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2nd Shift Quality Control Inspector
Wollaston Alloys/CPP Boston is seeking a 2nd Shift Quality Control Inspector to join our team! This is an excellent opportunity for an experienced individual to join a fast-paced company that has continued to grow over the past 60 years! CPP offers a competitive compensation and benefits package, which includes a bonus program, medical/dental/vision/life/disability insurance, 401K with match, paid vacation and holidays, paid training, and a great team culture!
Responsibilities
* Inspect castings visually utilizing various measuring devices and prints as required.
* Perform various coding, marking, stamping for proper processing
* Subject castings to various testing methods as required (pressure testing, magnetic particle testing, bubble testing, etc.).
* Perform necessary record keeping duties as required.
* Prepare scrap reports, discrepancy reports, incoming material reports, draw castings repair sketches, etc.
* Prepare information for scrap review by plant staff and Quality Control Manager.
* Perform quality control audits as required.
* Ensure all castings are properly marked and tested in accordance to prescribed standards/ specifications.
* Straighten castings as required, prepare castings for X-ray.
About you
* 3+ years of related experience (at least 1 year in manufacturing)
* Comfortable utilizing various measuring tools
* Ability to read blue prints
* Must be able to train on 1st shift
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/
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 non-management position
This is a full time position
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Type: Permanent Location: Braintree, US-MA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:34
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The Quality Technician supports the quality function with respect to addressing customer and supplier quality issues, and disposition of defective material.
Duties supporting this role would include notification to suppliers and root cause and corrective action analysis of internal/external escapes
This is a great opportunity to join a growth-oriented company that has been in business for over 100 years! CPP offers a competitive compensation & benefits package which includes a bonus program that is paid quarterly, medical/dental/vision/life insurance, 401K with company match, paid vacation and holidays.
Hourly wage is $24-26/ hr.
Essential Job Functions
* Maintain scrap and rework reduction initiatives
* Participate in all plant root cause & corrective action teams and activities
* Collaborate with Quality Engineering, Product & Process Engineering and Production personnel to aid process improvement teams; analyze product and process non-conformances; determine root causes, establish mistake proofing concepts and activities, follow-up on action plans
* Participate and assist in continuous improvement activities with Supervisor & Leads
* Facilitate shipment of customer products by verifying requirements & specifications while functioning as the Designated Quality Representative (DSQR) for CPP customers
* Participate on customer corrective action board (CAB) calls
* Ability to work at the Bloomington facility
Qualifications
* AS13001 certified preferred
* High school diploma, Associate's Degree in Quality or related field preferred
* 2+ years previous experience in Quality Assurance required to include inspections and audits
What do we have to offer?
* $24-26/ hour
* 5% quarterly bonus potential
* Positive and collaborative work environment
* Flexible schedule
* Paid training
* Educational Assistance
* 401K with match
* PTO
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/.
Sponsorship is not available for this role.
Candidates must be legally authorized to work in the U.S.
on a permanent and consistent basis without company sponsorship now and in the future.
This position requires use of information or access to hardware which is subject to the International Traffic in Arms Regulations (ITAR).
All applicants must be U.S.
persons within the meaning of ITAR.
ITAR defines a U.S.
person as a U.S.
Citizen, U.S.
Permanent Resident (i.e.
'Green Card Holder'), Political Asylee, or Refugee.
CPP Corporation is an Eq...
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Type: Permanent Location: Bloomington, US-MN
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:33
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Responsible for the accurate and timely reading and recording of water meters to facilitate customer billing; to identify water meter equipment problems; and to perform minor water meter and/or system maintenance.Department
Operations
Status
Non-exempt
Supervisor's Title
Area Manager
Who we are
Water is the common thread that connects us all.
We deliver vital, safe and reliable services which enable our communities to thrive.
Through infrastructure investment and Operational Excellence, we safeguard our natural resources for today and future generations.
We've got this!
The Nexus Water Group team has an opportunity for a Field Tech I based in Lorton, VA.
Responsible for the accurate and timely reading and recording of water meters to facilitate customer billing; to identify water meter equipment problems; and to perform minor water meter and/or system maintenance.
What you'll do
* Maintain accurate and up-to-date records.
* Document customer interaction and Field Activities in CC&B.
* Act as liaison between the customers and customer service personnel for problem/complaint resolution.
* Respond to customer inquiries regarding meter reading schedule, billing, how meters are read and other customer service related matters.
* Provide on-site customer communication.
* Assist with maintaining mechanical, electrical and piping systems for area water/wastewater facilities, collections and distribution systems.
* Constant, independent travel daily between worksites on Company time.
* Must work On-Call in rotation as scheduled; responds to emergency situations as required.
* Perform minor meter maintenance and repair duties
* May walk 5 - 10 miles per day over established route, reading between 200 and 1200 meters per day and records volume used by residential and commercial customers.
* Determine consistency of meter readings; reports unusual cases of water usage to supervisor.
* Inspect meters and connections for defects, damage and unauthorized connections; ensures meters are registering properly.
Indicate irregularities on forms for necessary action by servicing department.
* Turn off service for nonpayment of charges in vacant premises, or on for new occupants.
* Assist with ordering parts and job costing.
* Assist with the installation and disconnection of water meters and sewer services.
What you'll bring
Experience
* Requires at least 2 years of mechanical work experience
Education and Certification
* High school Diploma or GED
* Must maintain a valid driver's license.
* Require CDL/Class B License with tanker endorsement.
Nice to Have
* Water meter reading experience preferred
* May be in process of obtaining Distribution and/or Collections Systems certificate or first-level plant operating license.
Physical and Technical Skills
* Ability to frequently perform moderate to heavy physical demands, including lifting (75 lbs...
