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About us
Kimpton Hotels & Restaurants is the original boutique hotel company, which pioneered the concept of unique, distinctive, design-forward hotels in San Francisco, California before expanding worldwide.
Anchored in one-of-a-kind experiences, Kimpton spaces and experiences center on our guests, offering an inspiring design that evokes curiosity to forward-thinking flavors that feed the soul.
Every detail is thoughtfully curated and artfully delivered, so that guest experiences remain meaningful, unscripted, and ridiculously personal.
Our mission is to be the best-loved hotel and Restaurant Company through the common belief that heartfelt connections make people’s lives better.
Our colleagues are empowered and encouraged to act from the heart, to go above and beyond to create ‘ridiculously personal’ experiences for each other and our guests.
We're looking for passionate, high-spirited individuals to join the pre-opening team at Kimpton Doha, the very first Kimpton hotel in the Middle East.
The ideal Kimpton team member has an inclusive spirit who embraces individuality and can cultivate a work environment that’s a bit quirky, irreverent, exciting, uncommon, empowering, and downright exceptional.
Our hotel is only as good as the people it employs so if you’re passionate, focused and driven, live for making every guest’s experience ‘ridiculously personal’ and creating unforgettable moments, then we invite you to join the Kimpton tribe.
Located in the heart of Doha Old Town, Kimpton Al Rowda Doha will be the first Kimpton in the Middle East bringing the brand’s playful energy, infectious personality, and unique design style to this charming and vibrant area of town.
Just a stone’s throw from the many favorite sights of the Qatari capital, the hotel will welcome guests and locals to experience its 283 guest rooms, including suites and serviced apartments, and to enjoy a multitude of unique dining options.
Your day to day
As the Assistant Director of Finance and Business Support, you will report to the Director of Finance and Business Support and you’ll Assist in reviewing all proposed contracts for pricing and terms, ensuring that hotel’s interest comes first and is protected at all times.
Ensure the timely preparation and release of monthly financial statements and other related reports and their accuracy.
Assist in overseeing and ensuring the smooth running of the accounting functions.
You will also assist in overseeing the preparation of the hotel’s yearly operating budget, and conducting the necessary audits.
What we need from you
Ideally, you'll have some or all of the following competencies and experience we're looking for: • Bachelor’s degree / higher education qualification / equivalent in Accounting or Finance • Minimum of three years in hotel accounting or internal audit in a supervisory role, or an equivalent combination of education and experience • Self-directed, motivated with a resul...
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Type: Contract Location: Doha, QA-DA
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:30
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Job Summary:
The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client's strategic goals and drive improved clinical and financial outcomes for their membership.
In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client's strategic goals.
The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with a goal to deliver lower healthcare costs and optimal clinical outcomes.
This role requires the CAE to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience.
They must serve as the client's gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models.
They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan.
They are the client's healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client's and ESI's common goals.
This role requires regular travel to client & customer sites & you must be fully vaccinated OR be required to undergo regular testing.
If you're unvaccinated, you will be required to self-test (test will be provided to you) and you must obtain a negative result no greater than three (3) calendar days prior to the meeting/travel departure.
Essential Functions:
* Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g.
client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal team members.
* Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals.
Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
* Leads the development, preparation, and presentation of healthcare strategy for each client assigned.
Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the ...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:28
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This role is Flex which allows most work to be performed at home, but will require an onsite presence in the Bloomfield, CT office based upon business need.
Role Summary:
You will be responsible in supporting daily activities Sales incentive compensation payment processing, including but not limited to; processing / researching / responding to Field Sales force regarding incentive payments / inquiries / issues / dispute resolution, etc.
You will be responsible for researching and responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring client satisfaction with products and services.
You will have subject matter expert understanding of various incentive compensation programs, policies, procedures and workflow processes, providing guidance/training to Field Sales force.
Provides optimal customer service to Field Sales force and maintains service standards.
You must be knowledgeable of CRM system(s), compensation system(s) and other upstream systems impacting compensation processing.
Supports multiple field sales segments/regions.
Works with matrix partners.
Five years of Sales Incentive Compensation experience.
Major Duties:
* Demonstrates a subject matter expert knowledge of Sales Incentive Compensation Plans (all segments), ability to effectively communicate mastery of the varied compensation plans
* Assist internal partners with incentive compensation reporting requests, reconciliations, audits
* Process compensation for the sales force accurately and within specific deadlines
* Maintain personnel, guarantees/draw requests timely and accurately
* Provide excellent customer service to the Sales distribution channel.
* Responsible for responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring client satisfaction with products and service.
* Independently troubleshoot issues and resolve to satisfaction within tight timeframes.
Facilitates and negotiates resolutions to final outcome
* Analyze and resolve issues across multiple system applications
* Maintain Quality Control Audit standards
* Team Player: support/mentor/assist other less experienced Sales Comp Analysts
* Effectively administer CHC sales incentive compensation plans, including but not limited to plan documentation preparation, dissemination and communication.
* Lead sales data analysis to ensure the effectiveness of sales incentive plans and programs.
Present data to management and provide recommendations to improve sales effectiveness.
* Serves as a subject matter expert for incentive compensation field and field manager training.
* Coordinate incentive compensation plan exceptions to the governing board for incentive compensation committee process and approval and provide detail analysis as required.
* Manage or participate in several key initiatives/projects including the development o...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:28
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We have recently increased our starting salaries & are currently offering a sign-on bonus of $1,600 !!
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to patients? We're looking for Certified Pharmacy Technicians (or Pharmacy Technician Trainee licensed) to join our pharmacy team.
If you've worked in Pharmacy Operations before, this role is different - you'll take your knowledge and expand it beyond your belief.Take a break from a retail environment, enjoy a set schedule, and come enjoy the satisfaction of helping others! Prepare prescriptions on a large scale while working closely with our team of Pharmacists as need.We're pretty sure you'll love this position.
How you'll make a difference:
* Be a superstar in the eyes of your team and the end patient: Select and retrieve appropriate quantities of medication and prepare the labels that correspond.
No need to answer any patient questions as those are answered by another skilled team.
* Use your expert problem solving skills to help our patients be at their best every day: Work with a skilled team in a temperature controlled warehouse environment to ensure patients get the medication they need in a timely manner.
* Create new knowledge with our systems and new relationships with your peers: You'll start with training, but you're not doing it alone.
