The Sr. Account Executive manages existing commercial client relationships, develops long-term account strategies, and identifies opportunities for upselling and expansion. They are responsible for ensuring client satisfaction, meeting retention targets, and leading internal teams to achieve strategic objectives.
United States$79200 - $132K per year2-5 yrs expHealthcare
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Partner with care teams to document assessments and serve as the primary contact for patient care coordination.
United States$17.75 - $19 per hour0-2 yrs expSupport
The representative will handle high-volume inbound calls to assist patients with medication orders, benefits, and billing inquiries. They are responsible for maintaining patient confidentiality and meeting performance metrics while providing empathetic support in a structured environment.
Coordinate daily pharmacy workflow and provide leadership, coaching, and direction to a team of pharmacy technicians. Act as a subject matter expert while interacting with healthcare providers and managing medication coverage inquiries.
United States$79200 - $132K per year2-5 yrs expHealthcare
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Partner with care teams to coordinate patient care and maintain accurate clinical documentation.
The Sr. Clinical Account Executive serves as the primary clinical contact for complex clients, managing clinical programs, financial modeling, and trend evaluation. They lead the up-sell and implementation of clinical solutions while collaborating with account management teams to ensure client satisfaction and retention.
Manage pharmacy claim billing, collections, and follow-up activities to ensure timely and accurate reimbursement. Resolve denied or underpaid claims by identifying root causes and preparing payer appeals.
United States$54 - $91 per hour2-5 yrs expHealthcare
The Staff Pharmacist interprets and verifies prescriptions while consulting with patients on medication use and potential drug interactions. They also collaborate with prescribers to optimize therapy and provide oversight to pharmacy technicians to ensure quality and accuracy.
United States$82700 - $137K per year2-5 yrs expHealthcare
The Client Service Executive manages a book of business by building client relationships, resolving service issues, and developing service strategies. They also act as an internal liaison to facilitate service delivery and monitor account health through data analysis.
United States$77500 - $129K per year2-5 yrs expHealthcare
The RN Care Coordinator identifies and refers customers to appropriate health programs while managing the care of high-risk populations. They act as a central conduit between employers, providers, and Evernorth resources to ensure efficient, high-quality clinical outcomes.
United States$77900 - $129K per year2-5 yrs expFinance
The Lead Analyst manages pricing-related contractual commitments for retail network clients and monitors provider performance. They also develop financial models and reports to support decision-making and facilitate client discussions regarding operational opportunities.
United States$77500 - $129K per year2-5 yrs expHealthcare
The RN Case Manager serves as a clinical partner to assess customer needs, develop individualized care plans, and coordinate care across providers and caregivers. They also track and document interventions while collaborating with interdisciplinary teams to support whole-person health outcomes.
United States$54 - $91 per hour2-5 yrs expHealthcare
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential drug interactions. They also maintain production quality, resolve order issues, and may train less experienced staff.
United States$132K - $221K per year5-10 yrs expLegal
The Counsel will independently lead sensitive internal investigations from intake through resolution, including strategy formulation and stakeholder communication. They will also mentor non-attorney investigators and collaborate with HR and compliance teams to determine appropriate remedial actions.
United States$68700 - $114K per year5-10 yrs expHealthcare
The Senior Benefit Advocate ensures client benefit intent is accurately translated from plan documents into configuration systems. They perform complex quality assurance, validate benefit compliance, and collaborate with cross-functional teams to resolve implementation issues.
United States$109K - $181K per year5-10 yrs expOthers
The Senior Manager of Infusion Nursing leads a regional nursing team to deliver high-quality patient care and ensure clinical excellence. They are responsible for developing staff, managing operational efficiency, and ensuring compliance with accreditation standards.
United States$17.75 - $26 per hour0-2 yrs expHealthcare
The Remote Pharmacy Technician supports pharmacists by managing order flow, triaging client calls, and documenting patient medication histories. They are also responsible for maintaining shift documentation and coordinating emergency coverage.
The role involves receiving, scanning, and auditing prescription orders, claims, and payments using high-speed equipment while maintaining strict quality and compliance standards. You will also manage document filing, resolve processing exceptions, and collaborate with internal teams to ensure accurate and timely workflow completion.
