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Results based on filters ( 235 jobs found )

Quality Review and Audit Senior Advisor - Express Scripts - Hybrid

The Cigna Group
Bloomington, MN
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remote type Hybrid Quality Review & Audit Senior Advisor Position Summary: ...
Details
Summary
About the job:
The Quality Review & Senior Audit Advisor provides enterprise-level quality assurance leadership with a strong focus on clinical accuracy, pharmacy benefit integrity, and regulatory compliance . This role applies advanced clinical and pharmacy expertise to validate benefit configurations, evaluate clinical program performance, and ensure alignment with CMS, NCQA, and state regulatory requirements across processes, systems, and training programs. Serving as a clinical and pharmacy subject matter expert , the Senior...
Location:
Bloomington, MN
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Durable Medical Equipment Driver/Technician- Evernorth

The Cigna Group
Longwood, FL
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Job Information As a DME Driver/Technician, you will help patients safely ...
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Summary
About the job:
access the respiratory and home medical equipment they need to manage their health at home. You will deliver, set up, and retrieve equipment while educating patients and caregivers, ensuring safety, comfort, and confidence throughout the process. Your role supports high‑quality care, strengthens the patient experience, and contributes to Advent Health Respiratory and Equipment’s mission to empower patients across Florida. Responsibilities - Coordinate delivery and pickup times with patients to ensure timely, reliable...
Location:
Longwood, FL
Job Type:
Full-Time
Permanent
Occupation:
Light Truck Drivers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Retirement Jobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Account Executive - Hybrid - Express Scripts

The Cigna Group
Bloomington, MN
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remote type Hybrid The Senior Account Executive (AE) serves as the strategic ...
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Summary
About the job:
lead for complex, high-profile clients, and their consultants. Ideal for those energized by complex challenges and motivated to influence outcomes, this role owns the renewal strategy and drives long-term account plans aligned to client goals and organizational objectives. Senior AEs are recognized as trusted experts and internal influencers — representing the client voice, mentoring peers, and guiding cross-functional collaboration. With high visibility across senior leaders and partners, the role deepens...
Location:
Bloomington, MN
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Advisor- Cigna Healthcare - Cleveland, OH

The Cigna Group
Akron, OH
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remote type Hybrid The Provider Contracting Advisor serves as an integral ...
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Summary
About the job:
member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES - Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). - Builds relationships that nurture provider...
Location:
Akron, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Advisor- Cigna Healthcare - Cleveland, OH

The Cigna Group
Independence, OH
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remote type Hybrid The Provider Contracting Advisor serves as an integral ...
Details
Summary
About the job:
member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES - Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). - Builds relationships that nurture provider...
Location:
Independence, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Advisor- Cigna Healthcare - Cleveland, OH

The Cigna Group
Cleveland, OH
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remote type Hybrid The Provider Contracting Advisor serves as an integral ...
Details
Summary
About the job:
member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES - Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). - Builds relationships that nurture provider...
Location:
Cleveland, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Advisor - Cigna Healthcare - Columbus, OH

The Cigna Group
Westerville, OH
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remote type Hybrid The Provider Contracting Advisor serves as an integral ...
Details
Summary
About the job:
member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES - Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). - Builds relationships that nurture provider...
Location:
Westerville, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Advisor - Cigna Healthcare - Columbus, OH

The Cigna Group
Columbus, OH
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remote type Hybrid The Provider Contracting Advisor serves as an integral ...
Details
Summary
About the job:
member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES - Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). - Builds relationships that nurture provider...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Cigna Corporation
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Staff Pharmacist Patient Consult - Express Scripts - Remote

The Cigna Group
Columbus, OH
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**The hours for this position will likely be 2nd shift and include rotating ...
Details
Summary
About the job:
weekends****Must be filled in one of the following states:NYMOOHPAAZFLJob Description**POSITION SUMMARY**GENERAL RESPONSIBILITIES:+ Provide comprehensive drug therapy counseling for patients on medication usage, life-style modifications and preventative care.+ Assist patients and members in maximizing plan benefits and personalizing prescription choices to ensure better clinical outcomes+ Answer technical questions from patient care advocates, including assisting representatives with member inquiries requiring a...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Registered Pharmacist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Client Audit Project Lead - Remote

The Cigna Group
Located in Ohio
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Candidates who reside within 50 miles of the following locations may be ...
Details
Summary
About the job:
asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ. In this role, you will lead external client audit projects end to end, strengthen partnerships with audit firms and internal leaders, and turn audit insights into practical improvements across the enterprise. You will bring calm structure to complex requests, communicate clearly, and help raise our external client audit pass rate through smart, consistent execution. Responsibilities - Lead external client audit projects...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
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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