You'll enjoy a supportive environment with your peers and other teams who want you to succeed.
Speaking of supportive environments, did you know we offer 8 paid holidays/year and 18 days of accumulated PTO , tuition reimbursement, benefits that start on day one, and 401K match? Well, now you do.
What you should have:
* Requires a high school diploma or its equivalent.
* AZ Pharmacy Technician Trainee license required, Pharmacy Technician Certification preferred.
* Experience in a retail or hospital pharmacy setting very helpful.
* Familiar with standard concepts, practices, and procedures within dispensing pharmacy helpful.
* Very detail oriented with organizational skills.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions.
* General PC knowledge.
* Willingness to work a flexible schedule to accommodate heavy work volumes.
* Ability to stand for extended periods of time.
About Cigna
Cigna Corporation exists to improve lives.
We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions.
Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich ...
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Type: Permanent Location: Tempe, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:27
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This role is Worksite dependent and can only be performed onsite.
You must be fully vaccinated if you're to come onsite OR undergo testing twice a week.
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*This position is to generate a pipeline of candidates for future opportunities
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Summary
Under the supervision of the Medical Imaging Supervisor and the Radiologist; the Mammographer performs a variety of Mammography procedures.
Employee utilizes appropriate knowledge and skills necessary to effectively meet the Medical Imaging needs of all patients.
Clinical Responsibilities and Essential Functions
* Follows departmental policies and procedures, government guidelines and accrediting regulations:
* Performs imaging procedures
* Performs equipment quality control
* Provides Clean and safe work environment for patients and staff
* Maintains accurate documentation and records
* Completes appropriate paperwork and worksheets as required
* Assumes responsibility for critiquing images and documentation of patient history
* Effectively communicates and coordinates patient procedures and care to the patient, with the radiologist(s) and other staff as appropriate.
* Maintain orderliness, cleanliness and sterile technique in compliance with established Universal Precautions.
* Maintains patient confidentiality per HIPAA guidelines and CMG policy.
* When applicable, prepares/instructs patient about contrast media and examination technique.
Administers contrast media effectively and safely per established procedures.
* Attends departmental meetings and mandatory in-services.
Is responsible for maintaining current licensure/certification for state and national boards, as well as meeting continuing education requirements.
* Is flexible in changing work hours and willingly accepts other assigned duties to meet departmental needs.
* Supports a teamwork environment, demonstrates professional behavior, and provides excellent internal and external customer service
* Knowledge of accreditation regulations
* NOTE: The above is not intended to describe the general content of and requirements of this position and are not intended to be and exhaustive statement of duties.
Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate supervisor.
Minimum Qualifications
* Current BCLS CPR certification
* Two years' experience working in Mammography preferred
* Breast Biopsy experience preferred
* Ability to perform general Radiology and Dexa preferred
* Graduate of an approved ARRT Radiological Technology School required
* Current ARRT registration and MRTBE state certification required
* Mammography ARRT Registry Certificate required
About Cigna
Cigna Corporation exists to improve lives.
We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
Together, with colleagues around the world, we aspire to ...
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Type: Permanent Location: Glendale, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:27
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Remote, Work from home, United States
This role will be responsible for the execution of finance support for the Medicare national risk partnerships.
Role will:
* Aid in the processing and payment of monthly capitation and perform periodic reconciliation of capitation, claims, vendor expenses and eligibility.
* Support the development of policies and procedures to implement data sharing requirements, ensuring compliance with regulatory and internal guidelines.
Aid in the development of processes and metrics to assess validity and completeness of encounter data.
* Work with various internal groups (including IT) to ensure fulfillment of the data sharing requirements of the contract, affecting changes in data sharing aligned to contractual changes.
* Provide support for new contracts ensuring appropriate system set up, testing, and executing, including monitoring and identifying issues and recommending appropriate solutions.
* Support relationship with national risk partners with regards to data and financial reporting.
Develop a thorough knowledge of systems, processes, and methodologies related to Cigna's risk based programs and communicate relevant information to technical and non-technical audiences
* Engage with various internal groups, including Product, Market, Network Operations (among others) to manage implementation of new/expansion contracts and to create awareness of health plan changes and the impacts on national risk partners.
* Conduct financial analyses and aid in the development and delivery of data-driven actionable insights aligned to the organization's strategic direction.
Support the standardization of analytical reporting across all Medicare markets to enable national and local market insights to be shared with risk partners.
* Other duties as assigned or requested.
Required Qualifications:
* Bachelor's degree in Finance, Business or a related field strongly preferred
* 3-4+ years of finance, business analytics, data analytics or related work experience
* Intermediate to advanced Excel skills
* Ability to create queries using SQL and/or SAS to pull and manipulate detail level data from a variety of supporting data tables for analytic research and investigation
* Strong analytic problem solving and organizational skills with the ability to think critically and improve processes to optimize results with proven ability to apply quality checks to ensure data integrity
* Ability to collaborate and consult across multiple levels of an organization, both internal and external to Cigna
* Strong attention to detail and ability to work independently
Preferred
* Experience working in Health Services, Health Insurance and/or Consulting firm
* Medicare knowledge and/or experience strongly preferred
* Familiarity with market and industry data sources
* Comfortable with large data sets, financial analyses and reconciliation tools
For this p...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:26
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*Work from home opportunity
Duties & Responsibilities:
* Analyze information and load data into BIDS/BA applications and Dentacom (claim system).
* Provides information for medical/dental to CIGNA Healthcare Representatives for the delivery of superior customer service.
* Utilizes the Benefit Information Decision application (BIDs) to complete and deliver benefit plan information via the Benefit Access (BA)/Dentacom application.
* Works with appropriate systems and matrix partners through the Case Installation process to ensure benefit representation for all accounts meet the needs of the Benefit and Claim Inquiry, and drive consistency across Client Operations.
* Work with matrix partners to ensure that information is correct and to obtain missing information.
* Review and analyze accounts to ensure compliance with legislation.
* Other duties as assigned
Qualifications:
* HSD or equivalent; College degree or equivalent work experience preferred
* 2+ years work experience.
Prior Benefit Access experience a plus
* Ability to work with complex National Account structure and benefits.
* Detail oriented and demonstrated analytical skill.
* Product knowledge.
* Ability to use PC software and multiple CIGNA applications.
