The associate will translate prescriptions, enter data into patient profiles, and collaborate with pharmacists to ensure accurate medication delivery. They will also support quality assurance efforts and provide standout service to patients and providers.
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.
The Pre-Service RN Care Coordinator manages clinical and operational activities for post-acute care services, including transition of care and case management. They collaborate with members and providers to ensure medically appropriate services are ordered and documented in compliance with regulatory standards.
The Medical Director oversees the clinical activities of the DME and IRF programs, including guideline management, case audits, and policy development. They also supervise and mentor medical directors while ensuring adherence to clinical criteria and regulatory standards.
The analyst is responsible for ensuring the accuracy, completeness, and compliance of onboarding and renewal documentation for new and existing clients. They will coordinate with matrix partners to initiate installations and maintain system records while supporting various departmental projects.
The Managing Director leads enterprise security architecture and engineering, ensuring security is embedded across cloud, application, and infrastructure environments. They are responsible for delivering cybersecurity platforms that enable protection, detection, and response at scale while aligning investments with business priorities.
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 incumbent will manage a portfolio of complex client accounts, performing billing, collections, and account reconciliation tasks. They will also research payment issues, facilitate meetings with internal and external partners, and ensure quality through peer audits.
The Senior Director leads the strategic direction and operational performance of patient access, therapy initiation, and care coordination across multiple service lines. They are responsible for driving growth, optimizing reimbursement processes, and ensuring high-quality, patient-centered service delivery through cross-functional leadership.
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.
The Medical Executive serves as a strategic physician leader responsible for improving healthcare affordability and network performance through provider engagement and clinical leadership. They leverage clinical expertise and data-informed collaboration to influence care delivery, reduce avoidable costs, and support value-based care initiatives.
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 Chief of Staff supports the Managing Director of Pharmacy Services by driving strategic initiatives, facilitating cross-functional collaboration, and ensuring organizational alignment. They are responsible for managing leadership operating rhythms, preparing executive communications, and overseeing high-priority business projects.
The Medical Director conducts evidence-based medical necessity reviews and engages in peer-to-peer consultations with healthcare providers. They collaborate with a team of physicians to ensure patients receive appropriate care while maintaining compliance with healthcare regulations.
The Senior Director assists the VP of Pharma Strategy and Contracting in setting and executing pharmaceutical rebate strategies across various business lines. They manage relationships with pharmaceutical manufacturers and collaborate with internal teams to maximize value and cost savings.
The Senior Analyst manages the end-to-end billing relationship for a complex book of business, ensuring accurate premium and claims funding collection. They also analyze financial data, resolve billing inquiries, and implement process improvements to enhance client satisfaction and financial controls.
The Business Process Lead Analyst facilitates Agile ceremonies and manages backlog readiness to ensure predictable delivery for the Client Readiness Analytics product. This role also oversees operational routines, including Jira and Confluence maintenance, to support high-volume analytics workflows.
The Business Process Lead Analyst will facilitate Agile ceremonies and manage backlog readiness to ensure predictable delivery for the Client Readiness Analytics product. They will also support operational routines, including Jira and Confluence management, and identify opportunities for process improvement.
Lead complex technical implementation projects that integrate healthcare technology solutions into client environments. Partner with stakeholders to analyze requirements, resolve technical issues, and ensure successful project delivery.
The Go-to-Market Lead is responsible for developing and executing strategies to meet product adoption and sales goals by bridging the gap between product and sales teams. This role involves leading cross-functional projects, creating compelling sales messaging, and identifying market opportunities to drive growth and retention.
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.
The Specialty Infusion Field Nurse provides safe administration of specialty medications and IV infusions in patients' homes. They also partner with care teams to coordinate patient care and maintain accurate clinical documentation.
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.
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.
The associate is responsible for receiving, inspecting, and verifying incoming pharmacy shipments while packing outgoing items according to specifications. They perform daily production tasks under direct supervision and provide administrative support as needed.
The Senior Medical Director drives clinical strategy, innovation, and client impact for large employer accounts. They serve as a senior clinical voice, partnering with account teams to develop strategic roadmaps and deliver actionable clinical insights.
The Staff Pharmacist provides clinical support by counseling patients, verifying prescriptions, and managing pharmacovigilance and REMS program requirements. They also act as a clinical subject matter expert, collaborating with internal teams and assisting in the training of new staff.
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.
The Quality Review and Audit Advisor leads the resolution of issues identified during pharmaceutical audits and Pharma Web Portal reviews. They track data deliverables, monitor contract compliance, and collaborate cross-functionally to improve data analytics and departmental processes.
