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$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$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$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...SuggestedFull 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...SuggestedMinimum 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...SuggestedHourly 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...SuggestedMinimum 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...SuggestedMinimum wageWork experience placementLocal areaRemote work$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...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote work$158.3k - $263.9k
...drive adoption. Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify... ...completing the online application process, please email: SeeYourself@cigna.com for support. Do not email ****@*****.*** for an update...Full timeLocal area$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- ...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
- ...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
- ...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...Hourly payPart timeWork at officeShift workWeekend work
- ...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
- ...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
$108.51 per hour
...functions for the business unit. ~ Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. ~ Performs medical review activities pertaining to utilization review, quality assurance, and medical review...Hourly payFull timePart timeReliefWork at officeRemote workFlexible hoursWeekend work- ...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
- ...we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund... ...patient care and service efficiency. Prepare case summaries for review as needed. ~ Administrative Duties: Participate in...Full timeWork at officeLocal areaShift workDay shift
- ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~... ...vital signs correctly. You bring knowledge of and correct utilization of good body mechanics. Required Qualifications Successful...ReliefLocal areaShift workNight shift
- ...contracts to drive business opportunities. Sales Tools & Reporting: Utilize available sales tools to develop prospects, achieve targets, and... ...~ Health and Wellness Programs and Events ~ Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie...Flexible hours
- ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~... ...assess, evaluate, and anticipate needs. Participate in the review and evaluation of the quality and effectiveness of nursing care....Full timeLocal areaShift workDay shift
- ...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 workWork at office
$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 timePart timeCasual workReliefFlexible hoursAfternoon shift





