibit proactive attitude, with ability to adjust approach based on the situation at hand
* Dedicated to continuous learning of new tools and techniques to support the team; encourages others to do so as well
Key Responsibilities:
* Work with business partners within one or more business functions to align operational and technology solutions with business strategies
* Professional support role, assisting with the prioritization, organization, and scheduling of team and individual projects
* Responsible for customer advocacy, specific administrative, and /or business services
* Provide self-direction, with the ability to work under limited supervision
* Participate in project/program meetings and propose improvements when necessary
* Manage project-related paperwork by ensuring all necessary materials are current, properly filed, and stored
* Ensure consistent metrics across the team
* Analyzing and processing communications for the organization
* Responsible for creating outgoing communications and reviewing incoming communications for the team
* Support various Program Management Offices, ensuring alignment between the Program Management Offices and the team
* Support quality assurance through regular project reviews
* Support the team with assistance in meeting scheduling, recording and publishing meeting minutes, and general support to the team and manager
Requirements:
* Must be a current contractor or employee of The Cigna Group
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 61,400 - 102,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a sim...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:16
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This is an exciting opportunity to join The Cigna Group's Human Resources organization! The Executive Assistant will provide Administrative Support for the SVP, Human Resources, Cigna Healthcare and Corporate function, acting as a thought partner, trusted confidant and professional problem solver.
In addition to foundational administrative tasks, this role will be responsible for running point on cross team initiatives, internal communications, reporting, and ad hoc requests.
The ideal candidate will exhibit high degree of discretion, confidentially and sound judgement.
Responsibilities:
* Perform diversified and confidential administrative duties for executives and senior leadership direct reports as assigned, utilizing broad and comprehensive experience, skill and knowledge of organization policies and practices.
* Executes on complex scheduling requests that will include varying leadership levels across the enterprise.
This includes our Enterprise Leadership team as well as various senior leadership forums.
Will act with speed, accuracy, and efficiency to complete requests.
* Perform communications activities at direction of direct leaders and their extended teams.
Includes internal emails, organizational announcements, town hall presentations, HR activity related updates to team and business stakeholders.
* Act as point person for HRBP teams on various HR cyclical activities such as talent management submissions and program nominations.
* Run various employee and workforce insights reports with ability to summarize key themes as needed.
* Build effective relationships and work closely with internal partners to perform key task.
This includes peer administrative and executive assistants, Executive IT support, corporate internal communications, corporate travel/aviation etc.
* Administrative lead for department meetings such as Town Halls.
Includes scheduling and logistics, technology needs, managing virtual Q&A submissions (e.g.
slido), sending survey post meeting, sharing overall survey results back with leaders.
* Handle travel arrangements for leaders and prepare and settle expense accounts.
Ensure that all plans are managed seamlessly and coordinate related arrangements.
* Manage an effective calendaring system and look for opportunities to enhance efficiencies.
Make last minute calendaring decisions based on priority and business needs using sound judgment.
* Schedule and organize meetings including Skype/webinars/Webex and conference calls to be hosted by principal, and/or direct reports (i.e., booking training rooms, posting materials to Sharepoint, send pre-reads to participants) as required.
* Plan and coordinate on-boarding activities
* Publish and maintain department organization chart
* Maintain and coordinate department distribution lists
* Order equipment and supplies using the portal supply system
* Manage department space planning in conjunction with...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:15
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Organization Summary:
Cigna Payer Solutions sells Cigna product solutions to health benefits "Payers" including Third Party Administrators (TPAs), Business Process Outsourcers (BPOs), and select health insurers.
Role Summary:
This role serves as an integral member of the Payer Solutions Contracting Administration Team and reports to the Payer Solutions Contract Advisor.
The Contract Lead Analyst is responsible for leading the successful execution of day-to-day contract management projects and activities to support the segment's needs.
Responsibilities:
* Work closely with internal matrix partners (such as Product and Sales) and Senior Legal Counsel to create and manage contracts, amendments and other legal documents based on customized business needs.
Develop draft language for legal approval.
Complete contract and amendment documents that meet operational standards, accurately and in a timely manner.
Ensure and lead the accurate implementation, administration, and approvals through matrix partners.