The Pharmacy Technician will assist with data entry for incoming prescriptions and conduct outbound calls to prescriber offices to ensure quality assurance. They will also work with patients and doctors to resolve medication coverage issues and provide support for chronic health conditions.
The Medical Director performs evidence-based medical necessity reviews using specialized case management software. They also conduct peer-to-peer consultations with healthcare providers and lead virtual rounds with nursing teams.
The Medication History Pharmacy Technician collects and documents accurate patient medication histories while assisting pharmacists with clinical and administrative tasks. They are responsible for interviewing patients, resolving medication discrepancies, and supporting data entry and insurance claim processes.
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 managing pharmacy operations and supporting the delivery of health and benefit solutions. You will contribute to improving health outcomes by facilitating the prediction, prevention, and treatment of illnesses.
The Pharmacy Production Clerk Representative is responsible for accurately preparing, packaging, and distributing medications while maintaining quality and safety standards. They also serve as a subject matter expert to support team onboarding, training, and operational process improvements.
The Pharmacy Account Executive serves as the primary expert on pharmacy benefits for clients, managing a designated book of business in the Midwest market. They are responsible for driving client retention, growth strategies, and providing consultative expertise on pharmacy management solutions.
The Clinical Support Technician Lead oversees daily pharmacy operations, supervises staff, and manages work queues to ensure accurate prescription processing. This role also develops and leads training programs while providing ongoing coaching and support to team members.
The role involves leading the Legal organization's budgeting, forecasting, and financial planning processes while providing strategic financial analysis to leadership. Additionally, the incumbent will establish financial governance and leverage technology to improve reporting accuracy and operational performance.
The Lead Analyst manages the client data delivery process, ensuring accuracy, timeliness, and adherence to quality standards. They are responsible for building and maintaining Databricks dashboards, troubleshooting data issues, and collaborating with internal teams to support client onboarding and product releases.
The Eligibility Representative reviews and interprets insurance coverage and benefit limitations to coordinate medication needs for specialty pharmacy patients. They also initiate outbound communication with payers to resolve coverage questions and manage the prior authorization process.
The role involves leading the development of behavioral and coaching initiatives by partnering with clinical and product teams to identify healthcare opportunities. You will translate business needs into scalable analytic solutions using SQL and Databricks to drive actionable insights and process improvements.
The administrator leads the end-to-end implementation of SaaS projects, serving as the primary subject matter expert for new and existing customers. They manage customer relationships, data integration, system configuration, and training to ensure successful project launches and transitions to account management.
The Account Manager is responsible for managing a book of small-to-medium global accounts, including renewals, upselling, and providing consultative solutions. They must also resolve escalated client issues and maintain accurate documentation within sales information systems.
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.
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 Senior Advisor will provide strategic analytical support for payment integrity programs by identifying trends, risks, and affordability opportunities. They will translate complex data findings into actionable insights and business cases to drive enterprise affordability goals.
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.
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, accessibility standards, and token pipelines while partnering with product teams to drive system adoption.
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 Managing Director is responsible for defining and scaling a centralized HR product and transformation strategy, including AI-enabled workflows and process redesign. This leader will build and manage a team to identify high-impact transformation opportunities and ensure alignment with enterprise business needs.
Lead the design and implementation of modern, cloud-native, and AI-driven architecture solutions for the PBM ecosystem. Drive the transformation of legacy platforms while mentoring engineering teams and establishing technical standards.
The Certified Pharmacy Technician will perform data entry, manage call queues, and translate prescriptions while ensuring quality assurance and patient outreach. They will work collaboratively with pharmacists to maintain patient profiles in accordance with state and national regulations.
The Medical Director will conduct specialized evidence-based medical case reviews for medical necessity using case management software. They will also perform peer-to-peer consultations with healthcare providers to discuss the appropriateness of requested treatments and recommend alternatives.
The clinician will provide 24/7 clinical support, including crisis de-escalation, risk assessment, and ongoing case management for members. They will collaborate with internal teams to ensure seamless care transitions while maintaining accurate clinical documentation and compliance standards.
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 teams to implement value-based care initiatives and drive measurable outcomes in clinical quality and cost efficiency.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and drug interactions. They also manage order status, resolve dispensing issues, and maintain high standards of production and quality.
The role involves managing pharmacy pricing strategies and provider contracts to meet contractual guarantee targets through performance analysis and forecasting. The advisor will lead complex claims-based analyses and collaborate with cross-functional teams to support negotiations and strategic business initiatives.
Provide safe and effective administration of specialty medications and IV infusions in patients' homes. Collaborate with pharmacists and care teams to document patient progress and ensure holistic well-being.
The Staff Pharmacist interprets and verifies prescriptions while consulting with patients on medication use and potential drug interactions. They also collaborate with physicians to authorize prescriptions and resolve order issues to ensure high-quality service levels.
