PROVIDER CONTRACTING ADVISOR This position serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Director. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities in states across the Northeast, Midwest, and West. Work Location: Work from Home in the United States. Travel Required - Up to 50% - local and some overnight regional travel. Valid drivers license and reliable transportation and insurance required (mileage reimbursement provided). DUTIES AND RESPONSIBILITIES Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies. Proactively builds relationships that nurture provider partnerships and seeks broader value-based business...

Remote, Work From Home, United StatesDepartment: MA National Network OperationsFinancial Analysis for Value-Based and Fee-For-Service ContractsProvide input into development of value-based programs and provider contracting tools (e.g. risk agreements, Partnership for Quality, and shared savings programs) across all provider types (institutional, ancillary, ambulatory, and professional). Lead implementation of standard value-based reporting package across risk-based provider partners, including PMPM, Variance models, etc.Evaluate value-based providers for favorable financial impact, using standard pro forma and evaluation toolsMeasure and Monitor Network Performance Metrics & ReportingResponsible for assisting with the general oversight of provider network financials for national risk-based partners, including verification of capitation payments and claims reconciliations. Analyzes data related to cost trends, utilization, and identifies opportunities for provider partners to...

Clinical Program Content Writer JOB DESCRIPTION The job profile for this position is Clinical Program Advisor, which is a Band 4 Senior Contributor Career Track role. The Clinical Program Content Writer position is a full-time position within the Clinical Program Development and Health Equity Team and will report directly to the Clinical Program Director. The Clinical Content Writer's primary role is to research, curate, create, edit, and maintain high quality multi-media content which will be used to enable behavior change, customer activation and customer engagement in a digital coaching experience. The Clinical Content Writer will assure clinical accuracy and relevance of content, confirm alignment with evidence-based standards, and assure content is written clearly and in a customer-centered way. The content typically pertains to chronic conditions, prevention, and lifestyle topics. The Clinical Program Content Writer will work collaboratively with clinical...

SUMMARY: Responsible for selling activities related to new business development, home appointments, group presentations, and provider/community collaboration for Medicare- related products. Work at home location - Maricopa County, AZ (Remote, Work from Home,must live in/near area) Valid driver's license, reliable transportation, and insurance - mileage reimbursement provided Valid Producer license to sell Medicare product Bilingual preferred, not required RESPONSIBILITY: Meet or exceed sales quotas, compliance requirements, and department/manager expectations Evolve existing provider and community relationships to increase self-generated referrals Identify new provider and community referral opportunities, collaborating with the market to develop Conduct advertised sales presentations for prospects and leverage community partnerships to host events Create a lead pipeline from physician patient base through physician...

POSITION SUMMARY Contributes to the IT Support job family in a support capacity. Provides guidance, assistance, coordination and follow up on client questions, problems or malfunctions of all systems applications, hardware and software installed or maintained by IT. Responds to telephone inquiries concerning support, processing or request procedures, systems status and network connectivity, and a variety of hardware and software problems of all installed application hardware and software products supported by IT. Records inquiries, repair and service requests, resolves or directs requests to appropriate technical area or vendor, tracks status and follows up to ensure client satisfaction. Escalates to or consults with senior staff when solution is unclear. Reports problems with procedures and makes suggestions for improvements. Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes...

Role Summary: As a member of Cigna's Core Solutions team this person will be accountable for leading the design and delivery of components of the organization's virtual health solution roadmap for multiple buyer groups within the U.S.: commercial segments, Self-Funded/ASO, and Fully Insured. The key area of focus will be working to launch new solutions in market that maximize the full potential of affordable, convenient virtual care. Successful solution delivery will: be rooted in strategic partnerships with vendors and providers; create an easy and engaging interface; and reimagine the care experience across the care continuum to drive greater affordability, access, and overall satisfaction for our key constituents: customers, providers, and employers (50 - 5,000+). Ability to execute in the role will require strong, influential, leadership with a strategic growth mindset, deep knowledge of the delivery system, an understanding of the evolving needs of consumers and...

Business Analytics Manager - B2B Marketing (virtual) (Administrative) The Marketing Analytics Manager (Market Insight Advisor) possess technical expertise as well as a strong business acumen who's passionate about cultivating a data driven culture. You will be the strategic advisor to the team by delivering weekly insights, explaining the "Why's" behind the numbers, and making recommendations. Responsibilities include: Help refine the vision of the employer marketing analytics program and liaise with stakeholders and partners to communicate project status and processes and contribute to shared initiatives. Work with stakeholders and internal teams to build scalable processes for the overall organization Manage multiple projects simultaneously, create project plans and deliver on projects as per deadlines. Organize data and generate deep insights in campaigns, opportunities, ad delivery and ad operations in order to enhance sales force productivity and effectiveness. Serve as...