United States$96700 - $161K per year5-10 yrs expOthers
The advisor supports account management and clinical teams by ensuring data accuracy, usability, and timely reporting deliverables. They are responsible for compiling data models, identifying trends, and implementing data governance procedures to improve integrity.
United States$57600 - $96000 per year2-5 yrs expOthers
The Case Management Senior Analyst leads complex case planning from intake to resolution, coordinating services across the care continuum to improve health outcomes. They also partner with members, families, and providers to ensure effective, cost-aware care while mentoring team members and supporting quality reviews.
The role is responsible for defining and advancing the enterprise data and analytics architecture strategy, including roadmaps for data platforms, AI/ML, and integration layers. It involves acting as a unifying architecture leader to ensure alignment across digital, data, security, and business domains.
United States$38 - $63 per hour2-5 yrs expHealthcare
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Collaborate with care teams to document patient progress and serve as the primary point of contact for care coordination.
United States$79200 - $132K per year2-5 yrs expHealthcare
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Partner with pharmacists and care teams to coordinate patient care and maintain accurate clinical documentation.
United States$93200 - $155K per year5-10 yrs expHealthcare
The advisor will lead journey mapping and translate stakeholder feedback into actionable business improvements. They will facilitate cross-functional collaboration to strengthen service delivery and operational outcomes.
United States$62600 - $104K per year2-5 yrs expHealthcare
The Lead Analyst supports premium processing, enrollment operations, and financial reconciliation for Individual Dental business. They partner with vendors and internal teams to resolve data discrepancies, maintain accurate financial records, and provide reporting on operational activities.
The Senior Manager will lead a team to develop and execute patient engagement strategies, CRM capabilities, and AI-powered customer experiences. They will orchestrate cross-functional initiatives across business, technology, and clinical teams to drive operational efficiency and improve customer outcomes.
Lead the design, engineering, and implementation of complex CICS infrastructure solutions to support enterprise business objectives. Provide technical leadership for large-scale mainframe initiatives while partnering with application development teams to ensure system reliability and performance.
United States$94900 - $158K per year2-5 yrs expProduct
The role involves supporting the strategy, optimization, and performance of AI-powered patient and prescriber communication experiences across various engagement channels. You will partner with cross-functional teams to drive communication effectiveness, analyze performance metrics, and implement continuous improvements to enhance customer journeys.
United States$212K - $354K per year5-10 yrs expHealthcare
The Medical Director performs medical necessity reviews, case management, and claims resolution while providing clinical insight to internal and external stakeholders. They also participate in coverage guideline development, quality audits, and serve as a mentor to other clinical staff.
The Reconciliation & Quality Advisor manages end-to-end ACA Marketplace reconciliation for Individual Dental products, ensuring financial accuracy and regulatory compliance. The role also performs independent quality reviews and provides actionable recommendations to operational leaders and technology partners.
United States$169K - $282K per year10+ yrs expOthers
The Enterprise Architecture Director will shape architecture across business and technology domains by connecting strategy, capabilities, and platforms into a coherent enterprise direction. They will partner with cross-functional teams to develop value-based roadmaps, drive investment decisions, and ensure operational effectiveness through reusable patterns and modern technology foundations.
United States$113K - $188K per year5-10 yrs expHealthcare
The Senior Advisor designs and manages data processes for retail network client custom pricing files while ensuring accuracy and consistency. They collaborate cross-functionally to translate complex data into actionable insights and resolve pricing-related inquiries.
The Senior Advisor designs and deploys AI-powered tools, automated workflows, and executive dashboards to enhance sales intelligence and business decision-making. They act as a liaison between sales, technology, and analytics teams to drive data-driven strategies and improve account management performance.
United States$195K - $325K per year10+ yrs expHealthcare
The Senior Director will lead the strategy, delivery, and modernization of technology platforms supporting Claims and Intelligence Solutions. They are responsible for driving AI-enabled software development, ensuring operational excellence, and aligning technology investments with enterprise business outcomes.
United States$66600 - $111K per year5-10 yrs expHealthcare
The Provider Relations Manager is responsible for managing the end-to-end provider experience and service delivery for an assigned book of business. They collaborate with matrix partners to drive service improvements, resolve service impacts, and develop strategic action plans for providers.