* Strong organizational skills; capable of effectively and independently prioritizing for optimum efficiency.
* Strong interpersonal skills.
* Ability to work in a team environment.
* Ability to manage multiple tasks simultaneously with limited supervision.
About Cigna
Cigna Corporation exists to improve lives.
We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions.
Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
What difference will you make?
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 assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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Type: Permanent Location: Chattanooga, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:26
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Government Program Manager is responsible for overseeing and managing CMS clinical programs and projects, ensuring healthcare professionals and employees comply with internal policies and procedures and all established federal and state standards, as well as NCQA (National Committee for Quality Assurance) standards.
The Government Program Manager builds strong collaborative partnerships internally and externally, and provides guidance, training, reporting, auditing, and oversight for all CMS related programs impacting clinical operations, RCM, Legal, client success, account management, product and IT.
Responsibilities
* Prepare and review all group (Medicare, Medicaid, Out of State Medicaid, Managed Care Medicaid) applications, revalidations, TIN changes, any other changes that require a group
* Assess health plans and hospital systems requirements to determine impact to payer and provider
* Serve as the company expert for all group provider enrollment related activities (Medicare, Medicaid, Out of State Medicaid, and Managed Care Medicaid).
* Research and coordinate the gathering of group enrollment requirements such as state processing time, changes of ownership, backdate requests, required group documentation, health plan forms/details, adverse legal history, authorized-delegated information, lockbox information, and all required information needed to complete
* Be responsible for ensuring that all training documentation and workflows for the Provider and Payor Enrollment is updated to adhere with current state and federal
* Oversee CMS audits and implementation of corrective
* Manage MDLIVE's National Physician Associations (PAs)
* Manage CMS CSA network onboarding, configuration, and product enhancements
* Oversee the CMS provider and payor credentialing and re-credentialing according to the client, state, federal and accreditation requirements
* Assist and manage quality and data reporting to client CMS delegations
* Develop and manage appropriate reports to clients based on agreed upon format and timelines
* Audit all CMS provider files for all networks prior to being presented to medical director or credentialing committee
* Assist and participate with the preparations for CMS delegations and accreditation process as needed
* Develop and maintain all CMS policies and procedures for department processes and revise as needed
* Prepare and review all group applications, revalidations, ownership changes, any other changes that require a group application
* Research and coordinate the gathering of group enrollment requirements
* Notify RCM to approve release of claims and to un-pend claims as needed
* Assist in the development of group application process improvement, maintains and revises group application
* Be a process owner for any group provider enrollment application or system required for entity set up and maintenance
* Manage enrollm...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:25
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This is Remote role.
POSITION SUMMARY
The Sr.
Medicaid Market Strategy Manager provides leadership and strategic direction in executing product adoption and sales support in collaboration with account teams to support our Medicaid clients.
This client-facing position will take a lead role in sales support for current clients.
This involves using extensive Medicaid knowledge to support product development, manage work plans, perform data analysis, as well as work cross functionally with research, sales and account management, client and patient services and other functional areas as needed.
This position serves as the primary contact for Medicaid strategic initiatives and market development.
The Sr.
Medicaid Market Strategy Manager role plays a critical role in the interpretation of applicable CMS guidance, client retention, and overall client satisfaction within the Medicaid line of business.
In addition, the individual will interface with Health plan clients to meet growth, quality targets for their Medicaid line of business.
This position requires the following core skills to be successful:
* Relationship Management
* Client Support
* Medicaid Expertise
* Presentation Skills
* Ability to work in a dynamic business environment
* Ability to work well with all types of management styles
* Strong strategic thinker and self-starter
ESSENTIAL FUNCTIONS
* Coordinate with cross functional partners to provide support for sales and account management and Express Scripts clients.
* Assist Account teams in presenting upsell or renewal related to the applicable Medicaid products.
* Develop selling strategies that help differentiate Express Scripts in the marketplace and align our interest with those of our clients and their members.
* Deliver market message and training to account teams and clients about market opportunities.
* Demonstrate leadership within the team and department to help motivate and grow employees.
QUALIFICATIONS
* Bachelor Degree with proven Relationship Management skills
* Extensive experience in client support with the ability to work collaboratively with account team to develop plans to support clients in this line of business
* Must have excellent presentation skills and experience presenting to various leaders and clients.
* Strategic development with ability to formulate a strategic direction based on market knowledge and data
* Ability to work in a dynamic business environment
* Ability to work well with all types of management styles
* Strong strategic thinker and self-starter
This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location.
Employees must be fully vaccinated if they choose to come onsite.
About Cigna
Cigna is a global health service company dedicated to helping the people we serve improve their health, well-being, and peace of mind.
But we don't just care about ...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:25
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Role Summary
The Onsite Client Account Support Senior Analyst is an extension of the Client and Cigna Account Management Team.
You play a critical role applying your relationship management, advocacy, service skills and wellness knowledge to develop a partnership with a key client.
This role is vital to the success of the Client's well-being strategy to promote a culture of total wellness for all employees, retirees and their dependents.
As our liaison, you will bring key insights and program delivery opportunities to the Account Management Team's strategy discussions to ensure we continue to provide solutions to the Client that exceed service expectations to access care.
A key focus of this role is building trust with the Client to assist their employees and retiree population in getting optimal care at the right time and in the right setting; thereby reducing their costs and the costs to the plan.
This role is a vital extension and critically important member of the Client Benefit and Wellness Team.
Duties & Responsibilities
* Deliver hands-on, dedicated, personalized support to the Client, their employees, retirees, and the Human Resource team
* You will provide education and guidance around plan offerings, benefit optimization, steerage, key well-being initiatives, as well as tool and resource navigation.
This may include lunch and learn sessions, presentations, or general communication development in alignment with client's programs and services (myCigna.com, incentives, discount programs, health savings account, etc.)
* Respond to employee and retiree inquiries, solve problems, and ensure client satisfaction with Cigna products and services
* Respond to, own and assist with escalated, complex issues and inquiries from the Client's benefits delivery team and/or the employees, including, but not limited to complex claims, authorizations, denials, appeals, incentive issues, etc.
* Interact with provider offices to respond to employee billing issues, access to services, etc.
