Community Health Plan of Washington jobs - 149 jobs

Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: * Strive to apply an equity lens to all our work. * Reduce health disparities. * Become an anti-racist organization * Create an equitable work environment. This role is remote in Washington State only About the Role Responsible for sustaining processes and executing process improvement and quality monitoring within Claims Operations and the business processes impacted by Operations data and systems. To be successful in this role, you: * Bachelor's degree in health care or related field or an equivalent combination of education and highly relevant experience required. * Minimum three (3) years' managed care/health plan operations experience required, with proven broad knowledge and execution of quality improvement methods and tools. * Minimum two (2) years' business/operations analysis experience in a related field required. * Background in Medicaid and Medicare claims adjudication, benefits configuration, claims coding, electronic data interface, and encounter data reporting preferred. * Experience in managed care/health plan operations and business/operations analysis experience in a related field. Essential functions and Roles and Responsibilities: * Responsible for State and CMS claims benefit interpretation and application, and oversight of system benefit and pricing configuration. * Gather business requirements for claims benefit configuration to support system updates, enhancements and implementation of new products. * Facilitate the development and execution of user acceptance scenarios and scripts for testing of system changes, implementations, and enhancements. Peer review and support system enhancements and configuration of vendor systems. * Provide support for electronic data interchange (EDI) data files and CHPW web-based interfaces. * Interpret, monitor, and ensure compliance with state, CMS, OIC requirements; pricing, audit performance, encounter data submissions/reporting, and vendor management. * Other duties as assigned. Knowledge, Skills, and Abilities: * Knowledge of the healthcare industry, which includes claims adjudication, benefits configuration, claims coding, electronic data interface, and/or encounter data reporting. * Knowledge of quality improvement methods and tools. * Team facilitation skills. * Project management Skills * Communication skills, both verbal and written. * Technical, analytical and process documentation skills * Ability to multi-task, prioritize, work under pressure as well as work with other departments and people at all levels within the organization. * Ability to gather and assess data, problem-solve, and consult/follow up with stakeholders. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. * Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency * Vaccination requirement (CHPW offers a process for medical or religious exemptions) * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is (65) and has a 10% annual incentive target based on company, department, and individual performance goals. CHPW offers the following benefits for Full and Part-time employees and their dependents: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match effective the 1st of the month following or coinciding with the employee's start date * Wellness programs (Employee Assistance Program and Mental Fitness app) * Financial Coaching, Identity Theft Protection * Paid Time Off (PTO) including PTO accrual starting at 17 days per year * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty * A monthly stipend to offset work-from-home expenses for roles that are 100% remote Sensory/Physical/Mental Requirements: Sensory*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing. * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion. Mental: Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation. Work Environment: * Office environment. Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

Blue Cross is hiring Clinical Support Representatives to work alongside our clinical review team as part our Utilization Management department. Job responsibilities include verifying member benefits, provider networks, and prior approval requirements for authorization of services all in a call center type environment. Work hours are Monday-Friday 8:00-4:30. Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant is preferred and familiarity with medical terminology is helpful. Location: If hired, there will be a six week in-person training program at our Berlin, Vermont office. Representatives will continue working on-site five days per week until proficiency has been demonstrated in performing the role independently. After this time, employees within a 50-mile radius will be expected to come to the office on Wednesdays with flexibility to work remotely the rest of the week. Starting pay at $20.00 per hour. Six-week paid training. Target start date is Wednesday, February 18. Robust benefits package including: Health insurance (including vision) Dental coverage (free to employees) Wellness Program with a $500 year-end incentive 401(k) with employer match Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition reimbursement Student Loan Repayment Dependent Caregiver Benefits And more! Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** **Complete job description attached to ADP posting

The Operations Senior Supervisor is responsible for day-to-day operations of a team of technicians, pharmacists and contract workers. Manages and improves productivity and performance standards, plans and directs workflow and project assignments. Responsible for attaining or exceeding production goals for their respective area daily. Conducts hiring, training, and evaluation of front-line team members. Responsible for team's adherence to employment policies and corporate values. Works with the Pharmacy senior leadership team to establish team and site standards and expectations, operational processes and procedures, and the business work plan for the team. Recognizes and recommends operational improvements. Work Schedule: Shift will be Mon - Thurs 3:30pm - 2:00am Location: 4600 North Hanley Road; St. Louis, MO 63134 What you will do: Develop, track and monitor employee's safety, compliance to quality, service and production standards. Monitor prescription turnaround time so that internal standards and client performance guarantees are met. Assist Pharmacy senior leadership team in monitoring costs to ensure compliance with cost to fill goals. Address staff concerns and day to day operational, system, customer service, quality, and professional issues. Work in production as needed. Implement programs and process improvements to enhance the level of internal and external customer service provided. Work with Pharmacy senior leadership team to analyze operations and overall efficiencies of the pharmacy. Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve. Represents pharmacy operations in cross-functional meetings and projects. Other special projects and tasks as assigned. What you will need: High school diploma or GED BA/BS degree preferred. Minimum of two years operations experience (i.e., pharmacy, warehouse, distribution, production, manufacturing, or engineering) Must be eligible to maintain a pharmacy technician license issued through the Missouri State Board of Pharmacy throughout time in position. Demonstrated leadership skills and the ability to effectively develop, train and coach less experienced team members; supervisory experience preferred. Knowledge of lean or process improvement methodologies Excellent oral and written communication skills Ability to adapt in a dynamic work environment, make independent decisions. Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions. Willingness to work a flexible schedule for peak times. Monitors daily operations of a unit and actively assists or provides direction to subordinates as required. May perform, especially in staff or professional groups ongoing operational tasks of organization units (typically not more than 40% of time performing the work supervised) Ensures that projects are completed on schedule following established procedures and schedules. General PC knowledge including Microsoft Office, Internet, and email. Why join us? Health coverage effective day 1 (including medical, dental, vision) Holiday Pay and Paid Time Off (PTO) 401K with company match Tuition reimbursement Growth Opportunities Fun, friendly and unique culture - bring your whole self to work every day! This is an onsite position. 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 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team. In this role, you will be traveling to local provider offices in the Nashville TN area to acquire medical records. Preferred candidates will have experience with medical records and Electronic Medical Record system(s). You will be a great match for this role if you have: Familiarity with Electronic Medical Record (EMR) systems and medical record acquisition processes. At least one year of administrative experience in a clinical setting. Strong interpersonal skills to build and maintain relationships with healthcare providers and colleagues. Adaptable and willing to travel locally on a regular basis to provider offices, with overnight stays on occasion. While this is a fully remote position, you will be required to travel to provider's offices in the Nashville area on a regular basis. Job Responsibilities Load medical records into BCBST coding system and link records to appropriate chart IDs. Download medical records from Electronic Medical Record (EMR) systems remotely and in person. Schedule appointments and assist with the medical record quality assurance process as necessary. Perform or participate in special projects as directed by management Travel to provider offices and assist in the acquisition of medical records. Willing to travel locally on a regular basis with occasional overnight stays. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Education High School Diploma or equivalent Experience 1 year - Administrative experience working in a clinical related setting (physician practice, hospital, insurance company, etc.) is required. Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

As a Strategic Account Executive, you are the face of Cigna to the client. Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship. You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience. Key Responsibilities: Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders. Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges. Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals. Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued. Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs. Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs. Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs. Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals. Work to expand Cigna's relationships through cross-selling additional products and services. Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions. Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving. Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success. What You Bring: Strong relationship-building skills and a passion for developing deep client connections Expertise in financials, underwriting, and providing strategic solutions A collaborative mindset with the ability to work effectively across teams Proactive, creative thinking to develop tailored solutions for each client A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry At Cigna, we value people who bring both strategic insight and a hands-on approach to client management. If you're driven by client success and want to work for an organization that values both innovation and personal relationships, we want to hear from you! Qualifications Bachelor's degree or equivalent experience. Experience: 3+ years of experience in health benefits or client management Skills: Strong communication, sales negotiation, and relationship-building skills. Proven ability to manage and grow client relationships, particularly with clients Experience in sales, marketing, underwriting, or operations is preferred. Financial acumen with the ability to identify and drive growth opportunities within the book of business. Additional: Demonstrated success in managing large, complex client accounts with a focus on relationship-building and revenue growth. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Auditor, Payment Integrity role conducts pharmacy claim audits for Independence Blue Cross to ensure accurate provider payments, detect fraud, waste, or abuse, and improve audit processes. It requires a Certified Pharmacy Technician with at least four years of experience, including pharmacy and audit work, strong analytical skills, and proficiency in Microsoft Office and pharmacy claims systems. Conduct audits of claims submitted to Independence Blue Cross (IBX) to ensure accuracy of provider payments and charges. Analyze provider billing patterns to detect potential fraud, waste, or abuse. Perform audits through daily reviews, live audits, and desk audits to identify inappropriate billing practices. Review and verify provider billing records, collaborating with CFID audit analysts, auditors, investigators, internal, and external sectors Execute standard provider audit assignments using sound audit methodologies to uncover patterns of abuse or fraud. Screen and audit claim samples-both summary and detailed-to select cases for further review. Initiate and validate claim adjustments, maintain comprehensive audit documentation, and prepare statistical reports. Identify and escalate potential provider fraud or abuse to management. Contribute to the development and implementation of new audit processes and functions. Qualifications • Certified Pharmacy Technician (CPhT) required. • Minimum of four (4) years of relevant experience, including: • At least two (2) years in retail or hospital pharmacy. • At least two (2) years in pharmacy audit. • Extensive understanding of healthcare provider audit practices and medical terminology. • Familiarity with fraud, waste, and abuse detection methodologies. • Strong written and verbal communication skills for reporting and presenting audit findings • Proficiency in Microsoft Office applications, including Excel, Word, Outlook, SharePoint, and Access. • Advanced Excel skills (pivot tables, VLOOKUP, data analysis). • Experience with pharmacy claims systems such as RxTrack and RxClaim is preferred but not required. Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device that is compatible with the free Microsoft Authenticator app.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: * Strive to apply an equity lens to all our work. * Reduce health disparities. * Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: * Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). * Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR * Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR * Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. * Have experience with those who have disabilities and knowledge of Child and Families Services. * Have a minimum three (3) years of clinical experience and/or outpatient setting (required). * Have a valid state issued drivers' license. Preferred * Have a case management certification. * Are bilingual. * Have experience in managed care (Medicaid/HCA). * Have previous experience in using Care Management software applications. * Have knowledge of, and experience with, community resources. * Experience in care management workflow systems Essential functions and Roles and Responsibilities: * Engages with members, providers and agencies in the assigned region to support field care management services. * Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. * Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. * Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. * Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. * Works within the multi-interdisciplinary care team that collaborates with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned * Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. * Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. * This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: * Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. * Knowledge of and experience with community and other resources * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data * Organizational, time management, and project management skills * Ability to handle multiple priorities * Ability to multi-task and deal with complex assignments on a frequent basis * Proficiency and experience with Microsoft Office products * Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers * Ability to work independently * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. * Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency * Vaccination requirement (CHPW offers a process for medical or religious exemptions) * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off including PTO accrual starting at 17 days per year * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty Sensory/Physical/Mental Requirements: Sensory*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Help us automate and maintain our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have problem-solving or strategy experience? If so, prepare to innovate, create, and inspire. The Pharmacy Automation Engineer (Automation Engineering Lead Analyst) is primarily responsible for providing first-level electrical and process Controls support for a highly-automated pharmaceutical filling and packaging system. Perform emergency, corrective, and preventive maintenance activities to restore equipment. In addition, key responsibilities will involve implementing equipment and system upgrades, engineering change controls, and continuous improvements. The position will support equipment installations, upgrades, or equipment expansions. Automation engineer also trains, mentors, and supports the development of other team members Responsibilities Performs advanced level maintenance and service on automated equipment by using and understanding electrical, mechanical, and pneumatic drawings and schematics, and using special test equipment and tools. Maintains reliability of the pharmacy automation equipment by executing preventive, corrective, and emergency work orders. Troubleshoot, service, install and repair automated production equipment, to include equipment modifications, upgrades, and spare parts inventory Utilizes knowledge and skill to monitor and improve the Mean Time Between Failures (MTBF) of the electro-mechanical equipment, and supporting application software systems. Observe system for degraded performance using routine inspections, maintenance rounds, and diagnostic equipment. Use a computerized maintenance management system (MAXIMO) to record labor hours, repair parts, and monitor pharmacy equipment performance. Recommend alterations to developers and designers to improve the quality or performance of processes and/or machines. Interpret the output of the reporting systems and take appropriate action that will result in the removal of the root cause problem from the system on a permanent basis. Document all emergency, corrective, and preventive maintenance work via work orders associated with Computerized Maintenance Management System (CMMS - MAXIMO). Operates on-site in an on-call capacity. Qualifications High School diploma; Associates degree preferred. Associate's degree in Industrial Maintenance or related technical field or 2+ years of maintenance experience in an industrial setting preferred. 0+ years of relevant experience with a Bachelor's Degree and mechanical electrical experience related to automated, industrial equipment preferred. Experience working in high volume production or pharmaceutical environment. Experience in troubleshooting complex PLC/computer-operated electro-mechanical equipment; PLC's, I/O, and field devices; repairing, setting up, adjusting, and tuning mechanical systems and pneumatic systems. Experience using of all tools and procedures needed to repair precision electro-mechanical machinery successfully the first time. Experience using preventive and predictive maintenance techniques. Experience using Maintenance Management Systems (CMMS) to report and follow-up on maintenance procedures and work orders. Flexibility to occasionally work outside of normal shift hours, including occasional weekends, as needed to satisfy operational requirements in support of customer demand. Minimal travel to other ESI facilities or vendor sites is possible. Shift schedule: Sunday - Thursday (6am-2:30pm). 