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Results based on filters ( 17 jobs found )

Case Management Analyst-3

Cigna Corporation
Located in Ohio
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remote type Remote Cigna Healthcare Medicare Appeals Reviewer: We will ...
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Summary
About the job:
depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions. The Appeals Reviewer reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B and Part D drug. The Appeals Specialist will be responsible for analyzing and responding...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Licensed Practical Nurse
Certified Registered Nurse
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Operations Supervisor, Fulfillment - Express Scripts

Cigna Corporation
Saint Louis, MO
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remote type On-site The Operations Supervisor is responsible for day-to-day ...
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Summary
About the job:
operations of a team of technicians. Manages and improves productivity and performance standards, plans and directs workflow and project assignments. Responsible for attaining or exceeding production goals for their respective area daily. Conducts hiring, training, and evaluation of front-line team members. Responsible for team’s adherence to employment policies and corporate values. Works with the Pharmacy senior leadership team to establish team and site standards and expectations, operational processes and...
Location:
Saint Louis, MO
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Production and Operating Workers
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Risk Adjustment Provider Education Lead Analyst

Cigna
McLean, VA
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Incumbent candidate must reside in assigned territory and have the ability ...
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Summary
About the job:
to travel to the local office and provider offices in the territory. Candidate can be based out of Baltimore, MD office or McLean, VA office. This position cannot be performed remotely. Incumbent candidate must be hybrid, working 3 days per week in assigned local office. Selected candidate will be awarded a one-time sign-on bonus of $5,000 in addition to base salary. This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. The role...
Location:
McLean, VA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Professional Coder
Registered Health Information Technician
Certified Rehabilitation Counselor
Certified Coding Specialist
Certified Radiology Coder
American Health Information Management Association
ICD-10 / ICD-9
Certified Risk Adjustment Coder
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Risk Adjustment Provider Education Lead Analyst - Mid Atlantic - Cigna Healthcare - Mid-Atlantic

Cigna Corporation
McLean, VA
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Incumbent candidate must reside in assigned territory and have the ability ...
Details
Summary
About the job:
to travel to the local office and provider offices in the territory. Candidate can be based out of Baltimore, MD office or McLean, VA office. This position cannot be performed remotely. Incumbent candidate must be hybrid, working 3 days per week in assigned local office. Selected candidate will be awarded a one-time sign-on bonus of $5,000 in addition to base salary. This role is responsible for supporting Cigna Medicare Advantage’s Risk Adjustment program for assigned populations in an operational market. The role...
Location:
McLean, VA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Risk Adjustment Coder
Certified Coding Specialist
Certified Rehabilitation Counselor
Registered Health Information Technician
Certified Professional Coder
Certified Radiology Coder
American Health Information Management Association
ICD-10 / ICD-9
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Coding Education Specialist - Philadelphia - Hybrid

Cigna Corporation
Philadelphia, PA
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Must reside in the Philadelphia area- travel required. We value our talented ...
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Summary
About the job:
employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position, you see is right for you, we encourage you to apply! Our people make all the difference in our success. What you must have in order to do the job: - Remote, Work from Home – must be located in Philadelphia area – required to work in the field/visit multiple provider offices each week - Coding certification required (at least one of the below):...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Certified Risk Adjustment Coder
Certified Radiology Coder
Certified Coding Specialist
Certified Rehabilitation Counselor
Registered Health Information Administrator
Registered Health Information Technician
Certified Professional Coder
ICD-10 / ICD-9
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

MA or LVN- Evernorth- Kissimmee, FL

Cigna Corporation
Orlando, FL
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The experienced MA provides front assistance to the providers in the ...
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Summary
About the job:
preparation for, examination and treatment of patients, and is a critical partner in our Health Centers. This MA will be cross trained for the back office for any coverage as needed. Evernorth Direct Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions. Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine healthcare...
Location:
Orlando, FL
Job Type:
Full-Time
Temporary
Occupation:
Medical Assistants
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Registered Medical Assistant
Certified Medical Assistant
Basic Cardiac Life Support
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

LPN/LVN Case Management-Cigna Medicare - Population Health Short-Term - Work from Home, Florida

Cigna Corporation
Florida
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The Nurse will: - Deliver professional activities in the Case Management job ...
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Summary
About the job:
family. - Coordinate enrollee care needs across the continuum for assigned members who are medically stable but require primary psychosocial support and acute intermittent medical support. - Interview members and relatives to obtain social history relevant to medical problems and care planning. - Assist members with environmental difficulties that interfere with obtaining maximum benefits from medical care. - Serve as a liaison between primary care team, members, relatives and appropriate outside agencies. - Apply...
Location:
Florida
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Licensed Practical Nurse
Licensed Vocational Nurse
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

LPN/LVN Case Management Analyst - Medicare - Population Health-Short-Term - Work from Home, Anywhere, USA

Cigna Corporation
Located in Ohio
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LPN/LVN Case Management Analyst – Short-Term Case Management (Cigna Medicare ...
Details
Summary
About the job:
Clinical Operations) Work from Home, Anywhere, USA (Compact Nursing License Required) Job Description Summary Delivers professional activities in the Case Management job family. Coordinates enrollee care needs across the continuum for assigned members who are medically stable but require primary psychosocial support and acute intermittent medical support. Interviews members and relatives to obtain social history relevant to medical problems and care planning. Assists members with environmental difficulties that...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
National Committee for Quality Assurance
Licensed Practical Nurse
Licensed Vocational Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Provider Education Lead Analyst - Hybrid- Memphis or Chattanooga, TN- Cigna Healthcare -

Cigna
Tennessee
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Job Description: Must Reside in Chattanooga or Memphis area Job Summary: ...
Details
Summary
About the job:
This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will be responsible for the most complex provider groups along the engagement continuum within an assigned market. Lead Analyst will be...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
ICD-10 / ICD-9
American Health Information Management Association
Certified Radiology Coder
Certified Professional Coder
Registered Health Information Technician
Certified Rehabilitation Counselor
Certified Coding Specialist
Certified Risk Adjustment Coder
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Licensed Vocational Nurse LVN/LPN - 33 hours/week - San Antonio TX

Cigna Corporation
San Antonio, TX
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At Cigna, we listen to , advocate for , and collaborate with our customers ...
Details
Summary
About the job:
to empower them to identify their health goals and own their solutions. This role is all about demonstrating daily support of Consumer Health Engagement Cultural Beliefs. Our LPNs/LVNs are the linchpins to ensure we achieve better health outcomes for our customers. They focus on key areas of partnership including: - Customer Strong - Make a WOW difference for our customers - Me to We - Take accountability to trust, collaborate and partner - Own It! See a need and act - Be Bold: Challenge the status quo - Listen to...
Location:
San Antonio, TX
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Entry Level Jobs (less than $30K)
Certifications / Licenses:
Licensed Vocational Nurse
Licensed Practical Nurse
Basic Cardiac Life Support
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Career/Education Level: Postsecondary nondegree award
Company Name: Cigna
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