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Dean Health Plan jobs - 473 jobs

  • Customer Service Associate Representative - Accredo - Hybrid (Honolulu, HI)

    Cigna 4.6company rating

    Remote or Urban Honolulu, HI job

    Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: High School Diploma / GED required 1 year of relevant call center experience preferred 1 year Previous medical insurance or pharmacy experience preferred General PC knowledge including Microsoft Office and outlook Excellent communication skills (verbal and written) Empathetic and genuine customer service skills Candidates must live on the island of Oahu This is a hybrid role and requires the ability to work in person. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 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. 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 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.
    $29k-33k yearly est. Auto-Apply 8d ago
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  • Operations Senior Supervisor -Express Scripts

    Cigna 4.6company rating

    Remote or Saint Louis, MO job

    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.
    $39k-59k yearly est. Auto-Apply 54d ago
  • Strategic Account Executive; U500 (Hybrid/Atlanta, GA)

    Cigna 4.6company rating

    Remote or Atlanta, GA job

    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.
    $86k-116k yearly est. Auto-Apply 56d ago
  • Managed Care Resident - Express Scripts - Remote (Physician Engagement)

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as well as enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams. **LOCATION: VIRTUAL** ** ** **RESPONSIBILITIES** + Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols. + Utilize Express Scripts' multiple data analytics programs and tools to monitor and analyze trends in providers prescribing patterns. Collaborates with client, client's Express Scripts' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts' strategic goals. + Provide clinical support for Physician Innovation teams' research and development efforts, predictive capabilities, and reporting and outcomes processes. + Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management. + Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement. + Provide patient and health care professional education and medication information. + Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities. **Minimum Requirements:** + 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy + Pharmacy Licensure in any US State (within 90 days of residency start) + Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint + Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy **Required: Please upload or email per instructions for each:** + CV - Upload/attach to Workday application. + Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application. + Any recommendation letters - Upload/attach to Workday application + Deadline for application for this program is 12/31/2025 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 21 - 36 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 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._
    $30k-34k yearly est. 60d+ ago
  • Managed Care Resident - Express Scripts (Formulary Solutions)

    Cigna 4.6company rating

    Remote or Bloomington, MN job

    The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM environment and the inner workings of an integrated health services company, preparing participants for impactful post-residency roles within the organization. Program Highlights: Comprehensive Lifecycle Exposure: Residents engage in every stage of the formulary process-from pipeline strategy to operational execution-gaining a well-rounded understanding of the PBM landscape. Formulary Financial Modeling: create and present formulary recommendations for our marquee formulary Cross-Functional Collaboration: The program fosters interaction with key departments such as Pharma Contracting, Sales, Clinical Oversight, and Finance, helping residents build a strong internal network and broaden their strategic perspective. Client-Centric Learning: Residents learn to develop and manage custom formularies tailored to individual client needs, enhancing adaptability and real-world application. Career Pathway Focus: Designed to support long-term career growth, the residency equips participants for meaningful roles within Evernorth following program completion. Longitudinal Experiences: Introductory Sessions with Key Department Leaders Commercial Formulary Strategy Custom Formulary Strategy Medicare Formulary Strategy Regulated Markets Institute of Clinical Oversight and Guidance Residency Project Rotational Opportunities: Clinical Product Specialty Pharmacy Advanced Utilization Management Pharma Trade Relations Patent, Pipeline and Emerging Therapeutics Client Account Management Areas of Personal Interest within Evernorth Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Must upload/attach the following to Workday application Official Pharmacy School Transcript CV Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) 2 Letters of Recommendations (one of each: Preceptor, Supervisor) sent to **************************************** Application deadline 12/31/25 Location: Hybrid in Saint Louis, MO; Bloomington, MN; and Morris Plains, NJ. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. If the right candidate doesn't live in one of those 3 areas, virtual will be considered. 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 21 - 36 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.
    $34k-56k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Advocate (Call Center) - Evernorth Behavioral Health - Remote