* Partner with the client on execution of their well-being strategies and initiatives
* Develops programs that create awareness, motivation and provides tools to employees that help them adapt and maintain a well-rounded healthy lifestyle
* Coordinate vendor involvement and participation in onsite well-being activities
* Partner with Cigna matrix partners on global service issues impacting the Client and customers
* Participate in new hire onboarding and open enrollment/health fair support as needed
* Perform general administrative duties as needed for incentive program and well-being activities
Qualifications
* Minimum of 2-4 years of experience in health and wellness field
* Bachelor's degree in health education, health promotion, or related field required; CHES preferred
* Experience in a provider office setting preferred
* Experience in health education preferred
* Experience with dir...
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Type: Permanent Location: Clayton, US-MO
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:24
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Job description:
Often referred to as the "Voice of the Customer" on Agile projects, the Agile Product Owner is critical to the success of an agile product development effort.
We are looking for an assertive and hands-on professional who thrives in a fast-paced and change-rich environment.
The ideal candidate will have incredible analytical skills and be quick to make key-level decisions.
The Agile Product Owner Advisor defines the product roadmap and has a vision for growth opportunities for scrum teams to ensure alignment between Cigna's products and the needs of its customers.
Key Responsibilities:
Ø You will be responsible for partnering with Business and IT leaders to define requirements, creating epics, features, user stories, and acceptance criteria.
As a Technical Product Owner, you will collaborate effectively with business partners with a primary focus on the customer experience, and reinforce empathy to the "why" behind Cigna's business needs.
Ø Working closely with Scrum Masters to participate in Agile activities and ceremonies, including Sprint Planning, Backlog grooming, retrospectives to ensure that the team is working on stories that maximize business value and deliver critical functionality to all stakeholders.
Ø Perform gap analysis on customer data feeds using best practices and identify Gaps/propose recommended controls
Ø Have excellent analytical skills.
The individual should be able to efficiently analyze datasets to find out anomalies for issues at hand.
Ø Partner with cross-functional teams to identify new opportunities requiring the use of modern analytical and modeling techniques
Ø Helps negotiate priorities among stakeholders and enables the teams to succeed through the management of actionable stories and remove any blockers as they arise.
Ø Create dashboards (Tableau preferred) and perform adhoc analysis for stakeholders which will help them determine usefulness or impact of features delivered.
Ø Collaborating with other Product Owners, Scrum Masters, RTEs, Program/Product Managers to identify cross-team dependencies and risks.
Ø Serve as an SME for CRM applications by supporting business readiness activities including business acceptance and production simulation to ensure the results meet the business needs.
Ø Should be a self-starter and must be able to manage communications with stakeholders.
Ø Proactive and Team player.
Ø Keep abreast with Agile practices
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Ø 8 or more years of experience with a Bachelor's degree in Computer science or a similar field is required.
Ø 5+ years of experience working with Agile scrum teams.
(Healthcare domain is a plus)
Ø Strong interpersonal communication skills are required for effective communication with peers and leads while managing projects.
Ø Must have hands on experience working with SQL / NoSQL database for enhanced data querying / manipulation.
Ø Experience with data analysis and statistical modeling using technologies such as R...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:24
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Remote, work at home, United States
Counsel - Supply Chain
Evernorth seeks an experienced attorney to join the legal team supporting drug sourcing, procurement and supply chain functional areas of its various business units.
In particular, the successful candidate would be responsible for providing legal advice on a variety of topics related to Evernorth's drug sourcing, distribution and group purchasing organization business units, including day-to-day legal guidance regarding relationships with pharmaceutical manufacturers.
This position requires a general working knowledge of common drug supply chain laws and experience with health care fraud and abuse laws, including the Anti-Kickback Statute.
Contract negotiation experience with a track record of moving deals forward will be highly valued.
Essential Functions:
* Analyze and support arrangements between drug sourcing, procurement and supply chain business units and pharmaceutical manufacturers, including drafting and negotiating a variety of contracts
* Provide day-to-day legal counseling on operational and transactional matters relating to supply chain functions
* Work cross-functionally in analyzing complex transactions and to identify legal issues impacting the organization
* Support strategic initiatives and development of new programs
* Provide support to other legal team members as needed to manage complex legal matters
Qualifications:
* J.D.
from ABA accredited law school/Bar membership required
* At least 4 years health care transactional or regulatory experience
* Experience in fraud, waste, and abuse laws, particularly the Anti-Kickback Statute, as well as FDA Regulations and/or the DQSA/DSCSA is strongly preferred
* Demonstrated ability to make prudent, strategic and pragmatic decisions while working well with others in a diverse team environment to resolve complex issues
* Highly collaborative and analytical; excellent written and oral communication skills, with the ability to distill complex regulatory issues into practical, actionable legal advice
* Ability to professionally handle and prioritize multiple contracts and projects in a thoughtful manner with advanced time management skills
* Strong ability to maneuver through regulatory and business barriers to facilitate solutions
* Understands the importance of supporting business leaders to enable sustainable growth
For this position, we anticipate offering an annual salary of $132,700 - $221,100, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
Helping our customers achieve healthier, more secure lives is at the heart of what we do.
While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best.
Starting on day one of your employment, you'll be offered several health-related...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:23
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Customer Service Representative
We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes.
Transform healthcare and contribute to our industry-leading organization as a Customer Service Representative.
Our Customer Service Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights.
In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.
Here's a little more on how you'll make a difference:
* Help patients understand their pharmacy benefits better.
Use the knowledge you gain from training, your problem-solving skills and support from your team answer patient calls effectively.
* Help us keep track of our patient interactions.
While on calls, use your expert listening skills to get to the heart of a patient's question quickly and document all interactions in real-time.
* Ensure patients are equipped with the best advice.
Identify and empathetically address patient concerns and, if necessary, escalate appropriately.
What You Should Have:
* High School Diploma / GED required
* 1 year of relevant experience
* General PC knowledge including Microsoft Office
* Excellent communication skills (verbal and written)
What you'll love about working here:
* Fun, friendly, and unique culture - Bring your whole self to work every day!
* Choice of three unique medical plans
* Prescription Drug, Dental, Vision and Life Insurance
* Employee Contributions for HRA and HSA accounts
* 401K with Company Match
* Paid Time Off and Paid Holidays
* Tuition Assistance
NOTE : You will be required to have reliable internet connectivity provided through a wired connection.
A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
ABOUT ACCREDO
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.
In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.
For this position, we anticipate offering an hourly rate of $16 - $22, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
Helping our customers achieve healthier, more secure lives is at the heart of what we do.