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Category Management Advisor is responsible for procuring consulting and professional services for the Information Technology organization. This role partners with leading technology consulting firms to support multiple lines of business. The advisor manages competitive sourcing processes and guides stakeholders in selecting the most suitable suppliers and solutions to meet business objectives. Success in this position requires expertise in navigating dynamic requirements aligned with strategic business and IT goals. The advisor must be adept at engaging suppliers and influencing stakeholders across various management levels to achieve optimal outcomes. Key Responsibilities Draft, redline, and negotiate master service agreements (MSAs) and statements of work (SOWs) with robust information protection provisions. Negotiate and execute MSAs with technology service providers, ensuring compliance with Cigna's contractual standards to minimize corporate risk. Establish and maintain supplier performance measurement and reporting mechanisms. Analyze business requirements, supplier relationships, and processes to enhance performance and deliver greater value. Recommend sourcing strategies, process improvements, and supplier relationship models for enterprise-wide adoption. Evaluate supplier market rates and historical cost trends to negotiate consulting rate cards and role definitions. Develop timelines and coordinate cross-functional teams to implement sourcing strategies and initiatives. Oversee day-to-day execution of sourcing and contracting processes, leveraging subject matter experts as needed. Collaborate with business stakeholders to develop RFPs and supplier evaluation tools. Formulate negotiation strategies, including detailed financial analyses to benchmark costs against market standards. Lead negotiations in partnership with business teams and Supply Chain Management leadership. Monitor and report progress against sourcing objectives and performance metrics. Qualifications Bachelor's degree strongly preferred, ideally in Business, Supply Chain, Information Technology, or a related field. Proficiency with SAP Ariba (or similar source-to-pay and contracting platforms) and Oracle financial systems; experience with Icertis or other contract lifecycle tools is a plus. Exceptional communication, facilitation, and leadership skills with the ability to influence and motivate cross-functional teams. Strong organizational and time management skills with attention to detail. Advanced analytical skills and financial acumen. Proven ability to solve complex problems and make sound decisions in dynamic, fast-paced environments. Skilled in articulating solutions to senior executives and driving alignment on strategic initiatives. Demonstrated ability to apply fact-based negotiation principles and perform total cost analyses to support ROI decisions. Expertise in market and industry analysis, including cost structures and strategic implications of industry trends. Commitment to enterprise vision, values, and goals. 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Summary: This position is responsible for investigating, evaluating and negotiating settlement of assigned large loss Commercial Auto Body Injury Claims in accordance with best practices and to promote retention or purchase of insurance from Grange Enterprise. If you're excited about this role but don't meet every qualification, we still encourage you to apply! At Grange, we value growth and are committed to supporting continuous learning and skill development as you advance in your career with us. What You'll Be Doing: Pursuant to line of business strategies and good faith claim settlement practices, investigates, evaluates, negotiates, and resolves (within authorized limits) assigned claims. Demonstrates technical proficiency, routinely handling the most complex claims with minimal manager oversight. Establishes and maintains positive relationships with both internal and external customers, providing excellent customer service. Assists in building business relationships with agents, insureds and Commercial Lines partners through regular, effective and insightful communications. May include face-to-face as needed. Will be the “point person” (when required) for certain identified large customer accounts where specialized communication and handling are required. Regularly develops and mentors other associates. Assists leadership in advancing the technical acumen of the department through the development of formal and informal training and resources. Establishes and maintains proper reserving through proactive investigation and ongoing review. Assists other departments (when required) with investigations. May be assigned general liability claims during high volume workload periods. Demonstrates effectiveness and efficiencies in managing diary system and handling workload with limited supervision or direction. What You'll Bring To The Company: High school diploma or equivalent education plus five (5) years claims experience with at least three (3) years of Commercial Casualty experience. Experience in General Liability preferred. Bachelor's degree preferred. Must possess strong communication and organization skills, critical thinking competencies and be proficient with personal computer. Requires excellent decision-making ability, a broad depth of experience and technical competence and capacity to manage work to meet time sensitive deadlines. Demonstrated ability to interact with internal and external customers in a professional manner. State specific adjusters' license may be required. About Us: Grange Insurance Company, with $3.2 billion in assets and more than $1.5 billion in annual revenue, is an insurance provider founded in 1935 and based in Columbus, Ohio. Through its network of independent agents, Grange offers auto, home and business insurance protection. Grange Insurance Company and its affiliates serve policyholders in Georgia, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, and Wisconsin and holds an A.M. Best rating of "A" (Excellent). Grange understands that life requires flexibility. We promote geographical diversity, allowing hybrid and remote options and flexibility in work hours (role dependent). In addition to competitive traditional benefits, Grange has also created unique benefits based on employee feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave, and expanded categories of bereavement leave. Who We Are: We are committed to an inclusive work environment that welcomes and values diversity, equity and inclusion. We hire great talent from various backgrounds, and our associates are our biggest strength. We seek individuals that represent the diversity of our communities, including those of all abilities. A diverse workforce's collective ideas, opinions and creativity are necessary to deliver the innovative solutions and service our agency partners and customers need. Our core values: Be One Team, Deliver Excellence, Communicate Openly, Do the Right Thing, and Solve Creatively for Tomorrow. Our Associate Resource Groups help us create a more diverse and inclusive mindset and workplace. They also offer professional and personal growth opportunities. These voluntary groups are open to all associates and have formed to celebrate similarities of ethnicity/race, nationality, generation, gender identity, and sexual orientation and include Multicultural Professional Network, Pride Partnership & Allies, Women's Group, and Young Professionals. Our Inclusive Culture Council, created in 2016, is focused on professional development, networking, business value and community outreach, all of which encourage and facilitate an environment that fosters learning, innovation, and growth. Together, we use our individual experiences to learn from one another and grow as professionals and as people.  We are committed to maintaining a discrimination-free workplace in all aspects, terms and conditions of employment and welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, color, religion, age, sex, national origin, handicap, disability, sexual orientation, gender identity or expression, ancestry, pregnancy, veteran status, and citizenship.