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    Do you have a **bachelor's degree** and are ready for a meaningful career where you can make an impact and improve lives? Join us as a Behavioral Health Customer Service Advocate- an inbound call center role focused on helping people access needed care. You'll support members and providers seeking services for mental health and/or substance use disorders. This position features a structured work schedule with a designated queue time. Using empathy, active listening, multitasking, and problem-solving skills, you'll help ensure every caller's experience with Evernorth is both efficient and compassionate. **Key Responsibilities:** + Take back-to-back phone calls from members and providers (calls last about 8-10 minutes). + Triage and conduct intake for risk of harm and substance use concerns + Communicate eligibility, assist with scheduling appointments and providing referrals, quote benefits, and advise on authorization requirements + Utilize resources and independent judgment to deliver accurate information, exceptional service, and resolution on the first call + Collaborate with matrix partners and coordinate seamless handoffs to clinical teams for timely support + Navigate multiple systems and applications across multiple screens while on calls (sometimes up to 9 programs at once) **Requirements:** + **Bachelor's degree** in psychology, social work, or a related field, **or** bachelor's degree in another field plus 2+ years of behavioral health experience. + Customer service experience + Strong time management and multitasking abilities + Proficiency with typing and PC usage + Must remain at your workstation while handling calls from a phone queue **Training schedule** : Monday-Friday, 8:30 AM-5:00 PM CST **Work schedule** : a permanent 8-hour shift between the hours of 7am-7pm CST will be offered based on business need. 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 19 - 29 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. 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 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._
    $42k-51k yearly est. 28d ago
  • Business Unit Specialist- Evernorth

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    As a Business Unit Specialist, you will help ensure the accuracy and integrity of revenue‑cycle related data within the patient management system. You will support operational excellence by coding inventory, validating payer configurations, and maintaining contract and fee‑schedule setups. Your work will strengthen billing accuracy, streamline processes, and enhance the overall performance of business operations. **Responsibilities** + Set up and maintain revenue‑cycle files in the patient management system, ensuring accuracy and consistency across all data elements. + Load, validate, and update payer configurations, including contracts, reimbursement structures, and fee schedules. + Code and maintain inventory records to support billing and operational workflows. + Collaborate with internal teams to resolve discrepancies, improve processes, and support project initiatives. + Assist with special projects and system updates as assigned. + Ensure documentation integrity and maintain organized, accurate records. + Contribute to process improvement efforts by identifying trends and recommending solutions. **Required Qualifications** + Experience with data entry, revenue cycle workflows, or billing operations. + Proficiency in Microsoft 365. + Strong analytical and problem‑solving skills. + Ability to work independently with strong attention to detail. **Preferred Qualifications** + Knowledge of home infusion operations or medical billing practices. + Familiarity with payer reimbursement rules and fee‑schedule setup. + Strong communication skills and ability to collaborate across teams. + Project management experience. 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 23 - 39 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. 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._
    $70k-89k yearly est. 5d ago
  • Category Management Advisor

    Cigna 4.6company rating

    Remote or Chicago, IL job

    As a member of the Enterprise Wellness team within the Category Management and Strategic Sourcing (CMSS) organization, the Category Management Advisor is accountable for sourcing on, near, and offshore supplier delivery of customer-facing and functional business processes that lower costs and increase operational benefits to The Cigna Group. The individual will lead negotiations with suppliers to secure competitive prices, improve delivery, and achieve favorable terms to The Cigna Group. Understanding of business process, legal contracts, and financial acumen is desired. This resource must have experience in dealing with dynamic requirements that are tied to strategic level business objectives. The individual will regularly interface with managers, directors, and senior directors to complete assigned work. As part of strategy and contract finalization, this role also will interact with senior leaders at the vice president and above levels within The Cigna Group. Major Objectives * Support, execute and implement sourcing initiatives; take accountability for the results of these efforts * Execute clearly written contracts that optimize value and mitigate risk to Cigna * Establish the role as a valued advisor to business teams Major Activities * Lead the end to end sourcing process, from market analysis to RFP, through business terms and contract execution * Analyze business requirements to formulate high level supply chain strategies and processes that are aligned with various Cigna business units * Research potential suppliers and recommend alternatives * Review and draft contracts with suppliers to optimize benefits and minimize risks to The Cigna Group. * Identify and implement process improvements * Lead and direct the proactive management and understanding of industry best practices and technology trends; provide insight to executive management Key Competencies * Bachelor degree preferred * 5+ years relevant work experience * Fundamental understanding of the healthcare sector and health services industry * Project and stakeholder management * Strong analytical, teamwork, and interpersonal skills * Effective verbal and written communication skills * Knowledge of procurement and outsourcing principles, theories, and processes * Demonstrated experience in drafting and reviewing contracts that include Master Services Agreements and Statements of Work * Experience with eSourcing applications 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 92,100 - 153,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* 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.
    $49k-89k yearly est. Auto-Apply 51d ago
  • Senior SQL Server Database Administrator (DBA) - EviCore - Hybrid

