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Results based on filters ( 362 jobs found )

RN Clinical Program Senior Advisor - Work from Home, Anywhere, USA (CPC Certification Required)

QualCare, Inc.
Located in Ohio
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Job Information Certified Age-Friendly Clinical Program Senior Advisor, ...
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Summary
About the job:
Institute of Clinical Oversight and Guidance (ICOG) Band: 04 Description This position includes conducting research and analysis of published medical literature to respond to internal and external inquiries, as well as the development and maintenance of Cigna Medical Coverage Policies within the ICOG unit. This position requires identification of opportunities for Clinical Policy development and ability to conduct core clinical evidence reviews through the Healthcare Medical Assessment process. This position has...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Pharmacy Prior Authorization Representative - Evernorth - Remote

QualCare, Inc.
Tennessee
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Job Information Certified Age-Friendly Does your DREAM JOB involve WORKING ...
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FROM HOME and HELPING OTHERS? Join CIGNA! We want to change health care to make it more affordable, personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from health care professionals and assist them with the medication prior authorization process, by delivering straight forward administrative and/or other basic business services in Pharmacy Operations A successful candidate will be able to interact effectively and...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Healthcare - Provider Contract Negotiator - Richmond/McLean, VA market - Hybrid

QualCare, Inc.
Richmond, VA
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Job Information Certified Age-Friendly WORK LOCATION: supports our Virginia ...
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About the job:
market - Preferred candidate to live in either Richmond or McLean, VA area Hybrid position - will need to work in the office or visit Providers 3 days per week The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities. DUTIES AND RESPONSIBILITIES - Manages submission process of contracting and negotiations for fee for service with physicians,...
Location:
Richmond, VA
Job Type:
Full-Time
Contract
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Customer Service Call Center Representative - Accredo - Remote

QualCare, Inc.
Ohio
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Job Information Certified Age-Friendly Location: Remote Opportunity - Must ...
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About the job:
live in Arizona, Ohio, Indiana, Georgia, Pennsylvania, Texas, Virginia, or Oregon. Summary: Are you passionate about assisting others andready to thrive in a fast-paced, highly structured virtual environment? Join our team at Accredo Specialty Pharmacy, a leading specialty pharmacy serving patients with complex and critical health conditions. As aCustomer Service Call Center Representative, you'll play a vital role in supporting patients, ensuringtimely access to life-impacting medicationswhile representing Accredo...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Analyst - Evernorth Health Services - Hybrid

QualCare, Inc.
Lake Mary, FL
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Job Information Certified Age-Friendly Job Description Summary: Delivers ...
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About the job:
specific delegated tasks assigned by a supervisor in the Financial Analysis job family. Responsible for analysis and interpretation of moderately complex financial information. Utilizing independent judgment and discretion, identifies trends, variances, and key issues and provides recommendations for adjustment. Responsible for conducting moderately complex financial analysis projects and/or reporting. Prepares financial reports and recommends improvements in financial reporting systems. May conduct audits to ensure...
Location:
Lake Mary, FL
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

RN Telephonic Registered Nurse - Accredo - Work from Home, Anywhere, USA (Compact RN License Required)

QualCare, Inc.
Located in Ohio
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Job Information Certified Age-Friendly If you are an RN and looking for a ...
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Summary
About the job:
Telephonic role, this opportunity is for you! Read on to learn more. How you’ll make a difference: Take ownership of patient experience via telephone: Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers. Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention. Be a coach to empower your patients to be at their best. Focus on the overall well-being...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Retirement Jobs
Certifications / Licenses:
Certified Registered Nurse
National Council Licensure Examination
American Board of Internal Medicine
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Deputy General Auditor

QualCare, Inc.
Philadelphia, PA
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Job Information Certified Age-Friendly The Cigna Group is looking for ...
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Summary
About the job:
talented leaders with prior audit experience and success driving highly functioning teams, who are interested in being part of Cigna’s rapidly evolving strategy. The Deputy General Auditor will be responsible to further the department strategy and drive value to enterprise stakeholders. This is a unique opportunity, whereby the leader will report to the General Auditor of The Cigna Group and have regular exposure with enterprise leadership. To achieve best in class service for our stakeholders, Internal Audit supports...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Retirement Jobs
Certifications / Licenses:
Institute of Internal Auditors Certification
Certified Internal Auditor
Certified Information Systems Auditor
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Process Engineer (NA/ONPT) - Cigna Healthcare

QualCare, Inc.
Franklin, TN
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Job Information Certified Age-Friendly The job profile for this position is ...
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About the job:
Program Management Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented 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. WORK LOCATION: HYBRID / REMOTE The National Ancillary and Out of Network Protection Team (NA/ONPT) plays...
Location:
Franklin, TN
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Manager, Provider Contracting Negotiator - Mid Atlantic market

QualCare, Inc.
Richmond, VA
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Job Information Certified Age-Friendly The job profile for this position is ...
Details
Summary
About the job:
Provider Contracting Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented 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. LOCATION: HYBRID position aligned to the Mid-Atlantic market. Must reside in Maryland, DC or Virginia. The...
Location:
Richmond, VA
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Category Management Sr Advisor

QualCare, Inc.
Bloomfield, CT
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Job Information Certified Age-Friendly The job profile for this position is ...
Details
Summary
About the job:
Category Management Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented 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. Category Management Senior Advisor The Category Management Senior Advisor is a category manager,...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Purchasing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Retirement Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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