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Type: Permanent Location: Lorton, US-VA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:32
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The Corix team has an opportunity for a Lead Wastewater Treatment Operator based in Lorton,VA.This role isunder limited supervision, performs routine tasks related to the operation of a wastewater treatment facility.
Responsible for maintaining plant compliance with EPA standards and state water Commission.
Assists with training of other personnel and leading work crews.
Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes and works cooperatively to provide quality seamless utility service.
Works with Area Manager and/or State Director to ensure continuity of processes, goals and vision of the company.Department
Operations
FLSA Status
Non-Exempt
Supervisor's Title
State Director
Who we are
Water is the common thread that connects us all.
We deliver vital, safe and reliable services which enable our communities to thrive.
Through infrastructure investment and Operational Excellence, we safeguard our natural resources for today and future generations.
We've got this!
The Nexus Water Group team has an opportunity for a Lead Wastewater Treatment Operator based in Lorton, VA.
This role is under limited supervision, performs routine tasks related to the operation of a wastewater treatment facility.
Responsible for maintaining plant compliance with EPA standards and state water Commission.
Assists with training of other personnel and leading work crews.
Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes and works cooperatively to provide quality seamless utility service.
Works with Area Manager and/or State Director to ensure continuity of processes, goals and vision of the company.
What you'll do
* Oversee the operation and maintenance of wastewater treatment equipment, ensuring compliance with state and federal environmental protection limits.
* Oversee the organization and delegation of team tasks.
* Develop and maintains operational records and prepares reports in compliance with regulatory standards.
* Oversee sampling and testing systems, and the functionality of pumps, conveyors, blowers and other equipment.
* Installs and repairs pumps, motors, valves and piping; diagnoses, repairs and clarifies aeration equipment, ion exchange bins, filtration equipment and other major apparatuses.
* Monitor and samples well and groundwater upon entry to the system.
Adjusts treatment levels when non-standard variances are detected.
Samples water prior to exiting system.
* Detect and reports atypical conditions, such as: identifying damaged, malfunctioning and tampered meters, detecting and reporting leaks, high/low consumption, exposed wiring and other safety hazards.
* Clean and maintains treatment plant, pumping stations and wells.
Conducts ongoing repairs to equipment, or shuts down equipment for more extensive maintenance and repair, activating alternate equipment as needed.
Requests services of o...
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Type: Permanent Location: Lorton, US-VA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:31
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Under direct supervision, performs routine tasks related to the operation of water and/or wastewater treatment facilities.
Assists with maintaining plant compliance with EPA standards and state water Commission.
Performs general cleaning of grounds and buildings.
Ensures plant safety and sanitary requirements.Department
Operations
FLSA Status
Non-Exempt
Supervisor's Title
Area Manager, or as assigned.
Who we are
Water is the common thread that connects us all.
We deliver vital, safe and reliable services which enable our communities to thrive.
Through infrastructure investment and Operational Excellence, we safeguard our natural resources for today and future generations.
We've got this!
The Nexus Water Group team has an opportunity for aWastewater Operator I based in Lorton, VA.
This role is under direct supervision, performs routine tasks related to the operation of wastewater treatment facilities.
Assists with maintaining plant compliance with EPA standards and state water Commission.
Performs general cleaning of grounds and buildings.
Ensures plant safety and sanitary requirements.
What you'll do
* Operate and maintain wastewater treatment equipment, ensuring compliance with state and federal environmental protection limits.
and adherence to Company policies and standards.
* Conduct ongoing repairs to equipment or shut down equipment for more extensive maintenance and repair, activating alternate equipment as needed.
Requests services of outside maintenance vendor for major repairs and overhauls.
* Assist Lead Operator with emergency procedures in the event of overflow or spill of chemicals or unpurified water.
Follows safety protocol.
* Prepare reports and maintain logs on meter readings, tests, chemical and equipment usage, and all other recordkeeping requirements; maintains various Company records and other reports as required by the state.
* Clean and maintain treatment plant, pumping stations and wells; prepare and paint equipment, walls, and floors.
* Maintain a safe working environment and report safety concerns to Area Manager.
* Complete facility and vehicle inspections, along with related follow-up.
* Forward customer inquiries on to Operator II or Lead Operator.
* Perform other related duties as assigned.
What you'll bring
Experience
* Requires at least 2 years of mechanical work experience
Education and Certification
* High school Diploma and the ability to attain First-Level operator license per state regulation within 1 year of employment; may be in the process of obtaining second-level license; must maintain a valid driver's license.
Nice to Have
* Currently holds first-level operator license per state regulation preferred.
* 1 year specializing in chemical treatment of wastewater and/or a minimum of 1 year in wastewater utility field with experience in the operation.
Physical and Technical Skills
* Ability to frequently perform moderate to ...
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Type: Permanent Location: Lorton, US-VA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:30
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POSITION SUMMARY
Responsible for managing all aspects of pharmacy contractual guarantees.
Analyst will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees.
Provides expert content/professional leadership on complex Financial Analysis assignments/projects.
Responsible for coordinating, conducting, and documenting financial analysis projects or financial reporting.
Conducts or participates in more complex financial analysis projects and/or reporting.
Presents results and recommendations to management.
Contributes to the development and improvement of financial analysis and forecasting analytical methodologies.
Translates business need into technical specifications for systems matrix partners.
Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
Uses deep professional knowledge and acumen to advise functional leaders.
Focuses on providing thought leadership within Financial Analysis but works on broader projects, which require understanding of wider business processes.
Recognized internally as a subject matter expert.
ESSENTIAL FUNCTIONS
* Managing pharmacy pricing in order to meet contractual guarantees.
* Communicate performance results and projections to Senior Management.
* Development of the custom MAC pricing to achieve financial obligations for strategic clients and providers.
* Provide Final provider guarantee reconciliation and analysis related to provider disputes.
