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Job Ref: 25017447 Employer: Cigna Sector: Health Insurance Qualifications: ...
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Summary
About the job:
Unclassified Software: Python SQL Job Type: Full Time Salary and Benefits: Competitive Remote: Yes Location Country: United States State/Province/County: North Carolina - NC City: Raleigh Post Code: Not specified Map: ( Show on map ) Description Join MD Live by Evernorth, a leader in virtual healthcare and technology innovation. As a Sr. Healthcare Analytics Engineer, you will help architect and scale our next-generation analytics platform that will power our reporting, advanced analytics, and real-time data insights....
Location:
Raleigh, NC
Job Type:
Full-Time
Permanent
Occupation:
Database Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
ProActuary
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
data-type="string"> Description : In this exciting and challenging role as a ...
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Summary
About the job:
Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems. **What you’ll do:** + Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches. + Completes all nurse assignments for patients,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
The Nurse Case Management Lead Analyst will provide advanced professional ...
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Summary
About the job:
input to complex Nurse Case Management assignments/projects, plan, implement, and evaluate appropriate health care services, and handle high acuity cases. Requirements - Registered Nurse (RN) license in state of primary residence - BSN preferred - Compact nursing license preferred - Minimum 2 years of nursing experience in prior authorizations or case management - Proficiency with Microsoft Office; basic database navigation - Knowledge of pharmacy, pharmaceuticals, life sciences, or healthcare business required -...
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:
Himalayas
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Ref: 25017446 Employer: Cigna Sector: Health Insurance Qualifications: ...
Details
Summary
About the job:
Unclassified Software: Python SQL Tableau Job Type: Full Time Salary and Benefits: Competitive Remote: Yes Location Country: United States State/Province/County: North Carolina - NC City: Raleigh Post Code: Not specified Map: ( Show on map ) Description Join MD Live by Evernorth, a leader in virtual healthcare and technology innovation. As aHealthcare Analytics Advisor , you will play a critical role at the intersection of advanced analytics, data engineering, and healthcare strategy. You will partner with clinical,...
Location:
Raleigh, NC
Job Type:
Full-Time
Permanent
Occupation:
Data Scientists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
ProActuary
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
data-type="string"> Description : **Onsite Health Educator – Evernorth ...
Details
Summary
About the job:
Direct Health** • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health • Lead and support a variety of Health and wellness promotional...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Health Education Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Health Education Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
The Fraud Investigator leads in-depth investigations into suspected or ...
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Summary
About the job:
confirmed fraud impacting our customers or the company. Using strong judgment and independence, this role identifies the right investigative approach, gathers and analyzes critical information, and drives cases toward resolution and potential restitution. You'll prepare clear investigative reports, build evidence packages for external partners, and collaborate closely with state and federal agencies. You may also respond to subpoenas and represent the company in legal proceedings. This role requires protecting customer PHI...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
About the Role: Cigna partners with over 150 delegated medical groups in ...
Details
Summary
About the job:
California to process healthcare claims. The California Department of Managed Health Care ( DMHC ) enforces strict requirements for claims processing , provider disputes , and regulatory compliance . As a Remote Claim Delegation Auditor , you will ensure these delegated groups meet all state and federal healthcare regulations . Through claims audits , performance monitoring , and collaboration, you'll help improve member experience and support cost-saving initiatives. Key Responsibilities: - Conduct Commercial HMO (non...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Are you ready to launch your Healthcare Fraud Investigator career and make a ...
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Summary
About the job:
real difference? If you're a recent college graduate eager to take the first step in your professional journey, this early-career opportunity is designed for you. This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization. As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Position Description The Nurse Supervisor is a key member of the Clinical ...
Details
Summary
About the job:
Nursing Team, dedicated to delivering world-class telehealth services in a fast-paced online environment. This role most closely correlates to that of a supervisor in a busy urgent care or primary care practice. Responsibilities include overseeing daily team operations, providing clinical guidance, supporting staff development, assisting MD Live Providers and clinical operations, and contributing to onboarding, training, and team data analytics. The Nurse Supervisor directly supervises a pod of nursing and support...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Institute of Data
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Join our team as a Cyber Security Analyst and help safeguard critical ...
Details
Summary
About the job:
systems while driving innovation in security practices. We are looking for a proactive professional who thrives in a collaborative environment and is passionate about protecting data and infrastructure. Responsibilities - Lead efforts to monitor and maintain security across servers, networks, and endpoints. - Administer and enhance network security defenses to prevent breaches. - Analyze vulnerabilities and implement solutions to strengthen system integrity. - Respond to and investigate cyber incidents, ensuring timely...
Location:
Bloomfield, CT
Job Type:
Full-Time
Permanent
Occupation:
Information Security Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Institute of Data
Certifications / Licenses:
Certified Information Systems Auditor
Certified Ethical Hacker
Certified Information Systems Security Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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