The Eligibility Representative reviews and interprets insurance coverage and benefit limitations to determine clearance requirements for specialty pharmacy patients. They initiate outbound communication with payers to resolve coverage questions and manage the prior authorization process while documenting all findings accurately.
The pharmacist will provide remote telepharmacy services, including order entry, verification, and clinical counseling for multiple hospital clients. They are responsible for maintaining clinical excellence, ensuring medication safety, and documenting all interventions within various pharmacy information systems.
Lead and support multiple engineering teams to deliver high-quality, scalable software solutions while aligning technical roadmaps with business strategy. Foster a culture of growth and accountability by mentoring engineering managers and collaborating with cross-functional stakeholders.
The Sales Advisor will lead competitive sales strategies, manage proposal development, and partner with internal teams to secure new and renewal business. They are responsible for delivering capability presentations, analyzing sales data, and providing strategic guidance to brokers and customers.
Lead product initiatives for AI and automation solutions to transform healthcare operations and improve utilization management outcomes. Collaborate with cross-functional teams including engineering, data science, and clinical stakeholders to design, scale, and optimize innovative products.
The Senior Contract Analyst manages complex supplier and customer pricing agreements to ensure accuracy, compliance, and timely implementation. They also analyze pricing data to identify trends and resolve escalated discrepancies while supporting team workflow and process improvements.
The Senior Manager leads a team of pharmacists and analysts to implement clinical pharmacy decisions and drug coverage within the claims processing system. They also oversee the adoption of AI-enabled tools and automation to improve operational efficiency and quality control.
The advisor will analyze healthcare data to provide actionable insights and strategic recommendations for large National Account clients. They will collaborate with cross-functional teams to demonstrate the value of Cigna's solutions and support client business objectives.
The Business Analytics Advisor will lead complex analytics efforts and maintain the organization's data analytics environment to drive strategic decision-making. They are responsible for translating business objectives into an analytics roadmap while ensuring data integrity and providing technical oversight across various enterprise platforms.
The lead analyst manages complex nurse case management assignments by planning, implementing, and evaluating health care services to facilitate positive patient outcomes. They also provide leadership on team initiatives, mentor junior staff, and perform clinical reviews for acute care and disability claims.
The Case Manager serves as a clinical partner to assess customer needs, develop individualized care plans, and coordinate care across providers and internal teams. They utilize motivational interviewing and health navigation strategies to improve patient outcomes and ensure effective communication within the healthcare system.
Lead complex analytic initiatives to evaluate clinical programs and demonstrate value in cost, quality, and outcomes. Partner with cross-functional stakeholders to translate large-scale healthcare data into actionable insights and strategic recommendations.
The Executive Assistant will provide proactive support to the President and leadership team by managing complex calendars, travel, and executive communications. They will also coordinate leadership meetings, track key decisions, and assist with strategic initiatives to drive organizational effectiveness.
The Revenue Account Specialist manages end-to-end billing relationships for non-standard clients, including medical, dental, vision, and pharmacy invoices. They are responsible for resolving billing inquiries, driving premium collections, and identifying process improvements to enhance client satisfaction and reduce financial risk.
The Case Management Lead Representative serves as a subject matter expert to guide teammates on patient care coordination workflows and complex case escalations. They also assist with training, monitor referral activity, and contribute to operational excellence by identifying process improvements.
The Client Enablement Advisor acts as a subject matter expert, translating pharmaceutical client needs into data-driven solutions while coordinating across internal teams. They manage the end-to-end service delivery, implementation, and ongoing client relationship to ensure contract deliverables are met.
The Provider Contracting Advisor manages complex contract negotiations and fee-for-service reimbursements for a local territory. They also build provider partnerships, analyze financial impacts of contracts, and ensure accurate network implementation through matrix partners.
The Senior Pharmacy Account Executive manages and retains a book of business by serving as the primary pharmacy subject matter expert for integrated clients. They lead strategic activities, including renewals, performance reviews, and the development of pharmacy-specific growth strategies.
Manage and grow a portfolio of pharmacy accounts by providing 340B program support and driving performance through data-driven insights. Collaborate cross-functionally to resolve client issues, deliver training, and ensure accurate financial and operational program outcomes.
The Senior Account Executive will lead account strategy, drive growth, and manage executive-level relationships across a portfolio of complex health plan clients. They will also coordinate cross-functional teams to ensure successful service delivery, contract renewals, and the expansion of Evernorth and eviCore solutions.