* Working with Network Contracting, Network Implementations and Analytics team to capture and implement guarantee requirements.
* Ad Hoc Analysis of generic pricing performance related to Provider and Client guarantees.
* Act as a mentor and knowledge resource for teammates.
QUALIFICATIONS
* Bachelor's degree (preferably in business, accounting or finance) or equivalent years of experience
* At least 3 - 5 years of business experience in analysis, modeling, pricing &/or data management.
* Experience with all MS Office applications, Visual Basic, and SQL.
* Thorough knowledge of PBM business model.
* Analytical, highly organized, able to work with little supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task.
* Excellent Communication skills, oral and written.
* Capability to prepare and present concepts and proposals to all levels of management.
Location: St.
Louis (this is a hybrid position and will require the ability to work in person 3 days a week)
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit, or project management our department may be a perfect fit for you.
Our teams work together to ensure that we remain a profitable industry leader.
We're always on the lookout for innovative people who think outside the box to join our team.
If you will b...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:26
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Clinical Pharmacist (Cigna) - Medication Therapy Management
Role Summary:
The Clinical Pharmacist assists with the execution of numerous initiatives that improve the quality and effectiveness of drug therapy for Cigna Medicare members.
In this role, you will work on a high performing team of professionals across multiple functions and complete comprehensive medication reviews for high risk customers.
These reviews include but are not limited to the assessment of drug interactions, therapeutic duplications, renal and hepatic dosing adjustments, evidence-based gaps in care, STAR-related pharmacy opportunities, and medication cost and adherence barriers.
Responsibilities:
* Working collaboratively with multiple stakeholders in order to improve our customer's care coordination and healthcare outcomes
* Responsible for gathering and reviewing pertinent health data from pharmacy claims, medical databases, and internal clinical resources in order to complete comprehensive medication reviews
* Documenting and tracking customer's personalized recommendations in a centralized database
* Participating in quality improvement programs and initiatives driven by business needs
* Understanding the Cigna Medicare suite of Clinical programs, identifying practice opportunities, and integrating the clinical programs and resources into the practice workflows with the intent to optimize the customer experience, quality of care provided, and positively impact resource utilization
* May assist with projects involving utilization management analysis, including but not limited to medication adherence and compliance
* May assist in medication reviews for other Cigna Medicare clinical programs as needed
* Handles phone inquiries from physicians, the clinical staff, and Cigna members
Education:
* Licensed Pharmacist required (bachelor's degree in pharmacy or PharmD preferred)
* Residency or Board Certification preferred
Skills:
* Medication knowledge
* 3+ years' experience in Pharmacy Managed Care and/or Medicare/Medicaid preferred
* MTM experience preferred
* Experience working with MTM applications (ex: Adhere Health's optimize) preferred
* Excellent verbal and written communication skills
* Bilingual in English and Spanish strongly preferred
* Proficient technical skills utilizing Microsoft Office such as Word, Excel, PowerPoint, and Outlook
* Computer literacy- will work with several different computer applications simultaneously
* Strong learning agility and ability to apply concepts quickly
* Strong problem solving and decision-making skills
* Ability to develop innovative solutions to complex healthcare issues
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 antic...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:25
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Under the direction /supervision of an RN: The Adverse Drug Event Nurse LPN is responsible for completing and submitting adverse drug event reports to the pharmaceutical companies or FDA, following the internal protocols within the nurse scope of practice.
Schedule: M-F 10:30-7:00pm EST (09:30-6p CST)
ESSENTIAL FUNCTIONS:
1.
Review clinical adverse event "work in progress" (WIP).
Use internal protocols to
determine if the event should be submitted per manufacturer /FDA requirements.
Responsible for accurate documentation of the event to ensure all contractual /FDA
requirements are met.
2.
Respond to manufacturer and/or internal requests when an adverse clarification is
required.
Responsible for tracking of these requests as well as other errors identified and
notifying the leadership team accordingly.
3.
Ensure all applicable manufacturer trainings are completed on time and remain
compliant.
4.
Attend manufacturer audits as required by the leadership team.
5 %
5.
Responsible for good housekeeping techniques, adhering to quality and production
standards while complying with all applicable company, state and federal safety and
environmental programs and procedures.
MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Formal Education and/or Training:
Practical nursing degree
Years of Experience:
0-2 years experience in a clinical setting
Licensures/Certifications:
Clear, active, unrestricted LPN Nursing license in your home state.
Obtain additional state LPN Nurse Licensure as required.
Computer or Other Skills:
General PC knowledge including Microsoft Office, Internet and email
Knowledge and Abilities:
Knowledge of pharmacy, pharmaceuticals, or healthcare business required; Works effectively across organization
and fosters teamwork; Demonstrates the ability to manage production efficiently while building strong credible
working relationships with clients, patients and internal partners; Excellent communication skills both verbal and
written; Demonstrated knowledge of medical terminology; Active professional affiliations and/or national
certification in related clinical specialty preferred; Ability to work flexible work schedule
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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
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 ident...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:25
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need to update!
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 102,700 - 171,100 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 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 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.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:24
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A re 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 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 basi s by protectingthe company's sound financial position and enabling us to meet our financial commitments to our c lients .
RULDP associates begin to shape their career s 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 n on-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 supportin g 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 & to...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:23
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Please note: This is a hybrid position (3 days in office, 2 days Work at Home).
Incumbent candidate must be able to work in Walnut Creek, CA office three days per week.
Job Summary:
Performs a broad range of sales operations functions for the new business sales process and will serve as a liaison between assigned New Business Managers and internal partners.
This role will have external facing responsibilities and is accountable to be a trusted resource for the end-to-end Sales process from prospective clients (Request for Proposals - RFP) to sold business.
Key functions include working closely with presale, underwriting and brokers to ensure documents, information and tasks are moving through the sales process timely with the highest degree of accuracy.