Accredo Specialty Pharmacy, part of Evernorth Health Services , is seeking a Staff Pharmacist to join their team in Warrendale, PA. This role is onsite at our office in Warrendale, PA. This role is worksite dependent and can only be performed onsite. This position has a 7-week rotating schedule of (4) 10- hour shifts Monday through Friday 9:00 am -8:00 pm ET including a 1-week On Call rotation approximately 4 times per year. For more than 30-years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. POSITION SUMMARY As a Staff Pharmacist with Accredo, you will be responsible for monitoring and assuring compliance to State and Federal Rules and Regulations, FDA requirements, manufacturer contractual Adverse Event and Product Complaint clinical requirements and completing general Quality Assurance Checks. ESSENTIAL FUNCTIONS Provide oversight and quality assurance to pharmacy technicians. Interpret physicians' or prescribers' prescriptions. Verify and confirm validity of controlled substances. Verify prescription information entered in the system by data entry or order entry. Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. QUALIFICATIONS Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm.D, degree. 1+ years relevant experience. Current resident pharmacist license in good standing. Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues. Good oral and written communication skills. Ability to read and interpret prescriptions. Strong focus on customer service, quality and accuracy. Ability to manage timelines and meet tight client deadlines. Ability to adapt in a changing environment. Ability to work a flexible schedule for peak volume times. 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 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Provider Contracting Director serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES * Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. * Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. * Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Creates and manages initiatives that improve total medical cost and quality. * Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. * Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. * Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. * Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. * Manages key provider relationships and is accountable for critical interface with providers and business staff. * Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. * May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS * Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. * 3+ years Hospital contracting and negotiating experience involving complex delivery systems and organizations required. * Experience in developing and managing key provider relationships * Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with hospital, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. * Customer centric and interpersonal skills are required. * Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. 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 92,000 - 153,300 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. At The Cigna Group, 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), 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, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Who we are: Our commitment is to: Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. * Strive to apply an equity lens to all our work. * Reduce health disparities. * Create an equitable work environment. About the Role Works with and supports members with various chronic conditions in achieving an optimal state of health. The Health Coach will assist, promote and support self-management goals and interventions by providing support, education, and coaching to members with chronic conditions, and collaborating with the member, providers, and internal team members. To be successful in this role, you: * Have a bachelor's degree in a relevant field, or an equivalent combination of education and highly relevant experience, required. * Possess a current, unrestricted license in the state of Washington as an LPN, RN, RD, or other relevant licensure preferred. * Possess a relevant certification, including Health Coach, or Certified Diabetes Care and Education Specialist (CDCES), preferred. * Have a minimum of two (2) years experience in disease management, diabetes education, or health coaching, preferred. * Previous experience in Managed Care, Medicare, and/or Medicaid, preferred. * Experience with Motivational Interviewing, preferred. Essential functions and Roles and Responsibilities: * Provide disease specific care management interventions to promote self- management education and coaching to members enrolled in Diabetes Management programs. * Responsible for the assessment of members, including identifying and coordinating access to the appropriate providers, level of care, and treatment. Uses the assessment information to triage and assign the appropriate risk and complexity level, and create and measurable plan of care, in coordination with the member and their health care team. * Document all member goals, clinical data, outcomes, interactions, assessments, care plans, interventions, and related administrative details in the organization's clinical database system in accordance with organizational policies and procedures. * Assesses barriers to care and assist members and health care team to address concerns. * Collaborate with members and the multidisciplinary team to develop and implement individualized plans of care that consider physical, behavioral, cultural, psychosocial, spiritual, age-specific, and educational needs; coordinate and communicate care activities to ensure continuity, engage community resources and DME as appropriate, and advocate for members to support their goals and promote optimal functioning. * Assess, identify, and implement interventions to meet HEDIS measures * Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination. * Assist in updating policies, procedures, workflows, educational materials, and digital content, and contributes to department projects. * Provide education for the community through health fairs, speaking at local organizations, collaboration with external stakeholders, and collaboration with internal stakeholders through websites and social media platforms, and seminars * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: * Knowledge of nutrition, exercise, and disease management. * Knowledge of HEDIS measures. * Ability to build trust with members and assist them in developing positive behavioral lifestyles to improve their health. * Skilled in motivational coaching. * Effective written and verbal communication