The Director leads the strategic analytics agenda for Evernorth Pharmacy Solutions by driving actionable insights and innovative analytic capabilities to improve business performance. They are responsible for building high-performing teams and partnering with executive leaders to translate complex data into measurable business impact.
United States$67100 - $111K per year5-10 yrs expSupport
The clinician provides 24/7 telephonic clinical support, crisis de-escalation, and ongoing case management for members. They are responsible for assessing clinical needs, developing SMART goals, and collaborating with internal teams to ensure seamless care transitions.
United States$130K - $216K per year10+ yrs expFinance
The role involves leading the Legal organization's budgeting, forecasting, and financial planning processes while providing strategic financial analysis to leadership. You will also establish financial governance, manage legal spend analytics, and drive continuous improvement initiatives across the department.
United States$63600 - $106K per year2-5 yrs expSales
Support the North American sales team by preparing quotes, proposals, applications, and presentation materials, while coordinating new-business implementation with internal and external partners. Maintain Salesforce records, produce reports and analyses, respond to prospect and broker inquiries, and contribute to market projects and process improvements.
The LPN will review, document, and submit adverse drug event reports to pharmaceutical manufacturers and the FDA. They will also participate in audits, maintain regulatory compliance, and collaborate with internal teams to ensure high-quality reporting.
United States$55 - $91 per hour5-10 yrs expHealthcare
The pharmacist provides antimicrobial stewardship services, including prospective audit and feedback, to optimize medication-related healthcare outcomes. They collaborate with interdisciplinary teams to develop evidence-based recommendations and support clinical quality improvement initiatives.
United States$22 - $37 per hour0-2 yrs expHealthcare
The resident will collaborate with health plan clients and account teams to develop and execute clinical strategies that improve member outcomes and optimize pharmacy spend. Responsibilities include analyzing pharmacy trends, supporting formulary management, and participating in client presentations and strategic planning.
The supervisor leads a regional team to identify and prevent fraudulent, wasteful, and abusive claims within Cigna's international business. They are responsible for meeting KPIs, managing stakeholder relationships, and driving continuous process improvement.
The Senior Director leads the development and execution of enterprise clinical AI and technology strategies to improve clinical quality, operational efficiency, and patient outcomes. They partner with cross-functional teams to translate complex clinical needs into scalable, AI-enabled solutions while managing performance and governance.
The role involves architecting and developing scalable, high-performance cloud-native applications while leveraging AI-driven tools to accelerate delivery. You will collaborate with cross-functional teams to implement software engineering best practices and lead proof-of-concept initiatives for new technologies.
The Staff Pharmacist is responsible for compounding and dispensing medications while ensuring quality assurance and oversight of pharmacy technicians. They must interpret prescriptions, verify controlled substances, and maintain accurate order status within regulatory guidelines.
United States$54 - $91 per hour2-5 yrs expHealthcare
The staff pharmacist provides remote telepharmacy services, including order entry, verification, and clinical counseling for multiple hospital clients. They are responsible for maintaining clinical excellence, ensuring regulatory compliance, and documenting all interventions within various pharmacy information systems.
United States$130K - $216K per year5-10 yrs expSales
The role involves strategically managing supply chain initiatives, including rebate alignment, formulary management, and pharmacy network strategies. The advisor will drive cross-functional collaboration to operationalize growth objectives and ensure financial tracking and contract compliance.
United States$116K - $193K per year2-5 yrs expHealthcare
The role involves developing and executing formulary management strategies and drug utilization programs to drive affordability and clinical outcomes. The advisor will coordinate with cross-functional matrix partners to track market changes and implement clinical programs across pharmacy and medical benefits.
The Staff Pharmacist interprets and verifies prescriptions while consulting with patients and physicians to ensure safe medication use. They also provide quality assurance oversight for pharmacy technicians and maintain production standards.
United States$90200 - $150K per year5-10 yrs expSales
The Strategic Sales Support Advisor acts as a dedicated partner for high-priority national accounts, managing the sales lifecycle from proposal development to contracting and implementation. They coordinate cross-functional resources, mitigate risks, and facilitate executive-level presentations to improve win probability.