The Senior Manager leads operational oversight and performance management for outsourced dental sales call centers, ensuring KPIs and service standards are met. They are responsible for developing broker support models, managing vendor relationships, and driving process improvements across the distribution organization.
The Senior Advisor manages the clinical AI and technology portfolio, overseeing the lifecycle from intake through execution and value measurement. They ensure cross-functional alignment, monitor dependencies and risks, and provide executive-level reporting to support strategic decision-making.
The Senior Manager is responsible for the operational governance framework, ensuring regulatory adherence, and maintaining operational integrity across the Individual Dental business. This role leads cross-functional teams in quality assurance, compliance, vendor management, and business readiness to drive sustainable performance and operational excellence.
The Senior Manager leads day-to-day operations for the Individual Dental business, overseeing enrollment, billing, customer service, and business intelligence functions. This role ensures operational excellence, regulatory compliance, and effective vendor management to achieve business objectives and high customer satisfaction.
The Senior Manager leads portfolio governance, strategic initiative delivery, and Agile business execution across the Individual Dental organization. They provide oversight to project management, product ownership, and epic ownership functions to ensure alignment with business objectives and measurable outcomes.
The National Accounts Sales Consultant provides strategic sales support to VPs to drive new business growth with large employers. Responsibilities include prospecting, managing consultant relationships, and collaborating with internal teams to support integrated health solutions.
The Senior Financial Analyst will review and respond to pharmacy pricing appeals and department of insurance complaints while maintaining data controls. The role involves communicating externally with pharmacies and state departments of insurance and assisting with ad-hoc data outputs.
The Chief of Staff will serve as a strategic partner to the Managing Director, driving operational rhythm, cross-functional alignment, and project execution. They will also oversee talent development initiatives and simplify complex data operations into actionable executive narratives.
The Client Service Advocate supports the Account Executive team by managing day-to-day account functions and resolving client or broker inquiries. They are responsible for maintaining high-quality customer service, monitoring internal systems, and collaborating with business partners to ensure client needs are met.
The pharmacy technician will manage inbound and outbound calls to coordinate patient medication shipments and prescription requests. They are also responsible for accurate data entry and investigating non-clinical issues with healthcare providers.
The Product Management Lead Analyst will coordinate regulatory operations, including CMS submissions and quality reviews, to ensure compliance and operational excellence. They will also manage stakeholder communications, reporting, and process improvement initiatives to support the Medicare Plan Finder experience.
The Director will develop and execute distribution strategies to drive growth, retention, and market expansion for the Individual Dental business. They will lead sales operations, manage broker and partner relationships, and oversee call center performance to achieve revenue objectives.
The Director of Solution Strategy & Delivery is responsible for defining and executing the technology vision and multi-year roadmap for Individual Dental platforms. This role leads cross-functional teams to deliver scalable technology solutions that enhance sales effectiveness, operational efficiency, and customer experience.
The Pharmacy Auditor identifies pharmacy audit risks using analytical tools and develops audit plans to ensure the accuracy and legitimacy of claims. They also mentor less experienced team members and present audit findings to management and stakeholders.
Lead end-to-end product and project initiatives by partnering with stakeholders and technology teams to define requirements and drive delivery. Monitor project health, manage risks, and provide strategic recommendations to leadership to ensure alignment with business goals.
Manage strategic client relationships by serving as the primary point of contact for consultation, issue resolution, and service support. Lead implementation activities and analyze performance metrics to drive client satisfaction, retention, and operational excellence.
The CFO for Global Health Benefits is responsible for shaping and delivering financial strategy across US and European operations to drive sustainable growth and value creation. This role leads a large, geographically dispersed finance organization while serving as a strategic advisor to the CEO on performance, investment decisions, and operational excellence.
The Medical Director conducts evidence-based medical necessity reviews using specialized case management software. They also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The Medical Director oversees the clinical activities, policy management, and quality assurance for Durable Medical Equipment and Inpatient Rehabilitation Facility programs. They supervise medical directors, provide clinical expertise for complex case reviews, and ensure adherence to Medicare and Medicaid guidelines.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The Chief of Staff serves as a strategic partner to the Managing Director, supporting the execution of business priorities and driving organizational effectiveness. They coordinate leadership activities, facilitate cross-functional collaboration, and manage high-priority initiatives to ensure alignment across the organization.