    Cigna 4.6company rating

    Remote or Morris Plains, NJ job

    The Senior SQL Server Database Administrator (DBA) is responsible for providing technical support for the database environments SQL 2012-2022 in 24/7 environment. Day to Day responsibilities include production support, access provisioning, dba related tasks, monitor systems alerts, technical reviews. Participate in on-call rotation. Provide assessment of database performance and the identification of problem areas. Document the company's database environment. Building Drift management, alerting, deployment, and patching automation solutions using TSQL and PowerShell. ESSENTIAL FUNCTIONS: Production Performance troubleshooting / tuning: Ensuring high levels of performance, availability, sustainability and security Analyzing solving and correcting issues in real-time SQL server hardware / software issues troubleshooting Monitor the database performance and prepare database and progress reports. Provide reporting to management. Developing and automating drift management using TSQL/PowerShell Supporting databases on Azure Manage metrics using Idera/DPA/Dynatrace Backup/Recovery strategies Patching / Certification /Encryption keys management Administers, maintains, develops and implements policies and procedures for ensuring the security and integrity of the company database. Internal Audits Works on internal projects as assigned On-Call support Design, implement and manage high availability methods like AlawaysON Availability Groups, Replication, Log Shipping and Database Mirroring. Monitoring system's health and performance using IDERA Diagnostic Manager/SolarWinds Database Performance Analyzer /Dynatrace QUALIFICATIONS: Bachelor's degree in Information Systems or related field, or equivalent work experience. 10 + years in database administration and programming 10 + years IT operation with understanding of SQL Server database structures, theories, principles, and practices Extensive knowledge of database maintenance tasks. Knowledge of programming languages (+ such as PowerShell, PHP, Python, T-SQL, Javascript, and other languages) Idera/DPA/Dynatrace Demonstrated ability to design, develop, and maintain databases and automate solutions Project Management Understanding of, and experience with relational database environments Knowledge of reporting and query tools and practices Good interpersonal, written, and oral communication skills Technical documentation skills Ability to present ideas in user-friendly language Self-motivated and directed, with keen attention to detail Able to prioritize and execute tasks in a high-pressure environment Experience working in a team-oriented, collaborative environment Willingness to work a flexible schedule and be on call to accommodate project deadlines 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 114,800 - 191,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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.
    $109k-131k yearly est. Auto-Apply 13d ago
  • Category Management Advisor- Professional Services

    Cigna 4.6company rating

    Remote or Bloomfield, CT job

    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.
    $135k-163k yearly est. Auto-Apply 3d ago
  • Dedicated Wellbeing Strategist - Cigna Healthcare - Hybrid (DC)