The Marketing Analytics Manager (Market Insight Advisor) possess technical expertise as well as a strong business acumen who's passionate about cultivating a data driven culture. You will be the strategic advisor to the team by delivering weekly insights, explaining the "Why's" behind the numbers, and making recommendations. Responsibilities include: Help refine the vision of the employer marketing analytics program and liaise with stakeholders and partners to communicate project status and processes and contribute to shared initiatives. Work with stakeholders and internal teams to build scalable processes for the overall organization Manage multiple projects simultaneously, create project plans and deliver on projects as per deadlines. Organize data and generate deep insights in campaigns, opportunities, ad delivery and ad operations in order to enhance sales force productivity and effectiveness. Serve as change agent with strong credibility and influence in the organization....

First things first. We're a global health service company dedicated to helping people improve their health, well-being and sense of security. But we don't just care about your well-being, we care about your career health too. That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and share in changing the way people think about healthcare. Ideal location: Colorado Springs, CO (remote, work at home) Travel - Locally 75% (25% up to 150 mile radius) Reliable transportation, valid driver's license, and insurance required Mileage reimbursement provided Valid Colorado Department of Insurance license will be required Now let's talk about the role: SUMMARY: Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker down-line sales within their market for the book of business they manage through training, relationship...

The Marketing Analytics Manager (Market Insight Advisor) possess technical expertise as well as a strong business acumen who's passionate about cultivating a data driven culture. You will be the strategic advisor to the team by delivering weekly insights, explaining the "Why's" behind the numbers, and making recommendations. Responsibilities include: Help refine the vision of the employer marketing analytics program and liaise with stakeholders and partners to communicate project status and processes and contribute to shared initiatives. Work with stakeholders and internal teams to build scalable processes for the overall organization Manage multiple projects simultaneously, create project plans and deliver on projects as per deadlines. Organize data and generate deep insights in campaigns, opportunities, ad delivery and ad operations in order to enhance sales force productivity and effectiveness. Serve as change agent with strong credibility and influence in the organization....

POSITION SUMMARY Contributes to the IT Support job family in a support capacity. Provides guidance, assistance, coordination and follow up on client questions, problems or malfunctions of all systems applications, hardware and software installed or maintained by IT. Responds to telephone inquiries concerning support, processing or request procedures, systems status and network connectivity, and a variety of hardware and software problems of all installed application hardware and software products supported by IT. Records inquiries, repair and service requests, resolves or directs requests to appropriate technical area or vendor, tracks status and follows up to ensure client satisfaction. Escalates to or consults with senior staff when solution is unclear. Reports problems with procedures and makes suggestions for improvements. Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own...

Job Summary: The Market Manager for Individual & Family Plans (IFP) is the market-level business owner that is accountable for executing a comprehensive market strategy that builds the business and develops short/long range goals and business plans in order to deliver targeted growth and earnings. The role will drive change leadership to best align the localization strategy within an evolving IFP business model in order to achieve business results such as profitability and scale. This individual will build a deep understanding of the marketplace and create an IFP strategy around competitive activity and distribution tactics, cost structure, risk, product and pricing position in the market, and will identify key segment-specific needs in order to direct the network and benefit design in order for the business to be competitive and differentiated. This role will play the critical function of leading IFP work with the Market Presidents and local market teams to ensure that the...

Job location: work from home, remote, United States Data Steward - Analytics | Global Data & Analytics Measurement & Reporting The Data Steward position is part of the Analytical Data team which delivers data solutions under Global Data & Analytics (GD&A) Measurement & Reporting. The position reports to the Governance Lead and is matrixed to support product and engineering team members on our agile scrum teams. The Data Steward role is integral to the quality development of enterprise analytical data solutions. Requires extensive knowledge of healthcare data and savvy about data design and usage. Will work to both define and implement standards, work actively with teams building data to ensure they follow standards and build quality data with lineage and conformity. Will own the analytical data glossary for their assigned analytical data domain. Responsibilities: Define and maintain data standards for analytical data over business terms, business...