* Create and manage contract related data in Salesforce.com.
* Manage version control of contract templates.
* Management and optimization of the contracting library
* Manage contract related documents ensuring they are cataloged and stored accurately and timely.
* Lead special projects; create process enhancements/efficiencies, including potential additional Salesforce.com capabilities; provide requirements and outline updates needed to support new products.
* Deliver and develop reports, to provide management and internal partners contract status and trends.
* Support and embrace new and enhanced products, processes, system changes, and corporate initiatives.
* Lead and report on assigned contract administration functions, from inputs through approvals.
Keep internal partners informed of status and updates.
* Manage and outsource Contracting Team email inbox to assist with ad-hoc questions in a timely manner.
* Understand how contracts are organized and formulated and have full awareness of the important contractual concepts and terms and conditions in each type of contract.
* Interface with various internal matrix partners to understand key requirements and ensure contract terms comply with corporate directives, policies and procedures.
* Support Contract Advisor in overflow of complex contracts
Qualifications:
* Bachelor's degree desired.
* 3+ years contracting or similar experience.
Specifically, developing redlines and negotiated contract language is a plus.
* Experience in insurance, healthcare, or third-party administration preferred.
* Detail oriented, organized and critical thinking skills are essential.
* Customer- centric and strong team player; able to thrive and collaborate in a matrix environment; experience collaborating with multiple matrix partners.
* Ability to work under pressure in a fast-paced, agile environment.
* Identif...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:14
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Behavioral Health Director, Evernorth Workplace Care
Summary:
Evernorth Workplace Care is an industry leading business providing custom care delivery and wellness services across five key business lines: Wellness Centers, Health Coaching, Wellness Events, Occupational Medicine, and Behavioral Health.
This leadership position will serve as a critical driver of clinical quality, patient/client safety.
and operational effectiveness throughout the organization's Behavioral Health Service Line.
This position will develop a comprehensive program to include all aspects of clinical care and administrative functions required and participate in strategic planning to successfully grow this aspect of the business while being consistent with the mission, goals and objectives of Evernorth Workplace Care and the Evernorth Care Delivery organization.
Essential Functions:
* Provide clinical oversight of all behavioral health services including supervising clinical care delivery, clinical quality, client engagement efforts (together with operations and account management), education, and improvement processes.
* Partner with Chief Medical Officer to develop and grow Behavioral Health Strategy for Business Together with recruitment, be involved with assessing all behavioral health staff for hire within EWC and make recommendations to the Chief Medical Officer.
* Develop comprehensive behavioral health clinical program and define scope of work for all behavioral health resources.
* Support the optimizations, development, and implementation of clinical care practice review systems and improvements.
* Participate in various committees and support programs including Quality Management, Credentialing, Client Safety, Medical Executive Committee, and other behavioral health related committees as directed.
Serve as the Subject Matter Expert (SME) in behavioral health and develop short-term and long-term goals for the service line.
* Participate in sales presentations, inquiries and RFP/RFIs as required.
* Participate in the development and coordination of client/patient care plans and consult in decisions where behavioral health clinical practice is impacted.
* Provide leadership, counsel, and instruction to internal employees and contractors on both clinical and administrative matters as they pertain to behavioral health.
* Provide case consultation to clinical staff on standards of care and clinical guidelines.
* Provide consultation to clinical staff on clinical productivity and operational KPIs.
* Manage and make recommendations on appropriate behavioral health staffing ratios.
* Provide ongoing chart audits for all behavioral health providers including therapists and coaches and develop a peer review program.
* Provide support, education, and training for all providers on clinically relevant topics.
* Investigate and manage complaints and grievances on behavioral health services and report to...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:13
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Are you looking for a career that will directly impact business outcomes and earning results?
If you're looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within Evernorth's PBM Finance Underwriting team at The Cigna Group will allow you to do all this and more.
As part of our Underwriting team, you will directly impact our business on a daily basis , protecting The Cigna Group' s sound financial position which enables us to meet our financial commitments to our customers.
The Risk & Underwriting Senior Analyst role will be responsible for all underwriting activities in supporting Sales and Account Management (SAM) for renewing and new sales clients.The Risk & Underwriting Senior Analyst will develop client-specific pricing strategies with competitive offers in the marketplace for all requests.