This role requires a demonstrated ability to work independently, under tight time constraints while prioritizing workload, demonstrating sound judgment and build relationships internally and externally.
Job Duties:
* Key resource aligned to designated new business managers and their block of brokers, clients and internal matrix partners for the sales operations functions from Request for Proposal (RFP) to post sale implementation and client effective date.
* Responsible to coordinate and process end- to -end new business sold transactions and document package across all product lines, programs and compliance legislations and mandates as assigned to include "In Good Order" status for successful implementation
* Demonstrate professional interaction with internal and external partners, proactively obtain missing/incomplete information and ensures the key transactions are moving through the process timely and accurately with attention to detail and follow ups
* Partner with presale, Underwriting, Product, Health Engagement, Compliance, Service Operations (1st 30 days of new install) and Commission team as needed
* Communicate information regarding the renewal experience to include downstream risks and notifications for confirmed and pending renewing clients.
* Maintain tracking and reporting of status and deliverables associated with assigned book of business
* Supports creation of Finalist Presentation materials with New Business Manager
* Perform work within standard operating procedures related to the new business
* process ensuring compliance and timeliness in alignment with quality and service
* delivery expectations
* Utilize multiple web-based knowledge resources to review benefits for Federal
* Regulation and State Mandate compliance, as well as Cigna product standards
* SFDC audits/updates based on opportunity received
* Participate in projects related to new business services and other product/process related initiatives.
Qualifications:
* Bachelor/Associate's degree in a related field preferred or at least one year of related experience.
* Previous sales operations, presale or benefit service experience p...
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Type: Permanent Location: Walnut Creek, US-CA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:23
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Works within the fast paced environment of the Central Nursing Team to complete non-clinical projects and functions.
As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems within the nursing department.
Works with Nurse Manager and field staff to schedule patient visits for home infusion.
Works with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals.
Delivers straightforward administrative and/or other basic business services in Customer Service.
Works with various staff, departments and prescribers via fax, email, IM, and phone.
Responds timely to inquiries from patients, field staff, and other departments for information and assistance.
Position requires excellent interpersonal skills, critical thinking, multi-tasking, retention, and flexibility.
Independently responds to inquiries ranging from routine to moderate complexity.
Issues tend to be routine in nature.
Good knowledge and understanding of Customer Service and business/operating processes and procedures.
Enhance organization reputation by accepting ownership for responding to new and different requests.
Escalate issues as necessary.
ESSENTIAL FUNCTIONS
* Use of pharmacy and scheduling programs for documentation and nurse scheduling of home infusion visits.
* Proactively communicate to field staff, nursemanagement,and patients.
* Investigate/research issues and provide resolution.
* Take initiative for problem solving with ability to multitask effectively and use critical thinking.
* Correct and timely entry of data in appropriate systems.
* A pro-active work ethic with ability to be managed/trained virtually
* Proficiency and use of Excel and Outlook
QUALIFICATIONS
* High School education or GED.
* 5+ years of relevant Customer Service experience.
* Previous Healthcare experience preferred but not required
* Microsoft Office Suite.
* Extremely detailed oriented.
* Excellent written and oral professional communication skills.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions.
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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
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 re...
....Read more...
Type: Permanent Location: Temple Terrace, US-FL
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:22
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Job Description
The Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to the Select & Middle Market Buyer Group Clients.
In working with Clients with diverse employee populations, this role identifies the right wellness program mix and the program setting to educate, engage and activate employees to achieve health improvement goals.
In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs, customer education initiatives, and monitors effectiveness of the programs.
A core objective of this position is to facilitate wellness initiatives that educate and influence employees at the worksite to lead healthy lifestyles.
This role strives to enhance employee consumerism and achieve customer-centric, utilization goals.
Responsible for consulting with employers and brokers in the development of strategic health engagement plans, spearheading customer engagement initiatives, coordinating awareness and education activities and educating customers on being a better consumers of healthcare.
Engagement Consultant also presents benefit plan design to our customers at annual open enrollment meetings.
This position is responsible for supporting client wellness objectives and managing the communication and execution of these initiatives/tactics to ensure successful implementation and desired results.
Engagement Consultant will research and respond to health information and wellness plan inquiries and proactively communication of all changes, problems, and issues that may occur.
May act as a liaison between wellness team and billing department, marketing department, outside customers, and vendors.
Will apply standard techniques and procedures to routine instructions that require professional knowledge in specialist areas and provide standard professional advice and creation of initial reports/analysis for review.
* Assess client's employee health challenges and objectives, helping to design a strategic multi-year wellness program that is customized to their workforce, goals and budget.
The assessment will utilize health assessment data, organizational assessment data and in addition to factor in claim/utilization data, employee survey data, or other data as appropriate.
* Consult with client to convey the importance of the right framework for an effective wellness program, i.e., leadership support, a wellness committee, appropriate incentive structure, and supporting organizational policies related to wellness
* Coordinate with sales partners to identify opportunities for product penetration of existing accounts, potential sales of ancillary products and strategies to maximize membership
* Provide ongoing analysis and evaluation of client communication/health/wellness strategies to determine effectiveness, penetration, and impact to client's total claims and utilization, biometric data, a...
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Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:21
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Are you ready to drive growth and improve lives? EviCore a line of business within The Cigna Group is hiring a Senior Systems Analyst - Client Support.
In this senior level role, you will act as a Subject Matter Expert for eviCore Claims Systems and the suite of eviCore Claim Products.
You'll be the primary contact for production issues; triage, new product configuration design, and process-improvement initiatives and the Subject Matter Expert to business and IT for eviCore claims product setups/processes, the eviCore claim systems and related job processes.