While you take care of our customers, we...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:23
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Cigna CRM seeks a Senior Application Developer with expertise in Cloud to join our development team.
Helping our customers achieve healthier, more secure lives is at the heart of what we do.
Core capabilities of CRM include marketing campaigns, improving customer engagement, driving customers towards next based action derived based on analytics on customer data and interactions with Cigna and continuous engagement with customer to improve customer health, provide best in class customer experience on the all customer facing channels, driving customer to gain the full benefits of the plan and reduce cost.
The ideal candidate is a motivated, self-starter that brings a fresh perspective and passion to solve complex business and technical challenges in a fast-paced and team-oriented environment.
The position requires hands-on development of event driven scalable applications.
Our team is extremely collaborative.
Interested candidates must love to write code, willing to learn, and willing to share new ideas to improve our team and processes.
Responsibilities:
* Learn Overall System Architecture and supports long-range strategic direction of systems
* Supports and provides input into architecture, design and development for multiple critical applications
* Implement software engineering solutions for diverse and complex business requirements including packaged application customization and multi-systems integration
* Analyze customer business requirements which requires end to end business knowledge on Healthcare, Technology skills and well versed in agile methodologies
* Design and recommend appropriate solutions to implement and/or upgrade applications.
Interact with business and development team on a regular basis to resolve issues or provide clarifications on architecture and/or design documents
* Responsible for all facets of the development, maintenance, and support of applications with strong emphasis on the analysis of the business requirements and written communication of technical design
* Support production implementation activities.
Perform advanced troubleshooting and debugging of application programs using Full-stack software developer tools in support of business and customers
Required Qualifications & Experience:
* 3+ years' experience being past of Agile teams and working in Agile methodology working Scrum or Kanban
* 7+ years of experience in IT delivery
* 3+ years of Cloud experience (AWS preferred)
* 5+ years of working in an object-oriented language: Python, Java, Spark (at least one of them)
* 3+ years of database -Dynamo DB, MS SQL Server or Teradata (at least one of them)
* Development experience of RESTful/API services, microservices
Desired Qualifications & Experience:
* Bachelor's degree in Software Engineering, Computer Science or related field, or equivalent work experience.
* Experience developing in an CI/CD environment (Jenkins/Ansible exper...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:22
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Director; Account Manager, Office of Intelligent Automation
Cigna Corporation (NYSE:CI) and its subsidiaries comprise a global health services and financial company that serves millions of people worldwide through our health, pharmacy, behavioral, dental, disability, life, accident and international products and services.
Our mission is to help improve the health, well-being and sense of security of the people we serve.
Role Summary
The Intelligent Automation Account Manager (IA) is an opportunity for a proven leader who can set and execute the vision for how automation can lead Cigna to achieving increased efficiency and effectiveness within specific growth platforms (US Medical, Evernorth, Shared Services, and International) The role is responsible for partnering with business stakeholders implement a forward-thinking automation roadmap to ensure Cigna leverages its information to provide industry leading health services across the globe.
Reporting directly to the Senior Director Lead for Account Management , this role will work collaboratively with business leadership across the enterprise to; identify viable opportunities for automation, prioritize opportunities for impact, design automation solutions leveraging specific resource expertise and capabilities, and support embedding automations into business operations for sustained impact.
Key Responsibilities Include:
* Partner with business stakeholders, internal IA business resources, and technology teams to develop and deliver viable automation opportunities
* Develop roadmaps and lead end-to-end initiative planning and delivery including opportunity sizing, solution design, development and deployment, automation, business process adoption and change management, and impact measurement.
This includes; prioritizing automation ideas in partnership with Finance on business case realization, entering ideas into Shibumi, translating technical aspect to development teams, continuing the pipeline, and reporting on KPIs
* Build strong partnerships and provide consultative support to senior leaders across the business units in the development and implementation of their business automation strategy.
* Build and foster strong partnerships and collaborative work processes across IA centers of excellence and expertise
* Collaborate with peers across IA to share best practices, exploit synergies, and contribute to building a strong community of practice
* Work in close partnership with technology partners to drive solution development and delivery
* Consistently evaluate all investment/resource expenditures to ensure the team is focused on the highest priority activities that drive outcomes, improve experience for customers and stakeholders, and deliver business impact
Qualifications
The right candidate excellent business and technical acumen with clear experience partnering, leading and influencing business units and strategic partners at all leadership leve...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:22
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Remote, Work from home, United States
The Sr Solutions Architect has proven their ability to architect, design, develop and implement highly scalable and reliable IT systems.
This person provides the technical leadership in implementing short and long term strategies for their assigned team(s), will transform the strategies into prioritized initiatives, and is able to respond to urgent issues in their specific function without losing focus on longer term deliverables.
As a technical leader, this person is able to balance a wide-range of initiatives and manage relationships with other IT leaders.
The Software Technologist may lead internal cross-department IT initiatives and may participate on cross-functional initiatives for Express Scripts.
ESSENTIAL FUNCTIONS:
• Execute application architecture through working with delivery teams to enable the efficient and optimal use of ESI's technology assets, ensuring adherence to ESI's IT Strategy, Guidelines and Architecture Transformation.
• Continuously evaluate industry standards, best practices and technology trends for their ability to support and enhance the goals of ESI's business.
• Provide in-depth technical consultation to business partners and IT management/development to ensure development of efficient application systems utilizing established standards, procedures and methodologies
• Perform long term and on-the-fly evaluations of solutions based on scenarios, outcomes and risk assessments.
• Review, identify and provide performance recommendations to delivery, capacity planning and systems administration teams.
• Perform financial assessments of platform changes and enhancements.
• Direct the creation of reusable technology components within ESI's enterprise architecture.
• Responsible for large scale implementations and transformations through managing multiple stakeholders at all levels (business, technical and regulatory); understands and addresses organizational barriers.
• Work with leaders of cross-functional teams sharing process improvements including engineering, system test, product management, operations, and quality.
• Engage in production support research and resolution recommendations, as required
QUALIFICATIONS:
• Bachelor's Degree Required; Master's Degree Preferred
• Minimum of 10+ Years IT experience, with direct experience implementing high volume multi-tier transactional systems, including: mainframe, web applications, workflow, imaging and web services.
• Mastery / certification in one or more standard architecture frameworks or technologies.