These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks.The associate will also provide underwriting support for all ad hoc analyses ( i.e.
evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact .
Our training program will allow you to gain in-depth knowledge of the Pharmacy Benefits Management (PBM) Industry and our specific underwriting methods.
What you'll do:
* Provide underwriting support to Sales and Account Management (SAM) for renewing and new sales clients by developing client-specific pricing strategies with competitive offers in the marketplace for Request for Proposals (RFP), Direct Renewal and Market Checks.
* Provide underwriting support to SAM for all ad hoc analyses which have a potential financial impact .
* Provide support related to contracting process and install process for renewing and new sales clients.
* Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with Pricing Guidelines.
* Ensure consistent approach to market and Benefit Advisors
* Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin
Qualifications:
* Bachelor's degree required .
Preference for the following major and/or minors are preferred: Risk Management, Economics, Statistics, Mathematics, or Finance
* Preferred GPA of 3.0 or higher
* 0-3 y ears of relevant work experience
* Relevant internship in related field preferred (Risk Management, Economics, or Finance or similar)
* Ability to make good and timely decisions by interpreting and applying understanding of key financial indicators
* Excellent verbal and written communication skills
* Ability to learn through experimentation when tackling new problems
* Ability to juggle various priorities and workplace demands
* Ability to build partnerships and work collaboratively wi...
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Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:13
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As the Express Scripts Inc.
(ESI) Health Plans Division (HPD) Operation Director (OD), you will provide operational leadership, expertise, and oversight to our complex customized clients and our front-line Account Managers.
The Operations Director is responsible for developing strategies that effectively align Express Scripts' operational services and solutions to meet the objectives of their assigned portfolio of Express Scripts clients.
The position is ultimately responsible for the planning, internal coordination, implementation, maintenance, and communication of client activities and performance for their assigned book of business.
This role maintains ongoing key client relationships while leading/coaching an assigned group of front-line client-facing Account Managers focused on the operational aspects of supporting clients within the assigned portfolio.
This client facing OD role will report to a Sr.
Operations Direct (SOD) within HPD and is ultimately responsible for all day-to-day and strategic operational activity of his/her assigned HPD client portfolio ensuring that all Service Level Agreements (SLA) meet or exceed their contractual obligations; thereby driving client satisfaction and retention.
This role is intended for individuals who can establish and maintain solid working relationships with leaders from both internal and external (clients, vendors, and/or consultants) departments.
The ideal candidate will have a superior working knowledge and understanding of the pharmacy benefit industry/processes including, but not limited, to those within Commercial, Health Care Exchanges, Medicaid and Medicare lines of business.
Responsibilities include but are not limited to the following:
* Client retention via operational excellence within assigned client portfolio
* Cross-functional collaboration with areas such as Benefits, Information Technology, Regulated Markets, and Product
* Maintaining strong client relationships with complex clients to ensure retention, operational performance, and client satisfaction targets are met or exceeded
* Oversight of client resolution/escalation of client issues
* Oversight of custom technology projects or strategies
* Oversight of assigned Account Managers ensuring that they build strong client relationships that align with operational goals of those assigned client(s) and ESI
* Leading, coaching, and mentoring on-site and remote team members
* Work collaboratively with other roles on the Account Management Team
* Highlight career development opportunities, evaluate performance, and provide feedback to promote employee growth and retention
* Leading ongoing collaborative efforts with external leadership and their consultants to conduct off-site / on-site meetings and recurring webcasts as appropriate
* Champion internal advocacy for client service and member experience
* Establishment of risk management activities for client performance gu...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:12
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A great opportunity to help military members and their families!
This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family.
Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources.
Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term.
Non-medical Counseling topics are varied but often include the following issues:
* Stress
* Transition/Relocation
* Grief and loss
* Employment issues
* Marital/couple conflict or communication
* Parent-Child Relational Problems
* Academic or Educational problems
* Problems related to Primary Support
The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation.
The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments.
The team is staffed 24/7 in support of the schedules of miliary members around the world.