What you'll do to make a difference:
* Act as Subject Matter Expert for the eviCore claim systems and related job processes
* Completes day-to-day project tasks without immediate supervision
* Responsible for prioritization and execution of assigned tasks and ability to identify needed actions with limited direction.
* Tasks involve a degree of forward planning and anticipation of needs/issues
* Responsible for collaboration and oral/written communication with internal and external client business operations, IT departments and QA departments
* Lead discussions with cross-functional teams, to understand, document and evaluate processes for opportunities to continually improve automation and accuracy
* Research and resolve and/or track resolution status for non-routine issues escalated from leadership, business, clients and junior team members
* Plays a significant part in new product and complex (multi-product and/or multi-state) eviCore claims systems client implementations and internal integration/migration efforts
* Define business (BRD), technical (TRD) and claim data exchange requirements (X12 and proprietary formats) and instruct on data file mapping related to provider, member, auths, and claims
* Design solutions for billing rule, benefits and provider configuration
* Create and/or execute test/use case for integration testing, and executing and/or support for associated user acceptance testing, as related to their SME role, to ensure proper interaction for current and future claims product use
What you'll need to succeed:
* High School Diploma or GED required
* Extensive experience in claim adjudication processes, subject matter expert in system configuration, processing, reporting and issue triage, required
* Experience in reading and triaging files in industry standard claims data types (820, 837, 835, 276/277, 276CA, 997/999), required
* Experience in creating claim test files for load into claim system to support test case execution and test plans/use cases to support end to end testing, required
* Knowledge of claim editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS), required
* Proficient in MS Office products, including Access, Visio and PowerPoint, required
* Advanced in Excel , required
* Proficient in SQL querying, required
* Experience working with and updating ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:20
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The role of the Senior System Architect / Senior Software Engineer is an opportunity for a proven leader and technical expert in application delivery to help set and execute the design, engineering standards, and delivery processes, across Payment Integrity Solutions in the Provider Technology organization.
As a Senior member of the team, the candidate will work with a highly Agile team to develop, execute, validate, and maintain a suite of integrated software products.
The candidate must be passionate about technology and is always looking to further their personal knowledge and expertise.
The ideal team member will be creative, responsive, flexible, and willing to participate in an open and collaborative peer environment.
The candidate enjoys working in a team of high performers, who hold each other accountable to perform to their very best and does not shy away from opportunities to provide and take feedback amongst their fellow team members.
Researches and evaluates alternative solutions and recommends the most efficient and cost-effective solution.
Documents, tests, implements, and provides on-going support for the applications.
Focuses on providing thought leadership and technical expertise across multiple disciplines.
This role will focus on the achievement of departmental objectives and financial goals.
Will play a significant part in achieving functional/technical delivery to our business, ensuring that priorities are met, and appropriate business value is delivered.
The Senior Senior Software Engineer fulfills the following duties:
* Be hands-on in the designing of robust solutions to hard problems, while considering scale, security, reliability, and cost
* Support other product delivery partners in the successful build, test, and release of solutions.
* Work with distributed requirements and technical stakeholders to complete shared design and development.
* Support the full software lifecycle of design, development, testing, and support for technical delivery.
* Actively participate in agile ceremonies and/or team-based events
* Work with Product Owners and the team to understand the business value and break down the feature as stories.
* Review user stories/requirements to identify ambiguities and collaborate with team to help estimate effort.
* Possess awesome technical abilities that will enable you to significantly improve product quality and time to market.
* Make informed decisions quickly and taking ownership of services and applications at scale
* Stay on the leading edge of development practices and Passionate about great technologies, especially open source
* Communicate clearly, concisely, and effectively for your audience.
* Collaborate across teams and departments to help to create best practices.
* Experience in communicating with users, other technical teams and management to collect requirements, identify tasks, provide estimates and meet production...
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Type: Permanent Location: Plano, US-TX
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:20
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POSITION SUMMARY
Responsible for managing all aspects of pharmacy contractual guarantees.
Analyst will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees.
Responsible for coordinating, conducting, and documenting financial analysis projects or financial reporting.
Conducts or participates in financial analysis projects and/or reporting.
Presents results and recommendations to management.
Manage rate updates, including loading and maintain rates in adjudication system.
Responsible for working cross functionally with Supply Chain leadership, Analytics and Network teams to implement pricing strategies.
Perform analysis of claims data for key corporate strategic projects.
ESSENTIAL FUNCTIONS
* Managing pharmacy pricing in order to meet contractual guarantees
* Reviewing pharmacy contracts and ensuring that all guarantees are accounted for
* Monitoring, adjusting pricing and reporting of pharmacy guarantee performance
* Enter and maintain provider rates in adjudication system
* Implementation of pricing strategies to meet all Provider guarantees
* Development and implementation of modeling tools and analysis in support of provider contracting strategies including performance measurement and analysis
* Cross Functional support of internal business partners through ad hoc projects
* Analysis of claims data related to assessment of strategic corporate initiatives and projects
Location: This is a hybrid position and requires the ability to work in person, in our St.
Louis, MO office, 3 days a week
QUALIFICATIONS
* Bachelor's degree strongly desired (preferably in mathematics, business, accounting or finance)
* At least 1-3 years of business analysis, modeling, pricing or data management experience preferred
* Experience with data warehouse and/or coding experience preferred
* Experience with all MS Office applications, Visual Basic, and SQL
* Analytical, highly organized, able to work with little supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task
* Excellent Communication skills, oral and written
* Capability to prepare and present concepts and proposals to all levels of management
* Knowledge of PBM or Healthcare industry 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 at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be ...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:19
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What You'll Do
The National Value-Based Contracting Account Owner position is an integral member of the National Network team and will be responsible for ensuring smooth end-to-end administration of contract operations for Cigna Medicare's most advanced value-based provider partnerships and health systems.