Lead ancillary provider and health system contract negotiations while performing detailed financial modeling and analysis. Cultivate and maintain relationships with providers to support local market strategy and network development.
The Inbound Operations Lead coordinates daily receiving and inventory activities to ensure accurate, timely, and compliant product processing. This role also provides leadership, training, and support to associates while driving operational excellence and continuous improvement initiatives.
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.
The Pharmacy Technician supports the safe and accurate processing of specialty medications for patients with Cystic Fibrosis. This role involves managing complex workflows, coordinating outreach, and collaborating with pharmacists and clearance teams to ensure timely medication access.
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.
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 opportunities while collaborating with sales managers to drive regional growth.
The counselor is responsible for diagnosing and treating mental health and substance use disorders through individual, group, or family sessions. They also coordinate care with interdisciplinary teams and provide referrals to ensure holistic patient support.
The Pharmacy Technician will perform data entry for incoming prescriptions and manage outbound calls to prescriber offices to ensure quality assurance. They will also work with patients and doctors to resolve medication coverage issues and provide comprehensive management services.
The associate will triage inbound calls from patients and providers to resolve pharmacy requests or facilitate transfers to pharmacists. They are responsible for accurately documenting interactions and updating patient profiles within internal pharmacy systems.
The pharmacy technician will process prescription orders, verify order accuracy, and manage inbound calls from patients and healthcare providers. They will also maintain patient records and collaborate with internal teams to resolve coverage and shipment issues.
The Staff Pharmacist interprets and verifies physician prescriptions while consulting with patients regarding medication use and potential drug interactions. They also collaborate with prescribers to optimize therapy and provide quality assurance oversight for pharmacy technicians.
Provide safe and effective IV infusion medication administration to patients within their homes. Collaborate with pharmacists and care teams while maintaining accurate patient records and coordinating care.
The Provider Contracting Advisor manages complex commercial contract negotiations and value-based reimbursement activities for a designated territory. They build and nurture provider partnerships while collaborating with internal matrix partners to ensure network adequacy and cost-effective healthcare solutions.
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.
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.
The Medical Director will lead the development and execution of clinical strategies for high-risk members, focusing on scalable programs and digital/AI-enabled solutions. They will partner across multiple departments to translate clinical and business priorities into measurable performance goals and actionable implementation plans.
The Senior Managing Counsel serves as a primary legal advisor to the Board of Directors, overseeing corporate governance frameworks, committee operations, and fiduciary duties. The role also manages the Office of Corporate Secretary team and leads the preparation of annual proxy statements and shareholder engagement strategies.
The Customer Engagement Strategist will design and execute data-driven, multichannel engagement strategies to improve health outcomes and drive behavior change. They will lead A/B/n experimentation and partner with cross-functional teams to optimize customer journeys across various digital and offline touchpoints.
The Managing Director leads strategic and operational functions to drive business performance, scalable growth, and customer excellence across CuraScript Specialty Distribution. This role oversees critical areas including pricing administration, data governance, contract management, and cross-functional business initiatives.
Drive growth for specialty therapy products including Immune Globulin and Asthma/Allergy biologics within the Northern California territory. Build strong relationships with physicians and infusion centers to increase referrals and expand access to advanced therapies.
Perform evidence-based medical necessity reviews for pathology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Act as a strategic clinical partner to the Sales organization to drive client growth and innovation through clinical value propositions. Lead clinical analysis on outcomes and affordability while representing the company as a clinical ambassador at industry events.
Lead the full pursuit lifecycle for new business development and national accounts within an assigned territory. Act as a consultative advisor to strategic stakeholders to influence opportunities and achieve sales targets.
The role focuses on building and operationalizing an analytical foundation to connect digital customer engagement to financial and strategic outcomes. This includes developing measurement frameworks, performing deep-dive performance analysis, and translating complex data into narratives for enterprise decision-making.
The role focuses on building the analytical foundation to connect digital product strategies with financial and strategic outcomes. This includes developing measurement frameworks, optimizing digital capabilities, and translating complex data into actionable business narratives.
Act as a Subject Matter Expert for IOH Provider Claims, focusing on process improvement, financial verification, and quality audits. Lead the training and onboarding of new hires while monitoring team performance and resolving escalated cases.
Define and champion a product vision that leverages data and analytics to improve customer outcomes and clinical care. Lead Agile teams in building, testing, and releasing scalable data products while managing product backlogs and roadmaps.
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 pediatric otolaryngology cases using specialized software. Conduct peer-to-peer consultations with providers to recommend appropriate treatments and ensure high-quality patient care.
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.
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.
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.
Perform evidence-based medical case reviews for medical necessity using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
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.