skills. * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data. * Skilled in planning and goal setting. * Effective active listening and empathy skills. * Ability to handle multiple priorities. * Proficient in Microsoft Office. Able to perform all functions of the job with accuracy, attention to detail and within established timeframes As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. * Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. * Vaccination requirement (CHPW offers a process for medical or religious exemptions) * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Non-Exempt and is eligible for overtime. Based on market data, this position grade is 45 and has a 5% annual incentive target based on company, department, and individual performance goals. Salary determined at offer will be based on labor market data and a candidate's years of relevant work experience and skills relevant to the position. CHPW offers the following benefits for Full and Part-time employees and their dependents: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off including PTO accrual starting at 17 days per year. * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty pay. Sensory/Physical/Mental Requirements: Sensory*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking and possibly standing. * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion. * Frequent torso/back static position; occasional stooping, bending, and twisting. * Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: * Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Are you passionate about using data to make a difference in healthcare? At Evernorth, we believe that smart, compassionate experts can unlock new possibilities for patients and communities. As a Market Insight Senior Analyst, you'll help shape the future of healthcare by turning complex data into strategies that drive innovation and improve lives. If you're ready to grow, collaborate, and make an impact, we invite you to join our ambitious team. Responsibilities Collaborate with cross-functional teams to uncover opportunities and deliver impactful research insights. Translate data into clear, actionable recommendations that inform strategic decisions. Develop reproducible analytical solutions using tools like R, Python, and SQL to address business and research challenges. Create compelling reports, visualizations, and presentations that communicate findings effectively. Drive continuous improvement in data analytics practices and governance. Qualifications Required: 1+ years of applied healthcare research experience. Proficiency in statistical programming (SAS, R, STATA, or similar) and SQL. Experience working with large healthcare datasets, including medical and pharmacy claims. Strong communication skills and ability to convey complex insights clearly. Preferred: Bachelor's degree in a quantitative or social sciences field (such as epidemiology, public health, or health economics). Master's degree or higher in a related field. Experience with real-world data (RWD) and real-world evidence (RWE). Knowledge of medical coding schemas (ICD, CPT, HCPCS, NDC, SNOMED). Familiarity with data visualization tools and best practices. At Evernorth, we are driven by curiosity, compassion, and a commitment to excellence. If you are excited to use data to make a real difference and want to grow as a leader in healthcare research, we encourage you to apply and help us build a healthier future for everyone. 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Family Medicine Physician - Evernorth Workplace Care (Dalton, GA) About Evernorth Workplace Care Evernorth Workplace Care delivers high-quality health care services and population health solutions-both in person and virtually. Our mission is to provide proactive, personalized, and holistic care by leveraging health data and insights to improve the well-being of employees and their families. We bring affordable, accessible care directly to where people work and live. As an employer-sponsored clinic, our services are exclusive to employees of our host client, fostering strong patient relationships and a level of care that goes beyond traditional community settings. Our clinicians emphasize preventive care, health coaching, and quality interactions, supported by Cigna's integrated data and networks. Why Join Us? Benefits start Day 1 Predictable work schedule - No nights, weekends, or on-call Competitive salary + annual performance bonus 8 Paid Holidays + 23 PTO Days Comprehensive benefits: Medical, Dental, 401(k) with company match CME allowance and paid time Career growth opportunities across Evernorth and Cigna Collaborative, patient-focused environment Position Summary We are seeking a Board-Certified Family Medicine Physician to provide care for adults and children (ages 8+) in our onsite clinic in Dalton, GA. This is an exciting opportunity to focus on quality over quantity, practicing evidence-based medicine in an employer-based setting. Average 2-3 patients per hour Minimal insurance paperwork Flexible full-time schedule You'll have the autonomy to develop wellness programs and work closely with our onsite NP(s), supported by regional leadership and the Chief Medical Officer. Responsibilities Deliver exceptional outpatient care to Evernorth Workplace Care patients. Promote preventive care and health improvement opportunities. Refer patients to high-quality specialists (Cigna Centers of Excellence, Cigna Care Network, etc.). Utilize state-of-the-art EHR and e-prescribing systems. Serve as collaborative physician for onsite NP(s). Contribute to wellness program development. Required Qualifications MD or DO degree; Board Certification in Family Medicine. Active, unrestricted medical license, BLS, and DEA. Strong clinical skills and patient-focused bedside manner. Proficiency with EHR systems (Epic preferred) and MS Office. Ability to dispense medications onsite in compliance with Georgia regulations (must notify the Georgia Composite Medical Board of intent to dispense). Spanish fluency preferred. What Sets Us Apart Employer-based care model focused on relationship-building and holistic health. Integrated approach combining clinical expertise with data-driven insights. Opportunity to innovate and shape wellness programs. 