You must possess the energy to mobilize a matrixed team responsible for complex engagement of full risk providers.
Role will serve as liaison between provider partners and Cigna organization.
Commitment to providing excellent provider experience is required.
Where You'll Focus Your Time:
* Defined point of contact for health plan/provider relationship regarding contract administration, data integrity, financial performance, HEDIS and STARs performance, data sharing, operational improvements, and other areas as they relate to provider performance, provider experience and operational excellence.
* Ensures contracts are operationalized from contracting through implementation, leveraging standardized tools and overseeing operational processes end to end.
* Acts with urgency to research questions or procedural issues; identifies the right resources to resolve concerns and follows up to drive resolution.
Provides on-going feedback across organizational levels to ensure seamless adoption of procedures and policies.
* Prepares and presents executive level materials for Joint Operations Committee meetings, Health System Senior Leadership meetings, and Cigna Medicare and Commercial leaders.
* Expert proficiency in value-based performance and concepts to drive increased provider performance.
* Coordinates heavily with local market enablement teams to ensure operational consistency for national agreements and in providing service excellence for national partners.
Provides day-to-day direction to local market network operations and contracting support roles for national agreements.
* Individual contributor, able to work in a highly matrixed role with only need for expert-level technical support.
Must work by influence/building relationships with others and ensuring effective and positive relationship across Cigna organization.
Qualification:
* Bachelor's degree strongly preferred
* 4+ years relevant experience with managed Medicare and provider engagement
* Experience in provider performance & enablement (PPE).
Knowledge of value-based reimbursement structures and payment methodologies for providers is required.
* An influential team player with experience navigating complex environments to build consensus among divergent interests and competing organizational needs.
Able to share knowledge and coach individuals with varying levels of experience.
* Exemplifies organizational agility; is skilled at identifying solutions and solving translational problems.
* Possesses excellent written and verbal communication skills, spanning providers to system leaders.
* Preferred: Expertise in pro...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:18
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POSITION SUMMARY
The Financial Analysis Advisor will partner with the Director, Financial Analysis & Sr.
Advisors with analytic support for the Finance, Product, and Supply Chain organizations.
This position will be responsible for timely and accurate financial analysis necessary to support key strategic initiatives.
Additionally, the Advisor will support Client Audit by managing the audit pipeline and delivering required documentation timely and accurately.
This position will work closely with the Director to develop and distribute reporting with sufficient detail to make informed business decisions.
The Advisor will perform ad hoc analysis as directed by the Director, Financial Analysis.
Uses deep professional knowledge and acumen to advise functional leaders.
Focuses on providing thought leadership within Financial Analysis but works on broader projects, which require understanding of wider business.
ESSENTIAL FUNCTIONS
* Financial analytic support- provide analytic support for key strategic Supply Chain, Product, and Finance initiatives.
* Rebate performance tracking-maintain and update the financial value associated with key strategic initiatives
* Client Audit - provide audit documentation and support Client Audit team in issue resolution.
* Rebate reporting- create, maintain, and distribute macro/micro level rebate reporting
* Ad hoc analysis and reporting- as requested by Director, Financial Analysis
QUALIFICATIONS
Bachelor's degree in related field strongly preferred
At least 3-5 years of related data/financial analytics experience.
Expert level PC skills including Microsoft Office, Access and Excel.
SQL Experience desired
Experience with Python preferred
Excellent problem solving, analytical and organizational skills.
Strong written and verbal communication skills.
Ability to work cross functionally to resolve complex issues.
Ability to manage multiple timelines and meet tight deadlines.
This is a hybrid role and will require the ability to work in person
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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
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 ...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:18
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JOB SUMMARY: The primary function/purpose of this job.
TheTechnical Product Owner(TPO) owns all aspects of their technical products, leading business value creation and managing overall product health.
The TPO understands business and technology objectives, communicates the product vision and roadmap, and prioritizes and translates needs into requirements to ensure that expected outcomes are achieved.
Must be a current contractor with Cigna, Express Scripts, or Evernorth.
Evernorth is a new business within the Cigna Corporation.
This role is WAH/Flex which allows most work to be performed at home.
Employees must be fully vaccinated if they choose to come onsite.
ESSENTIAL FUNCTIONS:
1.Understanding Business Needs: Collaborate with disparate stakeholder groups to identify, understand, and capture the functional needs of product stakeholders and define non-functional requirements to ensure value is delivered.
Help the team demo completed work to product stakeholders.
Own or contribute to the technical product roadmap.
2.Communicating Needs and Enabling Teams to Deliver Quality Products: Communicate business needs, write definition-of-ready user stories, and incorporate architectural changes recommended by engineering.
Maintain groomed backlog for business stakeholder priorities, ensuring the greatest value is delivered soonest.
Actively participatein team retrospectives, finding ways for the team to incrementally improve.
3.Make Teams Awesome: Leverages agility tools (e.g.
Jira) and implements strategies to optimize team performance and achieve overall department objectives (e.g.
manage story aging, manage WIP, epic size/throughput, etc.).
4.Delivering Iterative Value: Ensure team's work creates iterative value (e.g.
supports the completion of MVPs/Epics in concert with other teams).
Plan delivery of iterative value with other TPOs and prioritize/groom backlog accordinglyto ensure highest level of quality.
Manage unaddressed issues and determine resolutions.
5.Owning Product Health: Identify and monitor tech product health metrics (e.g.
KPIs, defect trends, compliance and security) to ensure business outcomes.
Ensure recommended amount of team capacity is utilized for improving technical product health and driving down technical debt (e.g.
integration and deployment of tooling, test automation, etc.).10%
JOB DESCRIPTION:
Provide quantitative data reflecting the scope and impact of the job -such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc.