• Solid communication skills (written & oral) with the ability to prepare clear and concise presentations, technical design / architecture specifications, status and other written artifacts.
• Ability to organize and coordinate cross-functional technical and business teams.
• An overall understanding of an iterative software development lifecycle.
• Demonstrate the ability to work with and cla...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:21
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Heath Educator - Evernorth - Carrollton TX
• Provide onsite face-to-face customer coaching and support
• Identify customer health education needs through targeted health assessment activities.
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
• Bachelor's degree in a health-related field.
Master's degree preferred.
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand and own a variety of clinical targets and outcome measurements.
Develop action plans that drive clinical value for the customers and clients.
• Proven administrative abilities, with strong computer and software application skills.
Bonus points for :
• Registered Dietitian
• CHES (Certified Health Education Specialist)
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
This is a part time 28 hour position, and will be based in the office in Carrollton TX.
Cigna is committed to a healthy work force.
New hires must complete a background check, drug and nicotine screen to be employed in this role.
About Evernorth
Evernorth, Cigna Corporation's health services segment, exists to elevate health for all.
We're building on our legacy and redefining health care as we know it.
Unbiased in how we think, we create without limitation.
We partner without constraints, deliver value differently and act in the interest of humanity.
Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward.
When you work with us, you'll be empowered to solve the problems others don't, won't or can't.
Join us.
What difference will you m...
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Type: Permanent Location: Carrollton, US-TX
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:21
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Remote, Work from home, United States
This position leads the design and creation of engaging learning experiences for enterprise-wide compliance training.
We strive to develop learner-centric training and awareness programs at scale and customized where appropriate (e.g., for role, location, situation).
Advisors will need to be able to translate complex regulatory knowledge to clear learning and performance outcomes.
Advisors will need to produce simple and effective solutions that require skillful application of adult learning theory and rapid design methods.
We welcome individuals with diverse experiences and backgrounds in learner engagement including media production, user experience, graphic design, web development, and/or e-learning development.
The position provides an opportunity for working remotely.
Responsibilities may include:
Create, update, and maintain enterprise compliance learning solutions, and all accompanying documentation and analytics, at all phases of their lifecycle.
Serve as a project lead between subject matter experts.
Apply principles and methodologies of adult learning, learner-focused instructional design approaches for closing gaps and increasing skills and competencies.
Leverage the latest in industry practices and technology.
Design engaging, creative, and scalable learning strategies for Cigna's Compliance learning curriculum across a variety of mediums (in-person, blended, online, self-service) prioritizing timely, consistent, and accurate delivery.
Determine learning solution effectiveness with level I, II, III and IV (Kirkpatrick) analysis and reporting.
Qualifications
* A Bachelor's degree, certification and / or equivalent related work experience preferred
* 5 years of instructional design and / or knowledge management experience with all levels of the organization including executive and senior leaders.
* 5+ years' instructional design experience with hands-on experience developing e-learning modules.
(Experience developing Compliance courses is a plus.)
* Experience leading complex projects with aggressive timelines; demonstrated ability to be organized, meet deadlines, and keep everyone informed of project status in a proactive way.
* Self-directed, can make progress with limited information or direction and can be agile and flexible.
* Must be detail oriented and have strong relationship building and organizational skills.
* Demonstrate knowledge of human behavior, adult learning program delivery, organization development theory and practice as well as working knowledge of all facets of training assessment, design, delivery, implementation, and enforcement.
* Demonstrated Proficiency in Articulate Storyline 360, Vyond (or other animation software), Camtasia (or other video editing), Audacity (or other recording software).
* Experience coaching and mentoring others in developing training and using applicable software.
* Experience with LMS manageme...
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Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:20
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The Cigna Pharmacy Process Lead Analyst will support cross functional teams to deliver strategic pharmacy initiatives aligning to activities associated with E2E Process Mapping.
The Process Lead Analyst is responsible for identifying and implementing the necessary changes for the department/organization to realign/align with the right objectives and priorities.
In addition, the role will be responsible for drafting and preparing the needed documentation detailing the existing processes, changes recommended, changes implemented, and the anticipated results.
This expert analyzes the implemented changes, results, and ensures they're yielding the desired outcomes and making adjustments to workflows/processes as necessary.
This role supports our internal operational functions as well as services integrated with external suppliers focused on people, process and technology.
Responsibilities:
* Lead projects involving an array of stakeholder groups including: external vendor partners, internal business units, IT delivery teams, and other matrix partners
* Accountable to support project management initiatives within the Cigna Pharmacy team as well operational playbooks with internal and external stakeholders in addition to the end-to-end process mapping
* Support intake processes, business excellence and lead additional strategic project initiatives
* Employ project management standards, including creation of charters, scope, goals, and benefits of process improvement initiatives
* Evaluate Existing Business Processes, flow charts, manuals, and other documentation to show the existing processes effectively
* Studies ways of effectively introducing change and making improvements that will increase productivity and reduce redundancy
* Develop work plans, schedules, project estimates, resource plans, and status reports
* Act as a change agent and ensure process improvement activity is being communicated, understood, and supported within the organization
* Other duties as assigned
Qualifications:
* 3+ years of experience with project management approaches, tools and phases of the project lifecycle
* Participation in process re-engineering efforts for at least one medium-to-large IT related project
* Experience working within cross-functional project team to understand business requirements and deliver process artifacts
* Ability to assimilate and correlate disconnected business documentation and drawings, and articulate their collective relevance to the organization and to high-priority business issues
* Understanding of hierarchical and sequential process modeling concepts/techniques
* Proficient with process modeling tools (Visio, Confluence, etc.) to identify, capture, define, and analyze business processes
* Strong project management skills experienced in both Waterfall and Agile methodologies
* Understanding of the value of process-centric approach to business anal...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:20
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Our Company
Allegro is a respected leader in the senior living industry, actively engaged in ownership, operations, design, development and property management services for multiple luxury brands throughout the US, with corporate headquarters located in St.
Louis, MO.
Our Community
At Allegro in Harrington Park, you'll discover the joys of inspired senior living.
We care a lot about the people we serve.
So we work hard to help you continue to enjoy friends, family, hobbies, and to provide all the little things that make your life meaningful and unique.
Our warm, comforting and engaging environment will delight you every day.
Demand the best for the rest of your life.
Live the Inspired Life at Allegro.