Clinical Program Content Writer JOB DESCRIPTION The job profile for this position is Clinical Program Advisor, which is a Band 4 Senior Contributor Career Track role. The Clinical Program Content Writer position is a full-time position within the Clinical Program Development and Health Equity Team and will report directly to the Clinical Program Director. The Clinical Content Writer's primary role is to research, curate, create, edit, and maintain high quality multi-media content which will be used to enable behavior change, customer activation and customer engagement in a digital coaching experience. The Clinical Content Writer will assure clinical accuracy and relevance of content, confirm alignment with evidence-based standards, and assure content is written clearly and in a customer-centered way. The content typically pertains to chronic conditions, prevention, and lifestyle topics. The Clinical Program Content Writer will work collaboratively with clinical...

First things first. We're a global health service company dedicated to helping people improve their health, well-being and sense of security. But we don't just care about your well-being, we care about your career health too. That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and share in changing the way people think about healthcare. Ideal location: Colorado Springs, CO (remote, work at home) Travel - Locally 75% (25% up to 150 mile radius) Reliable transportation, valid driver's license, and insurance required Mileage reimbursement provided Valid Colorado Department of Insurance license will be required Now let's talk about the role: SUMMARY: Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker down-line sales within their market for the book of business they manage through training, relationship...

Job Description Summary **6 Months Work From Home** Delivers straightforward administrative and/or other basic business services in Eligibility. Implements and maintains eligibility for benefits. Implements, updates, and maintains automated, direct connect and/or manual eligibility data. Interacts with internal partners and/or external clients/vendors. Generates reports to identify and resolve discrepancies. Identifies process improvement opportunities for own cases. May negotiate and resolve eligibility with clients. May provide technical support for the electronic processing of eligibility. Ensures customer data is installed accurately and timely. May work with the client's format and internal Systems to resolve errors. May interact with Systems to resolve technical issues. General knowledge of manual and automated eligibility. Familiar with reporting tools. Technical understanding of systems. Issues tend to be routine in nature. Good knowledge and understanding of Eligibility...

Job Description Summary **6 Months Work From Home** Delivers straightforward administrative and/or other basic business services in Eligibility. Implements and maintains eligibility for benefits. Implements, updates, and maintains automated, direct connect and/or manual eligibility data. Interacts with internal partners and/or external clients/vendors. Generates reports to identify and resolve discrepancies. Identifies process improvement opportunities for own cases. May negotiate and resolve eligibility with clients. May provide technical support for the electronic processing of eligibility. Ensures customer data is installed accurately and timely. May work with the client's format and internal Systems to resolve errors. May interact with Systems to resolve technical issues. General knowledge of manual and automated eligibility. Familiar with reporting tools. Technical understanding of systems. Issues tend to be routine in nature. Good knowledge and understanding of Eligibility...

Work Location - Chicago area - Remote (Work from Home) Responsibilities : Work independently and in a team environment on various projects, which would include planning and coordinating presentations, disseminating information and organizing events Plan and coordinate Sales training and Sales Management meetings, as well as departmental events. This includes reserving the meeting rooms and ordering supplies and refreshments Attend and support external market events as needed Manage meeting follow-up; including taking notes, distribution of notes to attendees Reinforce accountability for meeting deliverables with Sales Director Onboard new Agent Managers and Sales Directors: order equipment, cell phone, ID, systems access, business cards; coordinate meet/greets On-board FSR's, NBDR's, & BSR's: order equipment, cell phone, ID, systems access, business cards; coordinate meet/greets Initiate and track the appointment of new hires with Contracting Department....

Work Location - Chicago area - Remote (Work from Home) Responsibilities : Work independently and in a team environment on various projects, which would include planning and coordinating presentations, disseminating information and organizing events Plan and coordinate Sales training and Sales Management meetings, as well as departmental events. This includes reserving the meeting rooms and ordering supplies and refreshments Attend and support external market events as needed Manage meeting follow-up; including taking notes, distribution of notes to attendees Reinforce accountability for meeting deliverables with Sales Director Onboard new Agent Managers and Sales Directors: order equipment, cell phone, ID, systems access, business cards; coordinate meet/greets On-board FSR's, NBDR's, & BSR's: order equipment, cell phone, ID, systems access, business cards; coordinate meet/greets Initiate and track the appointment of new hires with Contracting...

Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Work from Home - Maricopa County/ Phoenix, AZ (must reside in area) Valid driver's license, reliable transportation, and insurance required - mileage reimbursement provided Current valid insurance license preferred, or ability to obtain one within 60 days of hire SUMMARY: Responsible for identifying, developing, and maintaining relationships with key community organizations and associations to generate knowledge and awareness about Cigna Medicare company, our Medicare Advantage's brand, and value. RESPONSIBILITIES: Meet or exceed activity quotas, compliance requirements, and department/manager expectations Plans and executes client...