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- ...to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY: The Utilization Management Inpatient Review Nurse is responsible for managing inpatient conducting thorough reviews of clinical documentation and applying clinical...Suggested
$269.5k - $425.5k
...member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workWeekend work$65k - $88.6k
...part of our caring community and help us put health first The Utilization Management Behavioral Health Professional 2 utilizes... ...Perform accurate and timely initial and ongoing treatment reviews with documentation in MSR reflecting determination of appropriateness...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to FridayShift workWeekend work$206.3k - $343.9k
...regional with national level case work for Cigna Healthcare (CHC) Cigna. Summary... ...: A Medical Principal performs medical review and case management activities. The physician... ...a clinical educator and consultant to utilization management, case management, network, contracting...SuggestedLocal areaWork from home- ...incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted... ...client presentations, quarterly/annual reviews, modeling/report reviews and rebate... ...Conducts clinical analysis of medication utilization and formulary performance to identify...SuggestedWork at officeLocal areaWork from homeShift work3 days per week
$110.7k - $184.5k
...within Provider Operations and Coverage Review Ops. Responsibilities include rapidly gaining... ...of the product flow, technologies utilized and solution outcomes to leadership and matrix... ...in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range...SuggestedLocal areaWork from home- ...incumbent candidate can be based out of any US Cigna Healthcare office. This position is a... ...presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.... ...Demonstrated ability managing projects, utilizing proven project management processes ~...SuggestedWork at officeLocal areaWork from homeNight shift3 days per week
$107k - $178.3k
...Utah, Pacific Northwest As part of Cigna Pharmacy Management, the Pharmacy Sales... ...in client meetings and presentations to review client performance and sell in the suite... ...detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with...SuggestedRemote jobContract workLocal areaWork from home$19.97 - $30.92 per hour
...awarded the Honorable Culture of Well-Being by Cigna and ranked #7 Healthiest Employer to Work... ...System * Works in RecTrac Program. Utilizes RecTrac daily, creates RecTrac numbers... ...City's records retention policy * Types, reviews and distributes correspondences, press...SuggestedBi-weekly payHourly pay16 hoursFull timeTemporary workLive inWork at officeMonday to FridayFlexible hoursShift work$131.4k - $169.95k
...of physicians and other health care practitioners; driving the utilization of systems for granting or terminating clinical privileges,... ...membership, proctoring and continuing education; leading the review and approval of medical staff or provider staff Bylaws, Rules...SuggestedFull timeWork experience placementWork from homeFlexible hoursShift work- ...Position Overview Title: Medical Director (Utilization Management) Location: Remote (must reside on the West Coast; PST hours... ...management (UM) processes, focusing on inpatient and post-acute care reviews, ensuring timely, appropriate, and evidence-based care for...SuggestedContract workRemote work
$260k - $285k
...have access to the highest quality of care while efficiently utilizing healthcare resources. HCP's vision is to be recognized... ...City Team? We are currently seeking a Medical Director - UM Reviewer. Position Summary: The Medical Director will be responsible...SuggestedFull timeLocal area$31 - $52 per hour
...Help the Chief/Supervisor manage subcontractors when needed. Review work orders, estimate time and materials, and keep inventory stocked... ...be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...SuggestedHourly payFor subcontractorWork at officeLocal areaWork from homeMonday to FridayFlexible hours$75k
...healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate...SuggestedRemote workWeekend work- ...process for Medical, Dental, Pharmacy, Behavioral products. Review and respond to RFP's, manage internal strategy and present quotations... ...to participate in an incentive compensation plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...SuggestedLocal areaWork from home
$200k - $230k
...Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We Are...Full timeWork at officeRemote workFlexible hours$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...Minimum wageWork experience placementWork at officeLocal areaRemote work$33 - $56 per hour
...want a steady job at one location with a set schedule? If so, The Cigna Group is the place for you! We are looking for an experienced... ...Inspect, maintain, and repair HVAC and refrigeration systems. Review work orders, estimate time and materials, and keep track of inventory...Hourly payFor contractorsLocal areaWork from homeMonday to Friday$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...Minimum wageWork experience placementLocal areaRemote work$248.5k - $373k
...with a Fortune 4 industry leader. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance... ...responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with...Minimum wageWork experience placementLocal areaRemote work$158.3k - $263.9k
...details on our employee benefits programs, visit . About The Cigna Group Doing something meaningful starts with a simple decision... ...drive adoption. Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify opportunities...Full timeTemporary workLocal areaWork from home$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and...Minimum wageFull timeWork experience placementLocal areaRemote work- ...the lives of others? Express Scripts Pharmacy, a division of The Cigna Group, is hiring warehouse associates like you to receive,... ...warehouse or dispensing locations and ensures proper stock rotation-utilizing PDAs to update the inventory system. Using your organization,...Local areaMonday to FridayFlexible hoursShift workDay shiftAfternoon shift
$225k - $250k
...Market Growth LeaderSelect and Middle Markets (Northern California) Cigna Healthcare 6 days ago Be among the first 25 applicants The... ...guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories...Full timeLocal areaWork from homeFlexible hours- ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~... ...care procedures, observations, treatments and techniques utilized by facility. You have the ability to perform vena puncture. You...Full timeWork at officeLocal areaShift workDay shift
- ...Job Description Aligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the... ...the best outcome. Consult on vision sales opportunities. Review and respond to RFP's by coordinating with internal matrix partners...Temporary workLocal areaWork from home
- ...information visit our website Join us on the journey of two companies' massive electric vehicle project in Bartow County! Summary: Utility (Electrical) technician works in routine, following standard procedures under supervision. He/She is responsible for managing...Work experience placementWork at office
- ...Join us on the journey of two companies' massive electric vehicle project in Bartow County! Summary: Mechanical technician in Utility is responsible for managing various mechanical facilities and their parts including air compressor, boiler, chiller, clean/dry...Work experience placementWork at officeLocal area
- ...marketing, and finance teams to develop accurate demand forecasts. Utilize data analytics to predict market trends and customer needs.... ...Services ~ Health and Wellness Programs and Events ~ Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie...WorldwideFlexible hoursShift work
- ...facilitating communication and providing timely information. Utilize CRM and company tools to identify priority accounts, optimize referral... ...to participate in an incentive compensation plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...Work at officeLocal areaWork from home