The primary responsibility of the Cook is to prepare food of the highest quality and taste for residents and guests of the Community ensuring that the food presentation enhances the dining experience of the residents and guests.
Cleanliness of all Dining Service areas and the Dining Service equipment are of the utmost importance.
Areas of Responsibility
* Prepare delicious and attractive food that is colorful and tastefully presented making each meal service an exceptional occasion.
* Supervise the kitchen under the direction of the Dining Services Director (DSD) and Chef/Lead Cook.
* Supervise and/or assist in the proper washing of all dishes, cookware, flatware and utensils.
Properly maintain all kitchen equipment.
Monitor water temperatures and/or chemical compounds as appropriate to ensure the prevention of food borne illness and the spread of communicable disease.
* Maintain kitchen and food preparation areas in a clean and sanitary manner.
* Approach residents and associates in a friendly, service-oriented manner.
* Comply at all times with Company standards and regulations to encourage safe and efficient Community operations.
* Prepare high quality meals consistent with local customs and tastes.
Consistently adhere to the standard recipes, the budgeted costs and Company policies.
* Responsible for the safe working condition of all equipment.
* When required, receive and verify by inventory and signature the correct shipment of all food, supplies and equipment.
* Assist in maintaining a clean and orderly kitchen and storage area and completed temperature charts that successfully meets or exceeds all state and local health requirements.
* Ensure that all food supplies and other goods are properly stored, labeled, dated and accounted for.
* Deliver all delivery slips and invoices to the DSD in a timely fashion.
* Assist the DSD in conducting inventories of food supplies, computing monthly food cost reports, and ordering food and supplies as required.
* Maintain records of meals served and records of food and supplies used as required.
* Interact with the DSD and the residents to ensure satisfaction with the Dining Services program.
* Set up the food service l...
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Type: Permanent Location: Harrington Park, US-NJ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:19
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ROLE SUMMARY:
Provides hands on software engineering and system architecture leadership for one of the Core Clinical Delivery teams.
This individual will be working on several of the largest Technology initiatives for Evernorth targeted at revolutionizing Health Services and Healthcare Delivery system in the United States.
The focus of the work is to continue to enhance Evernorth's market winning capabilities in the Behavioral Health space.
The Technology strategy is completely aligned to our business strategy and the candidate will not only be able to influence technology\business direction but also recruiting and mentoring employees or vendor resources to ultimately build and contribute within a world class Delivery Vertical.
This is a hands on position with visibility to the highest levels of Evernorth management who are driven to see our efforts succeed.
The solution focuses on enabling this change through the use of the latest technologies and development techniques (Open Source Integration Frameworks, E Business Process Management, Oracle High Availability Database Platforms, Agile, Continuous Integration, Behavior/Test Driven Development, AWS, Docker, etc).
RESPONSIBILITIES:
* Provide leadership, vision, and architectural/design direction for the team.
* Direct the team in troubleshooting and problem resolution.
* Ensure engineering solutions align with the Technology strategy and that they support the application's requirements.
* Plan and implement procedures that will maximize engineering and operating efficiency for application integration technologies.
* Identify and drive process improvement opportunities
* Complete accountability for the technology assets owned by the team.
* Provide leadership to the team ensuring the team is meeting the following objectives: Design, configuration, implementation of middleware products and application design/development within the supported technologies and products.
* Proactive monitoring and management design of supported assets assuring performance, availability, security, and capacity
* Maximize the efficiency (operational, performance, and cost) of the application assets.
QUALIFICATIONS:
* College degree (Bachelor) in related technical/business areas or equivalent work experience.
* Proven experience leading/managing technical teams with a passion for the developing the talent within the team.
Experience with vendor management in an onshore/offshore model.
* Familiarity with most of the following technologies (Java, Docker, Spring, Oracle Relational Database, RESTful services).
* Familiarity with agile methodology including SCRUM team leadership.
Familiarity with modern delivery practices such as continuous integration, behavior/test driven development, and specification by example.
* Proven experience with architecture, design, and development of large scale enterprise application solutions.
* Strong written and ...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:19
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Help us lead our future.
Get ready for a job that encourages you to think strategically yet stay connected with your teams.
Do you have design or creating road map experience? If so, prepare to innovate, create, and inspire.
The MQ Infrastructure Engineering Senior Advisor that will perform engineering tasks for a critical messaging service that includes design, build and run operations.
Responsibilities
* Responsible for MQ Support on z/OS Sysplex, runningQueue Sharing Groups.
* Responsible for MQ Support on AIX/RHEL distributed platforms.
* Responsible for MQ Support for MQ Clusters, Uniform Clusters, and Multi-instance HA
* Using Ansible MQ Automation and scripting.
* Using MQ in Containers on RHEL Openshift.
* Developing MQ platform design and architecture.
* Performing software install, patch and version upgrades.
* Problem management, root cause analysis, issue triage and stake holder communications.
* Planning and design that includes creating roadmaps, strategizing, designing and building highly redundant solution.
* Complete service ownership that includes managing service costs, and communications.
* Agile leadership skills and aspirations to be successful leader cross functionally and having ability to work in matrix organization.
* Drive work as a team player and independently on projects to completion.
* Drive to learn new technologies, share knowledge and mentor others.
Qualifications
* High School diploma; Bachelor's degree preferred.
* MQ Engineer with 3 or more years of experience.
* 5 or more years of equivalent work experience in technology
* Leadership experience for small to medium teams size.
* College degree in Information Systems or related IT field, or.
* 5 or more years of experience with zOS, AIX, RHEL
* Experience with cloud based technologies considered a plus
* Experience with monitoring and dashboarding tools like IR360, Splunk and other system management tools to perform system monitoring and triage activities a plus.
* Experience with automation tools such as Ansible considered a plus
* Experience with MQ Client and MQ Resource Adapter
* Full understanding of MQI Application Interfaces, prior MQ API programming experience considered a plus
* Willingness to work a flexible schedule to accommodate project deadlines and 24X7 on call support on a rotation basis.
* Experience with other technologies such as Websphere, Agile/Jira, Service Now and other middleware technologies considered a plus.
* Must have strong communication and documentation skills
This role is WAH/Flex, which allows most work to be performed at home.
WAH/Flex employees must be fully vaccinated against COVID-19 if they choose to come onsite or if required to periodically come on-site.
