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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... 
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    Astiva Health, Inc

    Orange County, CA
    2 days ago
  • $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... 
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    Local area
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    Cigna Corporate Services, LLC

    Bloomfield, CT
    2 days ago
  • $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... 
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    Remote job
    Contract work
    Local area
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    The Cigna Group

    Denver, CO
    a month ago
  •  ...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... 
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    Work at office
    Local area
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    Shift work
    3 days per week

    The Cigna Group

    Saint Louis, MO
    a month ago
  • $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... 
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    Local area
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    The Cigna Group

    Hartford, CT
    6 days ago
  •  ...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 ~... 
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    Work at office
    Local area
    Work from home
    Night shift
    3 days per week

    The Cigna Group

    Saint Louis, MO
    21 days ago
  • $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... 
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    Hourly pay
    For subcontractor
    Work at office
    Local area
    Work from home
    Monday to Friday
    Flexible hours

    The Cigna Group

    Newark, DE
    9 days ago
  • $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... 
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    Remote work
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    21 days ago
  •  ...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... 
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    Local area
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    The Cigna Group

    McLean, VA
    3 days ago
  • $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... 
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    Hourly pay
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    Local area
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    Monday to Friday

    The Cigna Group

    Grove City, OH
    5 days ago
  • $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... 
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    Full time
    Work at office
    Remote work
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    ICBD

    Boynton Beach, FL
    19 hours agonew
  • $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... 
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    Full time
    Temporary work
    Local area
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    Cigna Health and Life Insurance Company

    Santa Monica, CA
    9 days ago
  • $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... 
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    Full time
    Local area
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    Flexible hours

    Middle East Development Co. Ltd

    Walnut Creek, CA
    9 days ago
  •  ...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,... 
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    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Day shift
    Afternoon shift

    Indiana Staffing

    Whitestown, IN
    1 day ago
  •  ...patients and compliance with all regulatory bodies within the area of responsibility Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol Oversees and investigates patient and physician concerns, risk management... 
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    Part time
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    BayCare

    Dunedin, FL
    9 days ago
  •  ...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 placement
    Work at office

    HSAGP Energy

    Kingston, GA
    8 days ago
  •  ...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 placement
    Work at office
    Local area

    HSAGP Energy

    Kingston, GA
    26 days ago
  •  ...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 work
    Local area
    Work from home

    The Cigna Group

    Baltimore, MD
    3 days ago
  •  ...analysis and validation. Demonstrated ability to conduct literature reviews, draft study protocols, and complete analytics for research...  ...speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple... 
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    Local area
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    The Cigna Group

    Hartford, CT
    a month ago
  •  ...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 office
    Local area
    Work from home

    The Cigna Group

    Chicago, IL
    6 days ago
  •  ...Job Description Aligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) serves as the market...  ...products through ongoing education and participation in business reviews. Qualifications Required: ~ Bachelor’s degree or equivalent... 
    Local area
    Work from home

    The Cigna Group

    Newton Lower Falls, MA
    9 days ago
  •  ...Job Description Position Overview: The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, QARR, Medicare Advantage Star measure specifications. This position will be an integral part of the... 
    Seasonal work
    Work at office

    Swoon

    New York, NY
    22 days ago
  • $45 - $50 per hour

     ...have the ability to assign themselves to events in their area by utilizing our scheduling system. In addition, we provide pre-event...  ...customer service to participants. Key Responsibilities: Review and explain participants’ screening results (height, weight, BMI... 
    Full time
    Part time
    Casual work
    Relief
    Flexible hours

    Labcorp

    Burlington, NC
    20 hours agonew
  • $18.25 - $22 per hour

     ...questions Provide customer education and information as needed Review test forms for accuracy and report any discrepancies Transcribe reports from reference labs into Labcorp systems Utilize various logistics providers to ship to multiple locations around the... 
    Full time
    Part time
    Casual work
    Relief
    Monday to Friday
    Flexible hours

    Labcorp

    Raritan, NJ
    5 days ago
  •  ...Responsibilities: \n \n Performs computed tomography procedures utilizing established scan protocols, including contrast administration...  ...and utilizes universal protocol when performing procedures. Reviews patient history and assesses physician orders, applying specific... 
    16 hours
    Casual work
    Relief
    Shift work

    UPMC - Pittsburgh Medical Center

    Carlisle, PA
    10 days ago
  •  ...initiative. Responsibilities: Identifies all patients properly by using two patient identifiers and utilizes universal protocol when performing procedures. Reviews patient history and assesses physician orders, applying specific departmental protocols for optimal... 
    Full time
    Relocation package
    Shift work
    Weekend work

    UPMC - Pittsburgh Medical Center

    Harrisburg, PA
    25 days ago
  •  ...Responsibilities: Performs diagnostic radiography procedures utilizing established protocols/procedures without requiring constant...  ...and utilizes universal protocol when performing procedures.  Reviews patient history and assesses physician orders, applying specific... 
    Full time
    Relocation package
    Shift work
    Weekend work

    UPMC - Pittsburgh Medical Center

    Cumberland, MD
    3 days ago
  • $12 per hour

     ...appropriate regulatory documentation practices. Also can perform QC review of data. Independently operates laboratory equipment,...  ...planning, monitoring, and guiding project work by effectively utilizing personnel and resources for timely completion of assigned projects... 
    Full time
    Part time
    Casual work
    Relief
    Flexible hours
    Afternoon shift

    Labcorp

    Indianapolis, IN
    14 days ago
  •  ...cancer. Prepare, test and evaluate new reagents or controls. Utilize a wide array of instrumentation, including 3130xl/3730xl, Tecan...  ..., as required. Accurately enter results of testing. Review reports to ensure accurate test result reporting in preparation... 
    Full time
    Part time
    Traineeship
    Casual work
    Relief
    Flexible hours
    Shift work
    Night shift

    Labcorp

    North Carolina
    1 day ago
  •  ...Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up....  ...and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by... 
    Full time

    Kaiser Permanente

    Clackamas, OR
    11 days ago