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    **Dedicated Wellbeing Strategist** (Hybrid, onsite 3-4 days per week) + 4100 Garden City Dr, Hyattsville MD 20785 + 300 7th St SW, Washington DC 20024 + 2401 Mill Rd, Alexandria VA, 22314 The Dedicated Wellbeing Strategist will support a short- and long-term client-specific organizational wellbeing strategy. The Dedicated Wellbeing Strategist works closely with the client and their stakeholders, the Cigna Organizational Wellbeing Strategy team, the Cigna account team, and internal/external matrix partners to support and implement a total population wellbeing solution. **General Responsibilities** + Partner with client and key matrix partners to develop, implement and evaluate organizational wellbeing strategy that will educate, empower, excite, and energize large populations in support of a healthy lifestyle. + Identify opportunities and develop strategies to embed wellbeing into the organization's disperse and diverse workplace environments. + Develop, coordinate, communicate, and implement key programs, onsite/virtual events, challenges, presentations, and campaigns. + Support onsite events and initiatives. + Support development and deployment of wellbeing communications, including newsletters, custom communications, emails, and webpage updates. + Collaborate to develop, build, engage and provide ongoing support for client wellbeing champion networks and/or wellbeing committees. + Manage/support key program engagement, alignment, and integration with vendor partners. + Communicate effectively with client leaders and stakeholders. + Support relationships with client third-party wellness vendors. + Provide guidance on existing and emerging industry health promotion/wellbeing trends. **Skills and Characteristics** + Skilled in strategic thinking and planning. + Innovative and naturally curious. + Proficient in marketing, written, and interpersonal communication skills. + Highly skilled and confident in presenting and influencing others. + Team player and active listener. + Self-starter; able to work independently. + Excellent organizational skills: can identify processes and organize resources to coordinate and execute multiple projects simultaneously. + Ability to manage multiple organizations (Cigna & client) workflows and teams. **Qualifications** + 3+ years of experience in strategic wellbeing program design and implementation. + Industry certification such as CHES, Chapman, WELCOA, or worksite wellbeing programs preferred. + Experience working with large national employers, with dispersed workforce. + Experience in harmonizing wellbeing programs across sub-organizations. + Experience developing, executing, and evaluating workplace wellbeing strategy. + Experience collaborating with vendor partners. + Experience working with employer benefits, human resources, wellness, informatics and others to identify trends and opportunities. + Experience developing holistic strategy across multiple pillars of wellbeing (physical, social, community, emotional and financial). + Flexible, ability to adapt and meet the needs of various populations. + Must be able to build rapport and present confidently to all levels of stakeholders. No candidate will meet every single desired qualification. If your experience looks a little different from what we have identified and you think you can bring value to the role, we would love to learn more about you! 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 59,600 - 99,300 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._
    $52k-85k yearly est. 14d ago
  • Provider Relations & Claims Advocate - Evernorth Behavioral Health - Remote

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    The Claims & PR Advocate is a **phone queue-based position** responsible for servicing **inbound claim-related calls** from members, providers, and provider office staff. Advocates will handle **back-to-back calls** throughout the day, with occasional outbound calls required to resolve claim issues. This role demands strong multitasking, technical proficiency, and independent problem-solving skills. **Note:** This position requires a **Bachelor's degree** to qualify. **Key Responsibilities:** + Answer inbound calls from members and providers regarding claims, contracting, and provider relations. + Work in a structured call queue environment, handling a high volume of calls daily. + Make outbound calls as needed for issue resolution or follow-up. + Use multiple applications during calls to research and resolve inquiries. **Call topics may include:** + Claim status inquiries and explanations + Requests for claim reprocessing or adjustments + Provider contract questions and demographic updates + Authorization corrections to ensure proper claim payment + Requests for duplicate EOBs or check reissuance + Escalated issue handling via Advocate Handoff/Help Request (AHHR) + Complaint submissions on behalf of members or providers + Emailing resources and documentation to callers **Required Skills:** + Proven customer service experience + Prior experience in Evernorth Behavioral Care Specialist/Advocacy role preferred + Experience handling behavioral health claims and provider relations calls is a plus + Ability to thrive in a virtual team environment + Strong interpersonal and communication skills + Effective listening and organizational abilities + Technical aptitude with multiple systems and applications + Independent problem-solving and time management skills + Proficient typing and PC skills **Training Schedule:** + Monday through Friday, 8:30 AM - 5:00 PM CT **Work Schedule:** + After training, shifts are Monday through Friday between 7:00 AM - 7:00 PM CT + The recruiter will provide specific shift options **Education Requirement:** + **Bachelor's degree is required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 24 - 36 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. 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 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._
    $36k-58k yearly est. 1d ago
  • Accredo Product - Summer Intern