United States$207K - $346K per year2-5 yrs expHealthcare
The Medical Director conducts specialized evidence-based medical case reviews to determine medical necessity using company software. They also engage in peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
United States$175K - $291K per year10+ yrs expTeaching
The Senior Principal is responsible for shaping high-value enterprise strategies and leading a portfolio of consequential business opportunities and innovation initiatives. They will drive cross-functional teams to convert ambiguous strategic questions into decision-ready recommendations for executive leadership.
The Senior Account Executive will lead territory strategy to drive specialty pharmacy growth and strengthen relationships with healthcare providers and referral sources. They will collaborate with clinical and operational partners to improve patient access and implement territory business plans to achieve sales objectives.
The Senior Account Executive will own and execute account strategy for complex payer clients to drive growth, retention, and executive partnership. They will lead cross-functional teams and serve as a senior escalation point to ensure exceptional client outcomes and profitable growth.
United States$207K - $346K per year2-5 yrs expHealthcare
The Medical Director conducts specialized evidence-based medical case reviews to determine medical necessity using company software. They also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative care paths.
United States$91100 - $151K per year2-5 yrs expFinance
The Financial Compliance Advisor will collaborate with business owners to design and document internal controls for SOX and SOC 1 compliance. They will also liaise with internal and external auditors to manage testing readiness and remediate identified control deficiencies.
The Senior Account Executive will lead territory strategy to drive specialty pharmacy growth and strengthen relationships with healthcare providers and referral sources. They will collaborate with clinical and operational partners to improve patient access and execute business plans to achieve referral and growth objectives.
The Senior Director will define and execute the architectural vision and modernization strategy for the PBM technology ecosystem. They will lead a team of enterprise architects to implement AI-driven innovations and scalable, domain-driven architectures.
United States$17 - $25 per hour0-2 yrs expHealthcare
The associate will triage inbound calls from patients and providers to resolve non-clinical pharmacy requests or facilitate transfers to pharmacists. They are responsible for accurately documenting interactions and updating patient profiles within pharmacy systems while maintaining HIPAA compliance.
United States$100K - $167K per year5-10 yrs expFinance
The Tax Advisor supports global tax compliance, reporting, and accounting functions, including the preparation of U.S. international tax filings and tax provisions. They collaborate with internal and external teams to ensure regulatory compliance and contribute to process improvement initiatives.
The Data Science Senior Advisor leads complex analytics initiatives focused on pharmacy, clinical outcomes, and total cost of care strategies. This role involves designing program evaluations, analyzing healthcare claims data, and partnering with stakeholders to generate actionable insights that inform business strategy.
United States$131K - $218K per year5-10 yrs expProduct
Develop and execute the product strategy and roadmap for agent experience tools, including AI-powered solutions to enhance productivity. Collaborate with cross-functional teams to gather feedback, define requirements, and monitor product performance against operational metrics.
The associate is responsible for receiving, inspecting, and verifying incoming pharmacy shipments while packing items for outgoing delivery. They perform production duties under direct supervision and follow established procedures for pharmacy operations.
United States$177K - $296K per year10+ yrs expProduct
The Senior Director will lead the vision, strategy, and execution for Medicare-related product lines including EGWP, M3P, and RDS. They are responsible for driving business performance, ensuring regulatory compliance, and fostering partnerships to deliver exceptional client outcomes.
United States$101K - $169K per year5-10 yrs expFinance
The Accounting Manager will lead the modernization of the enterprise SOX program by implementing automation, continuous monitoring, and data-driven testing routines. They will partner with cross-functional teams to optimize control design and provide advisory support for enterprise transformation and system implementation projects.
United States$79200 - $132K per year2-5 yrs expHealthcare
The Home Infusion Nurse will provide safe administration of specialty medications and IV infusions directly in patients' homes. They will also partner with pharmacists and care teams to coordinate patient care and maintain accurate clinical documentation.
The Senior Director is responsible for the end-to-end strategy, development, and growth of Evernorth's affordability and value-based solution portfolio. This leader will manage cross-functional teams to translate market needs into scalable solutions that improve health outcomes and drive enterprise value.
United States$124K - $206K per year5-10 yrs expSales
The Senior Pharmacy Account Executive serves as the lead subject matter expert for integrated pharmacy benefits, managing client relationships and retention within an assigned market. They are responsible for developing strategic business plans, conducting financial analysis, and partnering with internal stakeholders to drive growth and operational excellence.