Contributes to the completion of specific programs and projects
Failure to obtain results or erroneous decisions or recommendation would typically results in serious program delays and considerable expenditure of resources
Formal Education and/or Training: Bachelor's degree in related field or equivalent work experience
Years of Experience: 5-8 years relevant experience
Computer or Other Skills: Microsoft Office Agile requirement tools (JIRA, Rally, etc.)Collab...
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Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:17
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ministrative tasks, which may include planning/coordinating large events, meetings or conferences, screening inquiries or complaints as well as projects, and space planning.
Performs budget preparation, scheduling, reporting and tracking information, a wide variety of complex meeting prep/presentations, as well as editing and composing correspondence.
Work requires initiative and judgment in making decisions and knowledge of department and company policies and procedures.
Location & Schedule:
* This role is hybrid requires in office work Tuesday, Wednesday and Thursday in a Cigna Healthcare office at 920 5th Ave, Seattle, Washington
* Monday and Friday are work from home
* Daily working schedule is 8-4:30/5pm
* No holidays or weekends and minimal overtime is available, but not required
Responsibilities
* Provides executive administrative services for Market Growth Leader and local market leadership team, including calendar management, expense reporting, and other support.
* Produces and updates presentations and other materials, including editing in PowerPoint, Excel, and Word
* Performs meeting and event support, such as preparing meeting materials and notes, ensuring appropriate space set up and clean up, catering management, and any other projects as needed.
May include large meetings or events with senior leaders, brokers, and clients
* Supports local community and civic affairs events, assisting with event planning, management, and break down
* Assists with various projects within a high traffic sales office, including office initiatives, mail and office supply management, and facility oversight
* Order all office supplies and promotional items and maintain the budget for management monthly and year-end
* Assists with printing requests, including printing, binding, and shipping materials
* May support segment-level administrative services projects in partnership with other local offices
* Communicates professionally and collaborates with internal matrix partners, brokers, and clients
* Backup other administrative professionals when needed
* Performs additional responsibilities as assigned
Qualifications
* 1+ years experience as an Administrative Assistant, with demonstrated ability to support senior leaders, strongly preferred
* 1+ years experience with office or facility management strongly preferred
* Strong computer based technical skills including Outlook, Word and internet/web navigation, strong knowledge base of Microsoft Excel, required
* Project management experience preferred
* Health insurance background with general understanding of the overall sales process and knowledge of Salesforce.com
* Strong written & verbal communication skills
* Strong problem-solving and analytical skills
* Detail oriented with exceptional follow-up skills
* Ability to work in a production-like, fast paced environment and adapt qu...
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Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:16
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Global Procurement and Third Party Management (GPTPM) is Cigna's official strategic sourcing and supplier relationship management organization.
Whether an employee or function is looking to purchase new goods or services, renew an existing supplier relationship, or identify suppliers for consideration of a good or service, the GPTPM organization has the tools and processes in place to achieve those goals.
Global Procurement and Third Party Management at Cigna operates under four key pillars:
Category Management & Strategic Sourcing (CMSS): manages the end-to-end process for contracting with suppliers by identifying opportunities to source more effectively through careful monitoring of various drivers and conducting in-depth analysis, qualifying suppliers, leading negotiations, and evaluating bids in order to help the business select the best supplier.
Third Party Management (Business, IT, and International): manages Cigna supplier relationships by working with internal business areas to understand strategies, clarify precise business needs and identify supplier opportunities and acting as the point person, for both Cigna and the Supplier, for ongoing management of the relationship including contract adherence, performance, risk, collaborative innovation, service and sales delivery, etc.
Strategic Enablement: supports the Category Management & Strategic Sourcing and Third Party Management teams by recognizing continuous improvement opportunities within the organization and supporting process change and the implementation of best practices and leading the analysis of the overall spend with suppliers in order to identify savings and cost containment opportunities.
Systems Operations & Analytics: includes the Third Party CommandCenter & insights, Procurement Operations, Business SolutionsImplementation, Buying Channel Strategy, and 3rdParty Diversity &Sustainability.
This position is located in the Procurement Operations team in the Systems Operations & Analytics group.
The Technology team of Procurement Operations is responsible for supporting the Global Procurement & Third Party Management team (GP&TPM) in their critical process and technology roadmap.
This individual will become a key member of the Operations Technology team.
This role will focus on supporting and administrating the key systems used in the GP&TPM department.
The two main goals of this team are to maintain the day-to-day functioning of the systems, as well as develop new functionality and plans as demanded by process and project priorities.
This individual will be part of the team responsible for building and executing on the GP&TPM strategic initiatives.
This individual is responsible for coordinating with business/customers, application development, and operations teams to create a unified GP&TPM program.
This person will also work with appropriate personal within GP&TPM to execute key communications, training and other critical knowledge transfer that has broad impact....
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:15
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The Identity & Access Management Lead Analyst (Information Protection Lead Analyst) will be responsible for the supporting the execution of Identity Access Reviews, Entitlement Management, and RBAC.
Access Controls are operated to enforce the principal of Least Privilege and meet stringent regulatory requirements.
These controls are tested by external auditors for accuracy and completeness which requires flawless and consistent execution.
Responsibilities include, but are not limited to, the following:
* Responsibilities
* The candidate will be responsible for documentation and standard operating procedures related to identity governance.
* This application will work among various teams with IAM department and be able to analyze and articulate user access review data.
* This individual will deliver data management capabilities, and reusable patterns through a hands-on datamining.
* The applicant will be responsible for audit best practices with an automation-first approach and continuous learning and improvement mindset.
* The applicant will ensure adherence to PoLP (principle of least privilege) architectural standards.
* The applicant should be able to collaborate in a high-performing team environment and have the ability to influence and be influenced by others.
* Qualifications
* High School diploma; Bachelor's degree preferred.
* More than 5 years of experience in identity governance.