This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
Duties and Responsibilities:
* Provide participants with confidential, non-medical counseling services
* Assess the participant's immediate risk and biopsychosocial needs
* Provide appropriate referrals for resources and treatment
* Use clinical expertise, professional judgment and best practices
* Execute duty to warn/mandated reporting processes
* Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
* Demonstrate the ability to be agile and flexible in work process.
* Deliver excellent clinical judgment and interpersonal communication skills
* Understand confidentiality and privacy regulations
* Demonstrate excellent verbal and written communication
* Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.
Qualifications:
* Must be a U.S.
Citizen
* Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling
* Current, valid, unrestricted counseling license/certification from a State, D.C., a U.S.
Commonwealth, or a U.S.
Territory that grants the authority to provide counseling services as an independent practitioner in their respective fields.
Multi...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:11
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The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored, and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Areas they can be assigned to include, but are not limited to, Bulk and Prep, Packing, Mail Manifest, or any other Pharmacy Support function.
This role is Worksite dependent and can only be performed onsite.
How you'll make a difference:
* Juggle multiple tasks without sacrificing deadlines or attention to detail.
Sort, package, seal, and inspect packages.
* Use your expert problem solving skills to help our patients receive their product on time .
Package and label for safe delivery, then work with technology to efficiently get it out the door.
* Create new knowledge with our systems and new relationships with your peers.
You'll start with training and you're not doing it alone.
You'll have the opportunity to cross-train and support overall pharmacy health in other areas like technicians, bulk & prep, and the packing manifest area.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
ESSENTIAL FUNCTIONS
* Ensure each package receives the correct paperwork, envelopes, medications, packing and / or shipping labels before sealing and sending packages to patients.
* Consistently work on only one order at a time at their workstation at all times.
* Ensure that the address prints correctly on each package.
* All bags are correctly sealed; Printers are accurately loaded with the correct paper.
* Accurately package prescriptions requiring special handling according to specific process and policy requirements.
* Work collaboratively with all coworkers to ensure that best-practices are shared while maintaining productivity and quality standards.
* Capability to accurately escalate issues to leadership for action; provide input regarding solutions.
* Bulk up of medications from manufacturer bottles, including visual inspection and labeling of large containers.
* Visual inspection of patient bound medications.
* Orientation of packages for sortation system.
* Preparation of mail sacks or bulk containers for shipment.
* Manual material handling, storage, and stocking of shelves, workstations, and/or channels.
* Sorting and distribution of literature packs to CADS / Averts stations.
* Keep workstation clean at all times.
* Other duties assigned as needed.
QUALIFICATIONS
* 0-1 years of relevant experience.
* General PC knowledge is required.
* Excellent verbal and written communication skills.
* Good visual acuity.
* Ability to read and compare and differentiate data.
* Ability to stare/review small medications or bottles for extended periods of time.
If you will be working at home occasionally or perm...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:11
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Director of Digital Customer Engagement Delivery Strategy & Self-Service Success
If you're a visionary leader with a strong background in customer engagement, digital strategy and operational excellence looking for an opportunity to champion, expand and realize the future state of successful, efficient, and effective customer engagement delivery at Cigna, we have a role for you.
Role Description:
* Stand up and lead a dynamic new team, playing a key role in defining and evolving our Customer Engagement delivery operating model.
* Implement quick wins and execute on a high-level roadmap toward an end-state in which we have automated the method by which enterprise customers are personally targeted for communication, ensured the interoperability between those communications and the tie-back digital experiences, and evolved our deployment of campaigns as pull-through journeys.
* Spearhead efforts to enable conversion uplift, increase speed to market, and ensure automation and scalability across the entirety of engagement delivery.
* Serve as a bridge between the customer data platform product, customer engagement strategy, analytics, and delivery teams to centralize business- and customer-driven advancements in campaigns.
* Develop and implement channel strategies (SMS, Push, Print, Email, etc.), voice of the customer insights, program performance monitoring and opportunities, AI driven efficiencies and improvements, and implementation of processes and tracking around QR codes, universal links, short codes, and trackable phone numbers to enable the teams' strategic experiments and communications launches.
* Create and socialize an operable strategy around process, change management, governance, and tech enablement required to operationalize self-service (i.e., enable teams to execute their own campaigns successfully via our new customer experience platform) at scale across the enterprise.