    Cigna 4.6company rating

    Remote or Saint Louis, MO job

    Accredo is a leading provider of specialty pharmacy services, offering a broad range of healthcare products and services for individuals with chronic health conditions, such as, hemophilia, oncology, multiple sclerosis, and rheumatoid arthritis. Accredo also provides comprehensive patient management services, including clinical care management programs, patient counseling and education, outcomes measurement, social services and reimbursement services. In this position you will work within the Accredo Product organization. Our Accredo Specialty Pharmacy Product team is comprised of Pharmacy & Clinical Operations and Product & Strategy. The Pharmacy & Clinical teams play a key role in keeping us at the forefront of the specialty pharmacy evolution. Pharmacy and Clinical team members are tasked with managing our Therapeutic Resource Centers, specialty drug lists, and Pharma Client relationships. Our Product & Strategy teams play a key role in creating new and exciting payer client programs, maintaining existing payer client programs, managing copay assistance, and ensuring efficiency in processes across the entire organization. Together all areas help serve patients with complex and chronic health conditions by delivering a level of expertise and individualized care that is unmatched in the market. JOB SUMMARY: This internship will support the Accredo Product team by way of the Shared Solutions Product team specifically. The Shared Solutions product team enables and empowers Accredo Product to meet the broader organizational goals and improve patient care by identifying and leveraging knowledge and efficiencies across the whole team. We provide data insights and improved communication paths to drive smart decision making. We deliver tools and resources to work smarter, not harder, and we expand multiple products across multiple Therapeutic Resource Centers. The Shared Solutions pipeline of opportunities is ever-growing. The summer internship will support Senior and/or Product Advisors and their teams with ad hoc projects related to managing their respective roles and responsibilities within the Accredo product team. These tasks can include data analysis, presentation development, cross-functional project work, administrative work, etc. Outside of your day-to-day work, you will have the opportunity take part in personal and professional development activities, including an executive speaker series that opens up a dialogue between you and company leaders, community service events, and networking opportunities with employees and other summer interns. You will also have the opportunity to collaborate within your department and across the business- and learn from some of our brightest and most innovative employees in your area of focus. JOB DUTIES & RESPONSIBILITIES: Research and analyze data & trends Build successful case studies of our services Coordinate with the team to ensure smooth execution of projects and deliverables. Conduct data analysis and generating reports to support decision-making processes Provide general administrative support such as organizing data & information, scheduling meetings, managing calendars. Collaborate with cross-functional teams to drive innovation and achieve project objectives. Attend meetings and assisting in the preparation of meeting agendas and presentations. Make or assist in making oral/written presentations to management SKILLS AND QUALIFICATIONS: Currently enrolled in a bachelor's degree program Senior-level college students with a 3.0 GPA or above preferred Excellent verbal and written communication skills, solid presentation skills Ability to work independently as well as collaboratively a part of a team Being a self-starter who is eager to learn and acquire new skills Strong business aptitude and analytical skills with an ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Strong organizational and time management skills, with the ability to prioritize tasks to meet deadlines. Overall passion for learning and interest to learn more about the industry. Proficiency with Microsoft Office Suite, especially Excel and PowerPoint Aligned to our St. Louis, MO office Schedule: You must be available to work a 40-hour work week for 10-12 weeks summer 2026, starting in May 2026. US Candidates Only: This position is not eligible for visa sponsorship by the company, and therefore is open only to individuals who are eligible for employment in the United States and who would not require visa sponsorship now or in the future. Location: Hybrid in Saint Louis, MO. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. The internship is paid, and housing assistance is not offered. 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.
    $30k-34k yearly est. Auto-Apply 13d ago
  • Home Infusion Nurse, Per Diem - Accredo - Lexington, KY

    The Cigna Group 4.6company rating

    Remote or Lexington, KY job

    **Home Infusion Registered Nurse - Accredo Specialty Pharmacy** Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. 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. **How you'll make a difference and improve lives:** + Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. + Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. + Provide follow-up care and manage responses to ensure their well-being. + Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. **Requirements:** + Active RN license in the state where you'll be working and living + 2+ years of RN experience + 1+ year of experience in critical care, acute care, or home healthcare + Strong skills in IV insertion + Valid driver's license + Willingness to travel to patients' homes within a large geographic region + Ability to do multiple patient visits per week (can include days, evenings, and weekends, per business need) + Flexibility to work different shifts on short notice and be available for on-call visits as needed 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._
    $73k-103k yearly est. 60d+ ago
  • Sr. Strategic Account Executive; U500 - Overland Park, KS (Hybrid)