The Senior Director leads the strategic direction and operational performance of patient access and therapy initiation across specialty pharmacy and infusion service lines. This role drives transformational initiatives to optimize speed-to-therapy, reimbursement outcomes, and patient-centered care delivery.
The advisor provides strategic leadership for the enterprise identity platform, shaping roadmaps for authentication, fraud prevention, and secure access. They act as a bridge between business and technical teams to drive adoption of identity services and support personalized digital experiences.
Lead complex technical implementation projects that integrate healthcare technology solutions into client environments. Partner with stakeholders to ensure successful project delivery, data interoperability, and operational excellence.
The Go-to-Market Lead is responsible for developing and executing strategies to drive product adoption and sales goals by bridging the gap between product and sales teams. This role involves leading cross-functional projects, synthesizing market insights, and ensuring effective product messaging and training for internal stakeholders.
The associate is responsible for receiving, inspecting, and verifying incoming pharmacy shipments while packing outgoing items according to specifications. They perform basic technical and administrative tasks under direct supervision to support pharmacy operations.
The Staff Pharmacist provides clinical support, counsels patients on specialty medications, and ensures compliance with REMS and pharmacovigilance programs. They also collaborate with internal teams and healthcare providers to manage complex patient therapies and verify prescription accuracy.
The Senior Medical Director drives clinical strategy and innovation for national employer clients while serving as a senior clinical voice. They partner with account teams to develop clinical roadmaps, analyze population health data, and represent the organization in strategic forums.
The Medical Director performs evidence-based medical necessity reviews and conducts peer-to-peer consultations with healthcare providers. They also collaborate with a team of nurses and physician colleagues to ensure patients receive appropriate care.
The Pharmacy Account Executive manages a book of business by building relationships with clients, brokers, and consultants to drive retention and growth. They serve as a subject matter expert, providing consultative recommendations on pharmacy benefits and collaborating with medical sales teams to optimize healthcare costs.
The role involves leading the Legal organization's budgeting, forecasting, and financial planning processes while developing reporting dashboards to provide insights into legal spend. You will partner with leadership to provide financial analysis and establish governance processes to ensure data accuracy and transparency.
The Lead Analyst manages the client data delivery process, ensuring accuracy, timeliness, and quality standards are met. They also collaborate with internal teams and clients to troubleshoot issues, build dashboards, and implement process optimizations.
The administrator manages end-to-end SaaS implementation projects, serving as the primary subject matter expert for Verity software products. They facilitate communication between stakeholders, manage customer data, and ensure successful project transitions to account management.
The role involves developing advanced analytics and machine learning models to support pricing and underwriting strategies within a healthcare context. You will collaborate with business stakeholders to design pilots, create actionable insights, and ensure solutions are integrated into organizational processes.
The Director of Sales is responsible for driving new logo acquisition and revenue growth by managing the entire customer lifecycle for enterprise healthcare solutions. This role involves leading complex, multi-stakeholder sales processes and collaborating with internal teams to design customized solutions for health plans, employers, and health systems.
The Senior Manager will lead the development of the Verity Canvas design system, ensuring alignment between Figma libraries and production React code. They will manage component library releases, implement design token pipelines, and establish quality gates for accessibility and visual consistency.
The Medical Executive serves as a strategic physician leader responsible for improving healthcare affordability and network performance through provider engagement and clinical leadership. They collaborate with cross-functional partners to execute value-based care initiatives and influence care delivery across assigned markets.
The Medical Director will conduct evidence-based medical necessity reviews and provide clinical expertise for case management. They will also engage in peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and alternative care options.
The clinician will serve as a consistent point of contact for members, providing real-time crisis de-escalation, risk assessment, and personalized clinical support. They are responsible for managing a queue of telephonic calls while maintaining accurate clinical documentation and collaborating with internal teams for seamless care transitions.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential drug interactions. They also manage order status, maintain quality standards, and collaborate with physicians to optimize therapy.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential drug interactions. They also maintain production and quality standards while collaborating with medical teams to optimize patient therapy.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians, ensure regulatory compliance, and maintain production and quality standards.
The Staff Pharmacist is responsible for interpreting prescriptions, verifying order accuracy, and consulting with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians and collaborate with prescribers to tailor patient infusion regimens.
The role involves building a robust pipeline of SME sales opportunities through proactive prospecting and broker engagement. You will manage the end-to-end sales cycle for assigned accounts while collaborating with regional sales teams to drive growth.