* Curate and lead a team of self-service customer success and account management professionals dedicated to driving business partner readiness, onboarding, adoption, and adherence early in a team's self-service journey, as well as supporting more mature teams with ongoing maintenance, governance and operational improvements.
* Build and nurture relationships with business leaders from throughout the organization, helping to connect all stakeholders in a highly functioning self-service ecosystem that drives value and ensures seamless customer experiences.
Via self-service, help to position digital as a key influencer in engagement strategy and delivery.
* Lead by example and show teams and team members what good looks like in the end-to-end delivery of channel communications.
* Obsess over details, craft and quality, while making sure to represent the needs of the business and the voice of the customer.
* Manage the priorities of stakeholders from different lines of business, partnering with them to drive a...
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Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:10
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*
*
* Must already live in Honolulu, HI to be considered for this role
*
*
*
Job Description
The Account Management Manager is responsible for ensuring Accredo's customers, inclusive of payers, prescribers and patients, receive superior service.
Responsible for the overall satisfaction and retention of assigned book of businesses.Manages the day-to-day customer relationships and r esolves customer complaints by investigating problems, developing solutions, preparing reports and making recommendations to management.
Accountable for core service delivery for customers working cross-functionally with all operational teams.
The Account Manager proactively reviews performance metrics to promote client satisfaction, manage contractual requirements, profitability, accounts receivables and retention.
Utilizes technology, tools, processes and resources to anticipate and exceed client's needs and expectations.
Collaborates with other team members on customers' activity, expectations, and service needs.
Responsible for increasing the visibility and awareness of our organization's service offerings and maximize sales growth.
ESSENTIAL FUNCTIONS
* Align with Corporate values and create and maintain an environment based on such values
* Manages day to day customer relationships through comprehensive knowledge of customer's benefit plan and Accredo's product offerings.
* Daily interaction with customers, providing preventative consultation, analysis and issue resolution associated with Accredo's core services.
* Manages all aspects, roles and responsibilities of an Account Management team
* Manages a team of associates to promote a working team environment and ensure best practices are shared.
Develop employee's skills, evaluates performance and provides feedback
* Provides first and second level resolution of problems and obstacles for call center and access representatives
* Ensures productivity, and high level customer service to Customers
* Work with site leadership to conduct hiring, training, and evaluation of staff
* Provide on-going coaching to each associate concerning quality, reliability, accountability and productivity.
Ensure service levels and performance guarantees are met
* Track, report and evaluate data trends relevant to site metrics and volume.
* Perform daily functions of access representatives and call center staff if additional staffing is necessary.
This includes performing benefit investigations, billing escalations and performing inbound and outbound calls
* Assist in patient management to ensure timely refills and appropriate billing information
* Responsible for timely and accurate management and execution of all client benefit requests, contract requirements, including benefit changes, product upsells, new groups, terminations and escalated issues.
* Accountable for new group and specific product implementations; including establishing andleading internal meeting...
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Type: Permanent Location: Honolulu, US-HI
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:10
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Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b.
The Medicare Supplement industry is highly competitive, challenging but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors.
Serving as the pricing team leader for our continued new product launches and focus on innovation, this role brings substantial insights and impacts to support growth and success of CSB.
Responsibilities:
* Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace.
Effectively communicate pricing strategy, positions, and changes to senior leadership and matrix partners.
* Drive improvements in actuarial assumption setting, pricing methodology and end to end procedures.
Maximize the efficiency to shorten the duration of full pricing cycle for new product launches.
* Support senior exchange MedSupp product refresh strategy.
Closely monitor the risk profile shifts on the senior exchange and propose strategical updates accordingly.
* Take full ownership of new product filing execution.
Ensure on time submission of rate filings, objection responses and secure approval of rate filings.
* Work with matrix partners to monitor the leading indicators and early performance to evaluate the quality of new business sold.
Be ready to identify the root cause of observed issues and provide timely solutions with clear next steps to follow.
* Serve as innovation lead for MedSupp pricing projects.
Through partnership with division leadership, identify opportunities to drive differentiation of our product offerings within regulatory constraints.
* Maintain and develop a strong pricing team with a staff of two actuarial professionals.
Champion the continuous improvement mindset, and knowledge sharing with other teams.