    Cigna 4.6company rating

    Remote or Overland Park, KS job

    As a Sr. 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.
    $81k-109k yearly est. Auto-Apply 60d+ ago
  • Managed Care Resident - Express Scripts - Remote (Physician Engagement)

    Cigna Group 4.6company rating

    Remote or Minnesota job

    The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as well as enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams. LOCATION: VIRTUAL RESPONSIBILITIES Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols. Utilize Express Scripts' multiple data analytics programs and tools to monitor and analyze trends in providers prescribing patterns. Collaborates with client, client's Express Scripts' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts' strategic goals. Provide clinical support for Physician Innovation teams' research and development efforts, predictive capabilities, and reporting and outcomes processes. Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management. Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement. Provide patient and health care professional education and medication information. Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities. Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Please upload or email per instructions for each: CV - Upload/attach to Workday application. Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application. Any recommendation letters - Upload/attach to Workday application Deadline for application for this program is 12/31/2025 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 21 - 36 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 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.
    $34k-56k yearly est. Auto-Apply 60d+ ago
  • Managed Care Resident - Express Scripts - Remote (Physician Engagement)

    Cigna 4.6company rating

    Remote job

    The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as well as enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams. LOCATION: VIRTUAL RESPONSIBILITIES Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols. Utilize Express Scripts' multiple data analytics programs and tools to monitor and analyze trends in providers prescribing patterns. Collaborates with client, client's Express Scripts' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts' strategic goals. Provide clinical support for Physician Innovation teams' research and development efforts, predictive capabilities, and reporting and outcomes processes. Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management. Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement. Provide patient and health care professional education and medication information. Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities. Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Please upload or email per instructions for each: CV - Upload/attach to Workday application. Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application. Any recommendation letters - Upload/attach to Workday application Deadline for application for this program is 12/31/2025 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 21 - 36 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 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.
    $30k-35k yearly est. Auto-Apply 60d+ ago
  • Senior SQL Server Database Administrator (DBA) - EviCore - Hybrid

    The Cigna Group 4.6company rating

    Remote or Franklin, TN job

    The Senior SQL Server Database Administrator (DBA) is responsible for providing technical support for the database environments SQL 2012-2022 in 24/7 environment. Day to Day responsibilities include production support, access provisioning, dba related tasks, monitor systems alerts, technical reviews. Participate in on-call rotation. Provide assessment of database performance and the identification of problem areas. Document the company's database environment. Building Drift management, alerting, deployment, and patching automation solutions using TSQL and PowerShell. **ESSENTIAL FUNCTIONS** **:** + Production Performance troubleshooting / tuning: Ensuring high levels of performance, availability, sustainability and security + Analyzing solving and correcting issues in real-time + SQL server hardware / software issues troubleshooting + Monitor the database performance and prepare database and progress reports. Provide reporting to management. + Developing and automating drift management using TSQL/PowerShell + Supporting databases on Azure + Manage metrics using Idera/DPA/Dynatrace + Backup/Recovery strategies + Patching / Certification /Encryption keys management + Administers, maintains, develops and implements policies and procedures for ensuring the security and integrity of the company database. + Internal Audits + Works on internal projects as assigned + On-Call support + Design, implement and manage high availability methods like AlawaysON Availability Groups, Replication, Log Shipping and Database Mirroring. + Monitoring system's health and performance using IDERA Diagnostic Manager/SolarWinds Database Performance Analyzer /Dynatrace **QUALIFICATIONS** **:** + Bachelor's degree in Information Systems or related field, or equivalent work experience. + 10 + years in database administration and programming + 10 + years IT operation with understanding of SQL Server database structures, theories, principles, and practices + Extensive knowledge of database maintenance tasks. + Knowledge of programming languages **_(+ such as PowerShell, PHP, Python, T-SQL, Javascript, and other languages)_** + Idera/DPA/Dynatrace + Demonstrated ability to design, develop, and maintain databases and automate solutions + Project Management + Understanding of, and experience with relational database environments + Knowledge of reporting and query tools and practices + Good interpersonal, written, and oral communication skills + Technical documentation skills + Ability to present ideas in user-friendly language + Self-motivated and directed, with keen attention to detail + Able to prioritize and execute tasks in a high-pressure environment + Experience working in a team-oriented, collaborative environment + Willingness to work a flexible schedule and be on call to accommodate project deadlines 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 114,800 - 191,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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._
    $104k-124k yearly est. 60d+ ago
  • Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)