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 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Join our collaborative Stars team dedicated to improving HEDIS preventative screening performance for our BlueCare Plus DSNP members. This role blends provider engagement, event coordination, and meaningful impact on the member population. What You'll Be Part Of A team focused on Stars improvement for the BlueCare Plus (DSNP) line of business Direct impact on HEDIS preventative screening measures What You'll Do Build relationships with provider offices to coordinate and execute wellness events Engage multiple partners (providers, vendors, Member Outreach, Transportation) Drive gap‑closure success through event planning, member attendance efforts, and follow‑up reporting Travel about 50% of the time across Tennessee (with flexibility to choose regions) Training & Ramp-Up Primarily on‑the‑job training First two weeks focused on core duties, DSNP population needs, and Stars processes Preferred Skills & Attributes Works independently and is highly self‑motivated Strong understanding of relevant HEDIS Stars measures Experience with the BlueCare Plus DSNP population (highly preferred) Job Responsibilities Monitoring health education programs trending and analysis of findings and making improvements. Implementing outreach programs to members and providers to facilitate an increase in the number of preventative health services. Supports the planning and execution of community outreach initiatives which focus on improving the Stars quality scores, improving the overall member experience and improving member health outcomes. Ensuring quality and performance standards as defined by CMS, BCBSA, BCBST and all accrediting bodies. Travel is required throughout TN for member or provider events ~ 50+% Job Qualifications Education Bachelors degree or equivalent work experience in Business, Public Relations, Marketing/ Advertising, or related field Experience 2 years - Experience in the healthcare industry required 1 year - Marketing and/or communications experience required 1 year - Project management, account management or similar experience required 1 year - Experience in a member/customer-focused position is required. Skills\Certifications Demonstrated ability to effectively work with senior leadership teams Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Accuracy and attention to detail Capacity to solve problems and manage multiple assignments with critical deadlines Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

We are seeking a strategic and experienced Legal Compliance Manager of Enterprise Incident Response. This role will manage privacy incidents and a team of privacy incident investigators and compliance professionals responsible for proactively researching, analyzing, and reporting on privacy incidents, including unauthorized disclosures and data breaches. This role requires advanced critical and strategic thinking to collaborate cross-functionally with business units, legal, compliance, and technology teams to identify root causes, implement corrective actions, and establish preventative measures that minimize organizational risk and drive continuous improvement. This role requires experience in investigating large incidents, seasoned judgment, diplomacy, exceptional communication skills, and a demonstrated ability to identify and resolve issues proactively. This role will report to the Director of Enterprise Incident Response. Key Duties and Responsibilities Partner with the Director of Enterprise Incident Response to implement and maintain an effective incident response program, including building cross functional partnerships with business teams to build a culture of effective and timely reporting and issue management. Lead the research, management, and resolution of privacy issues presented to the Privacy Office. Design and deliver privacy compliance training programs; perform auditing and monitoring activities to ensure ongoing adherence to regulatory requirements and internal policies. Prepare and issue required notifications to clients, business partners, and government regulators in accordance with applicable laws. Monitor the performance of the incident response program while taking appropriate steps to improve its effectiveness. Act as an advisor to the business in all aspects of incident response and other privacy-related questions (risk assessment, regulatory reporting, etc.). Serve as a subject matter expert and compliance resource for internal and external partners. Collaborate with other departments including the legal team, to direct compliance issues to appropriate existing channels for investigation and resolution. Respond to cybersecurity and privacy incidents, complaints received from customers, third parties, regulators and areas of the business. Assist with the investigation of such incidents in a consistent, uniform manner. Monitor, and as necessary, coordinate incident response activities of other departments to remain abreast of the status and to identify trends. Manage a team of Sr. Analysts responsible for handling day-to-day and large privacy incidents, ensuring thorough investigation, careful documentation, and timely resolution of incidents in a high-volume, fast-paced environment. Collaborate with Privacy Legal and Compliance Operations, IT, Cigna Information Protection, and Enterprise Risk Management, and other stakeholders to ensure coordinated incident handling and timely resolution. Partner with Cigna Information Protection team to test and execute the cyber-incident response playbook for key clients. Lead key client relationships to ensure all contractual and costly performance guarantees are met, including reporting incidents in accordance with the contract and perform ongoing daily communication with clients until incident is closed. Support strategic compliance initiatives, including internal and external audits, policy development, and employee training. Qualifications Bachelor's degree 5+ years of experience managing large privacy incidents. Healthcare and/or PBM privacy and compliance experience required Demonstrated experience leading teams and driving incident management processes. Strong analytical, communication, and interpersonal skills; proven ability to work cross-functionally and influence stakeholders. Knowledge of State and Federal breach notification laws, including HIPAA. Demonstrated competency with privacy management software and incident tracking tools. Ability to manage multiple priorities in a fast-paced, matrixed environment and adapt to evolving regulatory requirements. 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 103,100 - 171,900 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. At The Cigna Group, 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), 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, click here. 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: ********************* for support. Do not email ********************* 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: Strive to apply an equity lens to all our work. Reduce health disparities. Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient's condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient, the patient's family, co-workers, and internal and external customers to achieve optimal patient outcomes. Ensures members have timely access to care and supports during transitions between levels of care. Understands and effectively communicates requirements and follows Community Health Plan of Washington (CHPW) policies and procedures. To be successful in this role, you: Have a bachelor's degree in a relevant field or an equivalent combination of education and highly relevant experience. Have a current, unrestricted license as an RN or LPN. Have at least two years clinical experience in either a physical health or behavioral health setting. Have previous experience in Utilization Management and Managed Care, preferred. Essential functions and Roles and Responsibilities: Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health plan policies. Collaborate with facilities to perform discharge planning. Provide coordination support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides support to ensure necessary services are available during the transition period. Collaborates with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes. Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care in accordance with the patient's medical needs. Identify potentially unnecessary services and/or delivery settings and recommends appropriate alternatives. Identifies and determines medical necessity of out of network (OON) requests for services. Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing care. Delivers timely written notification to patient or family members and communicates with members of the health care team. Prepare cases that do not meet medical necessity or criteria for medical director review. Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review. Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of decertification and appeals. Using established screening tools, identify candidates and recommend enrollment into care management and disease management programs. Identify quality of care issues and report for investigation per CHPW's policy. Participates as part of the care management team; works collaboratively with all department staff. Reporting to work on time and for all scheduled shifts is essential to this position. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: Ability to effectively manage and maintain quality standards for high volume of authorization. Ability to work independently. Effective written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers. Knowledge in criteria set, including MCG, InterQual, ASAM, and LOCUS preferred. Ability to multi-task and deal with complex assignments with competing priorities on a frequent basis. Perform all functions of the job with accuracy, attention to detail and within established timeframes. Effective analytical skills and the ability to interpret, evaluate and formulate action plans based upon data. Experience in care management workflow systems. Flexibility and willingness to work in a matrix-management environment. Demonstrated organizational, time management, and project management skills. Demonstrated proficiency and experience with Microsoft Office products. Ability to present in a group setting. Willingness to be part of a collaborative and dynamic clinical development team. Collaborate with others in a respectful manner and ability to maintain confidentiality. Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. Vaccination requirement (CHPW offers a process for medical or religious exemptions) Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Non-Exempt and is eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: Medical, Prescription, Dental, and Vision Telehealth app Flexible Spending Accounts, Health Savings Accounts Basic Life AD&D, Short and Long-Term Disability Voluntary Life, Critical Care, and Long-Term Care Insurance 401(k) Retirement and generous employer match Employee Assistance Program and Mental Fitness app Financial Coaching, Identity Theft Protection Time off including PTO accrual starting at 17 days per year. 40 hours Community Service volunteer time 10 standard holidays, 2 floating holidays Compassion time off, jury duty Sensory/Physical/Mental Requirements: Sensory*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking and possibly standing Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Frequent torso/back static position; occasional stooping, bending, and twisting. Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

As leaders in the field, Village Fertility Pharmacy Group ("VFP") supports patients on their journey to parenthood through efficient, compassionate customer service and expert clinical support. VFP is a private equity sponsored network of fertility-focused specialty pharmacies dedicated to offering "best in class" service and education. With a combined experience of greater than 70 years, VFP has developed a deep understanding of the complicated nature of infertility treatments and the unique needs of infertility patients. Headquartered in Boston, MA, VFP has locations strategically positioned in MA, IL, AZ, and CA to optimally service the entire US fertility market. **_This is an onsite position located at: 4580 Weaver Parkway Warrenville, IL._** The Pharmacy Fulfillment Technician, under the supervision of a pharmacist, is responsible for ensuring the correct and safe dispensing of prescription medications. The ideal candidate will possess strong skills in customer service, communication, and problem solving, and will exhibit excellent attention to detail, flexibility, and a willingness to learn and be a team player in a fast-paced, rewarding work environment. **Responsibilities** + Picking medication orders + Packing and shipping orders + Completing patient pick-ups + Other pharmacy tasks as needed to ensure accuracy and a positive patient experience **Requirements** + Current and active State of IL Pharmacy Technician License required + CPhT License a plus + Minimum 1 year experience as a fulfillment pharmacy technician required + Experience in specialty or mail order pharmacy a plus + Strong customer service skills required + Solid computer skills and ability to learn new systems + Must be able to work Monday through Friday - 9:30a to 6p CST ; every 4 weeks required to work a Saturday from 10 AM to 2 PM CT (once fully trained) 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 hourly rate of 17.88 - 26 USD / hourly, 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 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 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:_ _*********************_ _for support. Do not email_ _*********************_ _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._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._