The Senior Principal AI Business Partner shapes AI investment, portfolio prioritization, and delivery standards across business units. They act as a strategic advisor to executive sponsors, overseeing complex AI programs from discovery to production.
United States$79200 - $132K per year2-5 yrs expHealthcare
The Home Infusion Nurse will provide safe administration of specialty medications and IV infusions in patients' homes. They will also partner with care teams to coordinate patient care and maintain accurate clinical documentation.
The Senior Director provides enterprise leadership for integrated resource management, including workforce management and operations analytics. They are responsible for setting multi-year strategies, directing forecasting and capacity planning, and ensuring operational data translates into clear business decisions.
The Senior Account Executive will lead territory strategy to drive specialty pharmacy growth and strengthen relationships with healthcare providers and referral sources. They will collaborate with clinical and operational partners to improve patient access and ensure the successful implementation of payer agreements.
The role involves supporting teams in adopting DevOps culture and tooling while driving continuous improvement across technology services. You will also be responsible for architecting deployment pilots, ensuring secure and compliant releases, and evangelizing security best practices.
United States$184K - $307K per year10+ yrs expProduct
The Senior Director leads the design and industrialization of enterprise-agnostic data and digital product solutions using a centralized medallion architecture. This role integrates AI and automation to accelerate modeling cycles and ensures all assets are reusable, scalable, and production-ready.
The Principal will lead complex negotiations with pharmaceutical manufacturers and design contracting strategies to optimize formulary positioning and affordability. They will serve as a strategic advisor, connecting internal teams and external stakeholders to drive competitive pricing and deal execution.
The Sr. Account Executive will drive sales objectives and patient-centered impact by building relationships with oncology practices across New England. Responsibilities include executing territory business plans, delivering educational interactions, and managing account documentation in Salesforce.
The Principal Architect will lead the design and implementation of scalable, cloud-native, and AI-driven solutions to modernize the PBM ecosystem. They will provide technical leadership, mentor engineering teams, and define architectural standards to improve operational efficiency and innovation.
The Principal Architect designs reusable, scalable data models and solution architectures to support enterprise data and digital products. They also mentor engineering teams and apply AI and automation to accelerate the modeling and production lifecycle.
The Information Protection Advisor is responsible for designing, implementing, and supporting enterprise directory services including Active Directory, LDAP, and DNS. They will also lead infrastructure projects, resolve critical incidents, and collaborate with teams to ensure secure and scalable technology solutions.
Manage a team of developers to build and maintain scalable backend applications using Node.js and Typescript. Oversee system integrations across cloud and on-premises platforms while implementing AI capabilities and ensuring application robustness.
United States$94700 - $157K per year5-10 yrs expOthers
The Client Enablement Advisor provides subject matter expertise throughout the sales process by translating pharmaceutical client needs into data-based solutions. They also manage implementation, coordinate internal cross-functional teams, and maintain relationships to ensure service delivery and contract expansion.
The Provider Contracting Advisor manages complex contract negotiations and fee-for-service reimbursements for a local territory. They also build provider partnerships and collaborate with internal matrix partners to ensure network quality and cost-effectiveness.
The Release Train Engineer will facilitate PI planning, manage the flow of value through the program, and drive continuous improvement across global Agile teams. They will also coach leaders and teams on lean-agile practices while ensuring alignment between strategy and execution.
United States$113K - $188K per year5-10 yrs expProduct
The Product Management Senior Advisor provides leadership and strategic direction for the MoreThanRx product portfolio, ensuring alignment with enterprise objectives and regulatory requirements. This role drives product operations, process improvement, and cross-functional collaboration to enhance affordability and consumer engagement.
United States$207K - $346K per year2-5 yrs expHealthcare
The Medical Director performs evidence-based medical necessity reviews and conducts peer-to-peer consultations with healthcare providers. They collaborate with a large team of physician colleagues to ensure patients receive appropriate care and treatment.
United States$207K - $346K per year2-5 yrs expHealthcare
The Medical Director conducts specialized evidence-based medical case reviews to determine medical necessity using company software. They also perform peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
The Account Executive will drive sales effectiveness and build strong relationships with healthcare providers to expand referral opportunities in the Chicago market. They will also facilitate patient transitions to specialty pharmacy services and collaborate with internal teams to ensure coordinated messaging.