The Pharmacy Technician will perform data entry for incoming prescriptions and conduct outbound calls to prescribers' offices to ensure quality assurance. They will also research medication coverage issues and collaborate with patients and doctors to facilitate access to necessary medications.
The counselor is responsible for diagnosing and treating mental health disorders through individual, group, or family sessions using evidence-based techniques. They also coordinate care with multidisciplinary teams and provide ongoing monitoring and education for patients and their families.
The role involves processing verbal prescriptions, managing inbound calls from patients and providers, and maintaining accurate patient records in pharmacy systems. You will also collaborate with internal teams and pharmacists to resolve coverage, shipment, and clinical issues.
The Staff Pharmacist interprets and verifies prescriptions while consulting with patients and prescribers to ensure medication safety and order accuracy. They also provide quality assurance oversight for pharmacy technicians and resolve outstanding prescription issues.
The role involves managing pharmacy pricing strategies and contractual guarantees through performance analysis and forecasting. The advisor will partner with cross-functional teams to support contract negotiations and lead complex claims-based analyses.
The Medical Director will conduct specialized evidence-based medical case reviews to determine medical necessity using company software. They will also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The Medical Director will lead the development and execution of clinical strategies for high-risk members, focusing on scalable programs and AI-enabled solutions. They will partner across departments to translate clinical and business priorities into measurable performance goals and actionable roadmaps.
The Senior Managing Counsel provides legal leadership on corporate governance, board operations, and fiduciary duties while overseeing the Office of Corporate Secretary. They are responsible for managing proxy filings, shareholder engagement, and subsidiary governance practices.
The Customer Engagement Strategist will design and execute data-driven, multichannel engagement strategies to drive measurable behavior change and improve health outcomes. They will lead A/B/n experimentation and partner with cross-functional teams to optimize customer journeys across various digital and offline touchpoints.
Perform evidence-based medical necessity reviews for pathology cases using specialized case management software. Conduct peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
Acts as a strategic clinical partner to the Sales organization to drive client growth and innovation through clinical value propositions. Leads the communication of clinical strategies to employers and brokers while identifying opportunities for product innovation.
Lead the full pursuit lifecycle for National Accounts, from opportunity shaping and proposal strategy to negotiations and implementation. Act as a consultative advisor to strategic stakeholders to drive sales targets and grow the future business pipeline.
The role focuses on building an analytical foundation to connect digital customer engagement strategies to financial and strategic outcomes. This includes developing measurement frameworks, performing deep-dive journey analytics, and translating complex data into actionable business narratives.
Manage and expand the healthcare provider network across Francophone and Anglophone African markets. Oversee the full provider lifecycle, including onboarding, performance monitoring, and relationship management to ensure high-quality healthcare access.
The role focuses on building the analytical foundation for digital products by translating complex strategies into measurable KPIs and success metrics. It involves leading behavioral and journey analytics to optimize digital experiences and informing enterprise decision-making through data storytelling.
Define and champion a product vision that leverages data and analytics to improve customer outcomes and clinical insights. Lead Agile teams to build, test, and release scalable solutions while managing product backlogs and roadmaps.
Perform evidence-based medical necessity reviews for cardiology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for spine surgery cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for pediatric otolaryngology cases using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for Otolaryngology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for oncology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Develop and support conversational IVR call flows to enhance personalized customer experiences across voice, text, and chat channels. Collaborate with architects and business partners to design, test, and maintain high-quality code for multimedia applications.
Perform evidence-based medical necessity reviews for genetics and genomics cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Design and implement major components of data architecture and models to modernize Reporting & Analytics applications. Collaborate with stakeholders and development teams to create scalable data design solutions and optimize data access layers in the data lake.
Drive growth for specialty therapy products including Immune Globulin and Asthma/Allergy biologics within the assigned territory. Build trusted relationships with physicians and infusion centers to increase referrals and expand access to advanced therapies.
As the Agile TPO Advisor for SAP EWM/RTS, you will own the product vision, roadmap, and delivery strategy for warehouse and logistics operations. You will work closely with business stakeholders, SAP functional experts, and development teams to deliver scalable, integrated solutions that support strategic supply chain initiatives.
Handle inbound and outbound calls from patients regarding their medical history and fertility challenges. Ensure process efficiency by coordinating fertility plans and medications while resolving customer issues.