Qualifications:
* Bachelors degree in Actuarial Science, Mathematics, Statistics, Finance or related field
* 6+ years of actuarial experience strongly preferred
* MedSupp experience is preferred but not required
* FSA preferred; qualification to sign rate filings required
* Strong analytical and problem solving skills
* Strong ability to partner and communicate with variety of non-actuarial audiences
* Strong ability to coach and develop talents
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 136,000 - 226,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comp...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:09
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The Sales Senior Advisor role creates client and revenue growth for Evernorth Home-Based Care Solutions to the open market.
Furthermore, the Sales Senior Advisor works with business unit and executive leadership teams to guide them through strategy definition processes, as well as to set up accountabilities for strategy delivery to drive the overall growth approach for integrated Care Delivery.
The Sales Senior Advisor will produce results that support tangible product development and market growth strategies that impact Home-Based Care growth and the business position in the market.
In driving growth for Home-Based care, the Sales Senior Advisor must develop and maintain prospective customer relationships as well as leverage customer relationships, joint ventures, and personal experience in assessing business opportunities that result in measurable revenue and client growth.
Through a variety of primary and secondary research methods, qualitative and quantitative analysis, industry networking, and other appropriate approaches, the Sales Senior Advisor develops and maintains subject matter expertise on a number of submarkets within the healthcare system, and delivers relevant and timely insights back to business leaders.
This role builds thought provoking presentations, content and other decision-making tools to drive growth while addressing critical market problems.
ESSENTIAL FUNCTIONS
* Provides counsel and advice to top management on significant Business Development matters, often requiring coordination between organizations.
* Establishes plans and executes activities that directly support the implementation and optimization of efforts to grow segment-specific sales, revenue, profit, and market share.
* Negotiates with and influences management of various sales channels to provide focus or additional training to meet market objectives.
* Gathers key data, insights, and awareness of direct competitors, and maintains a high-level SWOT analysis of all key competitors to identify product roadmap needs.
* Assesses, evaluates, establishes and develops business opportunities.
* Conducts market and technology research.
Develops new initiatives and partnerships.
* Requires knowledge in several professional areas and the ability to integrate critical information from many diverse areas.
* Represents the company point-of-view in high level presentations.
* Forecasts business opportunities growth and success of the organization.
* Focuses on providing thought leadership and technical expertise across multiple disciplines.
* Develops and/or confirms "heat maps" of the organization for high profile prospects and develops relationships accordingly
* Recognized internally as "the go-to person" for the most complex Business Development assignments.
QUALIFICATIONS
* Bachelor's degree required, Master's Degree and/or MBA is preferred.
* Clinical background (RN, MPH) a plus but not requi...
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:08
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Job Location: Houston, Texas (Hybrid) - Must live in Houston, TX
SUMMARY:
The Provider Engagement Department within CareAllies is responsible for the financial and operational activities of provider engagement.
In this role, you will be exposed to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting, claim payments, meetings, training, etc.).
This role supports the CareAllies IPAs in the market.
RESPONSIBILITIES:
* Researches and resolves provider claim issues
* Identifies the right parties or resources, internally and externally, to resolve issues timely
* Prepares materials, distributes reports for assigned provider groups
* Assists with scheduling, coordinating and preparing for internal and external meetings
* Submits change requests to update provider demographics, credentialing and contract changes
* Accounts Payable submission and tracking of payments
* Maintains accurate provider data information utilizing Salesforce
* Tracks and monitors provider updates
* Provides support to the Provider Engagement team
* Coordinates with the Market Medical Executives to schedule PQPMD training sessions
* Ability to attend evening meetings when needed
Qualifications:
* Bachelors degree preferred
* Strong knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing highly preferred
* Working knowledge of Microsoft Office 365 and vlookup
* Strong analytical and problem-solving skills
* Excellent communication skills - verbal, written and presentation
* Ability and willingness to share knowledge
* Detail oriented with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards)
* Being a positive role model and having the ability to work independently and in conjunction with co-workers of all levels
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assi...
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Type: Permanent Location: Harlingen, US-TX
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:07
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Are you looking for a career that will directly impact business outcomes and earning results?