* Bachelor degree in Computer Science, Cyber Security, Information Technology, Information Sciences, or equivalent educational or professional experience and/or qualifications
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 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 provid...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:14
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Remote, Work from Home in PA, OH, IL, and Missouri - Start Date 03/18/2024
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask and unrelenting drive to help others? As a Customer Service Associate Representative, you will be r esponsible for validating potential clinical and/or financial opportunities using scripted questions.
Forward all potential clinical opportunities to a pharmacist to address.
How you'll make a difference:
* Be a superstar in the eyes of providers and patients alike: Have the ability to speak with members regarding clinical or financial alerts while maintaining productivity standards and quality metrics.
* Use your expert problem solving skills to help our patients be at their best every day: Work independently to resolve any patient inquiries in a timely and efficient manner.
Have the ability to identify opportunities for pharmacist counseling and triage as appropriate.
* Juggle multiple tasks without sacrificing attention to detail.
Demonstrate ability to manage difficult situations and escalate when necessary.
Have the ability to adapt to change and meet the changing demands of a dynamic work environment.
What You Should Have:
* High School Diploma / GED required
* 2-3 years in a clinical setting, call center, or customer service required.
* Excellent communication skills (verbal and written)
* General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously
* Availability to work Monday - Friday 9:00am-5:30pm Eastern time.
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
* P aid Time Off and Paid Holidays
* Tuition Assistance
NOTE : We are currently training and working in a work at home environment, and 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 Express Scripts
Advance your career with the company that makes it easier for people to choose better health.Express Scripts is a leading healthcare company serving tens of millions of consumers.
We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the "Most Admired Companies" in the pharmacy category.
Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
Express Scripts is an equal opportunity employer/disability/veteran
If you wil...
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Type: Permanent Location: Grove City, US-OH
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:14
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Role Summary:
The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network.
The Lead Analyst is the primary conduit to the providers and the individual that represents Cigna MA.
The Provider Performance Lead Analyst's responsibilities include:
* Supporting the development, management and oversight of the physician/ provider network in his/her assigned Seattle, WA territory.
* Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g.
physicians, practice managers, care coordination teams), as well as executing with provider group on initiatives that benefit the customer, provider, and health plan.
* Educating providers on the performance requirements associated with value-based contracts.
* Conducting regular provider visits to educate providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc.
* Schedules, prepares for and participates in meetings with providers, provider staff, and/or physician leadership including creating and delivering presentations.
* Collaborating with Provider Performance Senior Manager/Manager on strategic plans on growth, development, and vision for assigned territory.
Participating with the Senior Manager/Manager in monthly financial review.
* Assisting in initiatives and performing special projects and other duties as assigned by leadership
* Developing time and cost effective territory management in compliance with department and enterprise goals.
* Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance.
* Partnering with other internal departments, including but not limited to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions for strategic business needs
Role Components:
All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects:
Growing the MA Business
The Provider Performance Lead Analyst is accountable for the growth of the assigned Seattle, WA territory in terms of financial profitability, engagement of provider network and membership growth.
Delivering our Services
The Provider Performance Lead Analyst is accountable for the exceptional delivery of services in the assigned Seattle, WA territory as evidenced by physician and member satisfaction, improvements on Stars and NPS score.
Managing our Costs
The Provider Performance Lead Analyst assists in ensuring the affordability of services in the assigned Seattle, WA territory by applying his/her influence, where applicable, to various cost levers within his/her control.
Developing our People
The Provider Performance Lead Analyst provides leadership and m...
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Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:12
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As a Client Operations Enablement Senior Director, you will report to the Operations Enablement Managing Director.
This is a key, strategic leadership role in support of Client Service & Operations that owns the development and execution of all key operational enablement functions to deliver on our brand promise to our internal stakeholders and enabling a best-in-class service experience in healthcare.
You would be responsible for leading enablement teams that support the day-to-day Client Operations including Quality, Coaching & Training, Errors & Omissions, Knowledge Management & Instructional Design.
KEY RESPONSIBILITIES:
* Aligns the vision and strategy of the Client Ops Enablement team to key business priorities and initiatives, taking into account the strategy & vision of the broader Operations Enablement and Customer Experience & Operations Enablement organization.
* Ensures the Client Operations Enablement team is deployed to the highest value creation opportunities across Client Service & Operations.
Maximizing cost savings and realized efficiencies to contribute and support future growth opportunities in support of the enterprise strategy.
* Acts as a connector within CX&OE and Enablement across Client Operations to ensure an enterprise approach to solving our most critical business challenges and identifying opportunities for leverage and value creation.
* Enables optimal and consistent service delivery through the Quality and Coaching functions.
Drives efficiency through integration and automation of quality control programs.
* Develops learning and development strategy for Client Operations inclusive of the curriculum required to facilitate the successful onboarding of all new hires and needs for uptraining and cross-training of staff members.
Provides monitoring and all necessary post training support to ensure staff are meeting all job requirements.
* Drives continued vision, maturity, and growth for Knowledge Management adoption and expansion across the enterprise to maximize realized business value and efficiencies.
* Owns identification and execution of process improvement initiatives within the operations necessary to continuously improve key metrics.
Drives strategic deliverables for initiatives/projects to support strategic roadmaps, objectives and opportunity analysis, where applicable
* Establishes and drives the key partnerships and vendor relationships to deliver on the broader CX&OE strategy.
* Collaborates with cross functional matrix partners, operations, and human resources teams to ensure planning, execution, adoption, and reporting strategies for related areas of responsibility
* Ensures effective communication with key stakeholders and internal management
* Effectively manages teams to deliver on results
QUALIFICATIONS:
* Bachelor's degree required, post graduate degree or professional certifications preferred
* 10+ years of progressive leadershi...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2024-05-14 08:37:12