For this position, we anticipate offering an annual salary of $111,900 - $186,500, depending on relevant factors, including expe...
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Type: Permanent Location: Franklin Lakes, US-NJ
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:18
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The specialty care management programs help individuals make the behavioral changes and first steps necessary to initiate and engage in behavioral treatment.
Our case managers are specially trained in coaching individuals with mental health and chemical dependency disorders.
They have the entire suite of Cigna services available allowing them to identify and service each individual's needs.
The case manager offers Specialty Care Management services that utilize a motivational interviewing approach focusing on decreasing both internal and external barriers that may be preventing the individual from initiating and/or engaging in behavioral treatment.
This approach helps the individual move toward readiness to change and results in the creation of goals that will improve their health and well-being.
Role Summary
This position is a great opportunity for licensed behavioral health clinicians to use their industry experience in a managed care setting focused on clinical excellence for participant members.
The 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.
Day Shift or Evening Shift options
Major Duties
* Evaluates appropriate health care services and treatment plans in conjunction with outpatient providers.
* Ensures that care management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
* Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers.
* Assistance in the identification of member health education needs
* Develop SMART goals with our customers to empower them to lead and maintain a healthy lifestyle
* Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals
* Perform research for community and educational resources to assist customers in their journey
* Consult with and assist team members in cases where a member's behavioral health or emotional issues are impacting their ability to set and/or achieve goals
* Educate and refer members on available health resources and CIGNA Medical Management as appropriate to approach customer holistically
* Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc.
* Provides suggestions for improvements and enhancements to outpatient coaching programs based on data/experience
* Able to manage multiple health records and systems to accurately document customer interactions and progress
* Must be able to comply with HIPAA standards and regulations in telephonic conversation and in documenting medical records.
* Flexibility to assist other teams and partners as needed.
* ...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:17
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Nurse Health Coach / Coordinator
Role Summary
The primary focus of the Onsite Wellbeing Coach/Coordinator is individual coaching, site health promotion, and Clinic Functions.
In collaboration, with the Cigna benefits and account teams, the Onsite Wellbeing Coach/Coordinator balances individual coaching sessions with appropriate delivery and coordination of wellness programs including event scheduling and appointment coordination and monitors effectiveness of the programs.
A core objective of this position is to facilitate wellness programs that educate and influence employees at the worksite to lead healthy lifestyles.
Coach Responsibilities
* Individual coaching sessions
* Assist in the identification of members' health advocacy needs.
* Utilize motivational interviewing and engagement strategies to support overall health and wellness of employees.
* Provide onsite support to members in order to help them identify a need for behavior change to improve health status, reduce health risks and improve quality of life.
* Provide health and wellness education utilizing a multitude of media including group presentations, support group facilitation, creative use of modalities (i.e.
games, quizzes, etc.), newsletter contributions, etc.
* Follow up with employees to ensure that wellness program engagement has been achieved and assess future educational and/or program referral needs.
* Consult with other onsite health and wellness resources to ensure employee's comprehensive health needs are being addressed
Coordinator Responsibilities/Health Promotion
* Collaborate in development and coordination of promotions and communications
* Educate about wellness programs, tools and services
* Raise awareness and create visibility for wellness
* Wellness Events and Campaigns
Clinical Functions/Telemedicine
* Prepping patient for virtual provider
* CLIA waived testing
* Labs
* Input HPI info into the system
* Overall management and day to day operations of the health center
* Biometric Testing
* Vaccine administration
What we expect from you :
* Active and unrestricted RN license in Pennsylvania
* Minimum of 3 or more years clinical experience as an RN in a physician's office or hospital setting
* Experience in health education and wellness coaching preferred.
* Demonstrated experience and ability in providing superior Client service to organizations and individuals.
* Positive role model in demonstrating healthy behaviors.
* Proven administrative abilities with strong computer and software application skills.
* Excellent interpersonal skills and the ability to work in a team environment.
* A high energy level and excellent written and oral communication skills are essential.
* Self-directness and the ability succeed in an independent role.
Bonus points for :
* Virtual/telemedicine experience
* Positive role mo...
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Type: Permanent Location: New York, US-NY
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:16
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Role Summary:
The Inside Sales Specialist is a licensed insurance sales agent that is responsible for receiving inbound marketing leads and making outbound calls to prospective customers through telesales efforts to close sales to meet or exceed sales targets.
The individual will proactively work with customers to market our full suite of Medicare Supplemental, Dental, and Ancillary products.
Duties and Responsibilities:
* Receive calls from marketing driven leads from customers looking to receive quotes on Medicare supplemental products and CSB's supplemental health product lines.
* Make outbound calls to our warm database of nationwide clients in order to produce sales
* Determine and share options to address customer's coverage needs
* When applicable the agent will quote and enroll customers following the standard guidelines and processes governed by CMS
* Document and track all such leads in CRM system and ensure proper follow up is done within a timely manner
* Successfully upsell/cross sell available ancillary products
* Participate in other assigned Sales Team projects as needed.
* Provide feedback and guidance on market nuances, marketing campaigns and plan operations
* Actively participate in internal sales meetings, trainings and other company events as requested
* Consistently deliver high quality work within established time frames; willingly assist peers and management.
* Other duties as assigned
Knowledge, Skills and Abilities:
* Working knowledge of the health insurance industry
* Strong telephone verbal and listening skills
* Ability to work in a fast paced environment
* Dedication and commitment to exceptional customer service when selling and servicing our customers
* Capable of working and communicating with many people possessing diverse personalities
* Excellent verbal and written communication skills, including oral presentation
* Strong organizational skills with an attention to detail
* Working knowledge of Microsoft Office, Salesforce
* Understanding of the various insurance policies
* Able to work independently and in a team setting
Education and Experience:
* High School Diploma or GED required.
* Active Health/Life Insurance license in resident sate
* 1 to 2 years of sales experience
* At least two years telephonic experience, preferably in Sales
* 1 to 2 years of college in Business, Communications, Marketing, or related fields.
Equivalent related experience may substitute for education requirements
Desired:
* Bachelor's Degree
* Possess an active Life and Health insurance license
* Experience in, or understanding of, hospitals, healthcare and/or insurance industry
* Proven sales experience or related position within insurance field
* Knowledge of managed care and insurance products
* Understanding of D.O.I.
rules and regulations
Essential Functions:...
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Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2022-05-23 08:08:16