If you're looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within Evernorth's PBM Finance Underwriting team at The Cigna Group will allow you to do all this and more.
As part of our Underwriting team, you will directly impact our business on a daily basis , protecting The Cigna Group' s sound financial position which enables us to meet our financial commitments to our customers.
The Risk & Underwriting Senior Analyst role will be responsible for all underwriting activities in supporting Sales and Account Management (SAM) for renewing and new sales clients.The Risk & Underwriting Senior Analyst will develop client-specific pricing strategies with competitive offers in the marketplace for all requests.
These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks.The associate will also provide underwriting support for all ad hoc analyses ( i.e.
evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact .
Our training program will allow you to gain in-depth knowledge of the Pharmacy Benefits Management (PBM) Industry and our specific underwriting methods.
What you'll do:
* Provide underwriting support to Sales and Account Management (SAM) for renewing and new sales clients by developing client-specific pricing strategies with competitive offers in the marketplace for Request for Proposals (RFP), Direct Renewal and Market Checks.
* Provide underwriting support to SAM for all ad hoc analyses which have a potential financial impact .
* Provide support related to contracting process and install process for renewing and new sales clients.
* Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with Pricing Guidelines.
* Ensure consistent approach to market and Benefit Advisors
* Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin
Qualifications:
* Bachelor's degree required .
Preference for the following major and/or minors are preferred: Risk Management, Economics, Statistics, Mathematics, or Finance
* Preferred GPA of 3.0 or higher
* 0-3 y ears of relevant work experience
* Relevant internship in related field preferred (Risk Management, Economics, or Finance or similar)
* Ability to make good and timely decisions by interpreting and applying understanding of key financial indicators
* Excellent verbal and written communication skills
* Ability to learn through experimentation when tackling new problems
* Ability to juggle various priorities and workplace demands
* Ability to build partnerships and work collaboratively wi...
....Read more...
Type: Permanent Location: Morris Plains, US-NJ
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:07
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If you're lo okin g to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within the Risk Management & Underwriting Leadership Development Program (RULDP) will allow you to do all this and more.Underwriters evaluate the risk of insuring a potential customer and use that information to set premium rates for insurance coverage.
As part of our Underwriting team, you will directly impact our business on a daily basis by protectingthe company's sound financial position and enabling us to meet our financial commitments to our clients.
RULDP associates begin to shape their careers with program support and discussions with direct managers, mentors, RULDP peers, trainers, andprogram managers.RULDP offers structured technical training (ULTRA - Underwriting Leadership Training & Risk Assessment) and non-technical training (competency-basedworkshops), networking opportunities, formal mentoring, and exposure to a breadth ofunderwritingroles across multiple product lines.This multi-year development program consists of 2 rotations each typically lasting 2.5 years.
In addition torotations,you willgaininsight into other roles within the Risk Management & Underwriting organization through formalized job shadows and project work.Throughout the program, you will develop the skills and competenciesnecessaryto become a successful Risk Manager/Underwriter and future leader within our organization.
RULDP Evolve is an extensive learning opportunity that guides your experience through the early stages of your Risk Management & Underwriting career.
The program includes a mixture of instructor-led classroom training, self-study, and on-the-job experiences.
Most associates will start their first rotation supporting our health care side of the business and will have an opportunity to take on new responsibilities and experiences within their second rotation.
These new experiences could include the following:
* New Market (different geographies)
* New Buyer Group (employer size)
* New Product (ex.
Supplemental Health, Pharmacy, Dental, etc.)
* New Responsibilities within the same team (ex.
project work, mentor opportunities, increased exposure to brokers/clients, book of business management, etc.)
What you'll do:
Upon starting in RULDP's EVOLVE, you will complete training through our Underwriting Leadership Training and Risk Assessment (ULTRA) curriculum.
This multi-faceted program is designed to be one year in length, starting with 11 weeks of technical classroom training.
This curriculum provides associates with the knowledge, skills and competencies necessary to meet the performance objectives of the Risk Management & Underwriting position, including in-depth training on our products & services, insurance basics, risk analysis & rate projection, negotiation skills, systems & tools, and contract language & terminology.
Immediately following the initial training, you, with Mentor su...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-07-27 08:43:06