    The Cigna Group 4.6company rating

    Remote or Bloomfield, CT job

    We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. **Key Outcomes (first 12-18 months)** + **North‑Star Architectural Vision for PBS & Pharmacy:** Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. + **Governance that Accelerates Delivery:** Stand up/strengthen EA governance (principles, guardrails, decision logging) that **reduces decision latency** , aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. + **AI‑First Patterns in Priority Journeys:** Operationalize responsible **AI/GenAI** patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. + **Step Function Change on Costs:** Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. + **Executive Advising & Alignment:** Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. + **Security & Compliance by Design:** Ensure architectures and golden paths conform to **Cigna Information Protection (CIP)** standards and policies without burdening delivery teams. **Key Responsibilities** + **Strategy & Roadmap** : Leveraging talent on team, define and maintain PBS and Pharmacy **capability maps** , platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. + **Governance & Decisioning:** Establish and chair/participate in pragmatic **architecture reviews** ; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. + **AI‑First Enablement** : Embed **responsible AI/GenAI** designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. + **Security, Risk & Compliance** : Integrate **CIP** standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. + **Delivery Partnership** : Ensure architectures **ship** : define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. + **Talent & Community** : Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living **pattern library** and decision log for learn‑once/use‑many scale. **Qualifications** + **10+ years** in enterprise architecture/technology strategy experience. + Depth in **modern architectures** : public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) + Demonstrated record designing and **landing** multi‑year platform and data strategies at enterprise scale. + **Executive presence** with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). + Experience operationalizing corporate **security & compliance** standards within engineering practices (e.g., CIP). + Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. + Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). + Systems thinker who balances ideal-state architecture with real-world execution. **Nice to Have** + Prior **PBM/specialty pharmacy** platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). + Earlier **hands‑on engineering** (software, data, or platform) before moving into architecture leadership. + Industry credentials (e.g., **TOGAF** , Azure/AWS architecture) and/or published architecture patterns. **Leadership Competencies** + Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy 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 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _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._
    $103k-127k yearly est. 60d+ ago
  • Provider Relations & Claims Advocate - Evernorth Behavioral Health - Remote

    Cigna 4.6company rating

    Remote job

    The Claims & PR Advocate is a phone queue-based position responsible for servicing inbound claim-related calls from members, providers, and provider office staff. Advocates will handle back-to-back calls throughout the day, with occasional outbound calls required to resolve claim issues. This role demands strong multitasking, technical proficiency, and independent problem-solving skills. Note: This position requires a Bachelor's degree to qualify. Key Responsibilities: Answer inbound calls from members and providers regarding claims, contracting, and provider relations. Work in a structured call queue environment, handling a high volume of calls daily. Make outbound calls as needed for issue resolution or follow-up. Use multiple applications during calls to research and resolve inquiries. Call topics may include: Claim status inquiries and explanations Requests for claim reprocessing or adjustments Provider contract questions and demographic updates Authorization corrections to ensure proper claim payment Requests for duplicate EOBs or check reissuance Escalated issue handling via Advocate Handoff/Help Request (AHHR) Complaint submissions on behalf of members or providers Emailing resources and documentation to callers Required Skills: Proven customer service experience Prior experience in Evernorth Behavioral Care Specialist/Advocacy role preferred Experience handling behavioral health claims and provider relations calls is a plus Ability to thrive in a virtual team environment Strong interpersonal and communication skills Effective listening and organizational abilities Technical aptitude with multiple systems and applications Independent problem-solving and time management skills Proficient typing and PC skills Training Schedule: Monday through Friday, 8:30 AM - 5:00 PM CT Work Schedule: After training, shifts are Monday through Friday between 7:00 AM - 7:00 PM CT The recruiter will provide specific shift options Education Requirement: Bachelor's degree is required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 24 - 36 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. 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 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.
    $63k-90k yearly est. Auto-Apply 2d ago

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