United States$113K - $188K per year5-10 yrs expProduct
The advisor provides strategic leadership for the enterprise identity platform, shaping roadmaps for authentication, fraud prevention, and AI-aware identity capabilities. They act as a bridge between business and technical teams to drive adoption and deliver secure, personalized digital experiences.
The Staff Pharmacist is responsible for compounding and dispensing medications while ensuring accuracy and regulatory compliance. They also manage pharmacy technician workflows, verify orders, and provide quality assurance oversight.
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Partner with pharmacists and care teams to ensure holistic patient well-being and maintain accurate patient records.
United States$119K - $199K per year5-10 yrs expOthers
The Senior Advisor develops and executes clinical strategies across therapeutic areas to drive market growth and differentiate solutions. They collaborate with cross-functional teams to analyze healthcare trends, evaluate financial impacts, and ensure alignment across the supply chain organization.
United States$135K - $226K per year5-10 yrs expOthers
The Senior Manager will develop and execute clinical strategies across therapeutic areas to drive market growth and differentiate solutions. They will collaborate with cross-functional teams to analyze healthcare trends, evaluate financial impacts, and manage strategic partnerships.
United States$390K - $585K per year10+ yrs expHealthcare
The Chief Medical Officer will lead clinical strategy across Evernorth’s diverse pharmacy and care delivery businesses while collaborating with senior leadership to drive innovation and quality. This role also involves serving as an external-facing clinical leader to represent the organization to clients, providers, and regulators.
The role involves building and maintaining machine learning models to identify opportunities for pricing and underwriting partners. You will collaborate with leadership and stakeholders to deliver actionable insights and robust analytics that enhance competitive positioning.
United States$184K - $307K per year10+ yrs expProduct
The Senior Director leads the integrated Data & Product pillar, overseeing the Data Foundation, Finance 360 product, and Data Operations workstreams. This role aligns strategic priorities, manages resources, and partners with senior leadership to drive the Finance Forward strategy.
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 and employers.
The engineer will design, implement, and deploy scalable AI solutions, including Gen AI platforms and document processing pipelines. They will collaborate with business partners and IT teams to deliver effective solutions using Agile methodologies.
United States$54 - $91 per hour2-5 yrs expHealthcare
The Staff Pharmacist interprets and verifies prescriptions while consulting with patients on medication use and potential drug interactions. They also provide oversight to pharmacy technicians and ensure compliance with regulatory guidelines.
United States$54 - $91 per hour2-5 yrs expHealthcare
The Staff Pharmacist is responsible for interpreting prescriptions, verifying order accuracy, and consulting with patients regarding medication use and potential drug interactions. They also provide oversight to pharmacy technicians and collaborate with prescribers to tailor infusion regimens.
United States$207K - $346K per year2-5 yrs expHealthcare
The Medical Director conducts specialized evidence-based medical case reviews to determine medical necessity using company software. They also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
United States$87000 - $145K per year5-10 yrs expHealthcare
Provide expert clinical care, patient education, and medication administration in home, clinic, or virtual settings. Collaborate with healthcare teams to manage patient conditions and provide mentorship to new nursing staff.
United States$207K - $346K per year2-5 yrs expHealthcare
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.
United States$207K - $346K per year2-5 yrs expHealthcare
Perform evidence-based medical necessity reviews for pediatric otolaryngology cases using specialized software. Conduct peer-to-peer consultations with providers to recommend appropriate treatments and ensure high-quality patient care.
United States$207K - $346K per year2-5 yrs expHealthcare
Perform evidence-based medical necessity reviews for spine surgery cases using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
United States$207K - $346K per year2-5 yrs expHealthcare
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.
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.
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 referral generation and therapy adoption.
The Third Party Management Advisor is responsible for governance, vendor and risk management, and relationship management processes in support of The Cigna Group's IT organization. This role involves building vendor management strategies and supporting procurement teams in negotiations and proposal analysis.
As a Customer Service Representative, you will handle inbound and outbound calls from patients, learning about their medical history and challenges with fertility. You will ensure process efficiency by coordinating fertility plans and medications while resolving customer issues.