better Job at CIGNA Corporation

THE TEAM CIGNA sells a suite of health advocacy solutions that address the unique health needs of individuals, across the spectrum from healthy to chronic. In support of CIGNA's goals to increase the health, well-being, and security of the individuals we serve, our clinical staff works with members, their families and providers when they need our support to be the best that they can be. We educate them on the health risks associated with their conditions, empower them to take self-care actions that compliment

The Transplant Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately. - Assists in service marketing and/or account management functions for service center-based customers, as assigned. - Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned. - Participates on committees, task forces and other company

This person is responsible for the day to day operations of 5 to 10 placement specialists. The objective of this department is to issue insurance to the maximum number of individual members who are not issued as applied for (ineligible, etc). These placement specialists primarily work with the brokers that represent CIGNA out in the marketplace.. Job Requirements: Prior sales or sales administration experience preferred Prior supervisory experience required (2 - 5 years) Healthcare or insurance experience

Assigns client to appropriate staff member or behavioral health network provider for assessment and counseling. Serves as initial contact for clients and their eligible dependents requesting services. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Experience level: 0 -2 years To increase operational efficiency of the unit and ensure customer satisfaction by providing accurate information to callers and by performing health services

Assigns client to appropriate staff member or behavioral health network provider for assessment and counseling. Serves as initial contact for clients and their eligible dependents requesting services. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Experience level: 0 -2 years.Provide customer contact for incoming calls, performing but not limited to the following activities: Facilitate the request for prior authorization of

Plans implements and evaluates appropriate health care services in conjunction with the physician treatment... Plans implements and evaluates appropriate...

The Behavioral Health Clinician is responsible for providing wellness coaching to members through telephonic assessment, education, support, and referrals to various health and wellness programs. The Behavioral Health Clinician will use techniques such as motivational interviewing, behavior change, and cognitive behavioral therapy techniques to help people achieve optimal health and well being. The Behavioral Health Clinician will support members working in conjunction with an existing team of Health Advisors

The Healthcare Category Manager (CM) is a sourcing professional, project manager, and supplier relationship manager and is accountable for a specific set of categories of spend activities across the enterprise. Reporting to the Senior Director of Business Strategic Sourcing (SDBSS), the CM supports the identification of opportunities to improve the sourcing approach and procurement process. Assists in the development of the sourcing strategy for his/her area of spend, manage the execution and implementation

and check in patients at the health care centers by verifying coverage and eligibility...One year customer service in health care cash handling typing CYCARE experience preferred...

Performs diversified and confidential secretarial and administrative duties requiring broad and comprehensive experience, skill and knowledge of organization policies and practices. Prepares correspondence, memoranda, reports, etc. Initiates routine and some non-routine correspondence and memoranda. Screens telephone calls and visitors, and resolves routine and complex inquiries. Schedules and maintains calendar of appointments, meetings and travel itineraries, and coordinates related arrangements. Prepares

Responsible for managing and negotiating complex, competitive contractual relationships with Hospitals, Ancillary Providers and Physicians within pre-determined guidelines and financial standards. Provides leadership and direction to staff on strategies and tactics to ensure competitive discount position, broad and stable network access for CIGNA members. Responsible for developing and executing medical cost containment initiatives. Ensures the smooth operation and administration of all provider agreements.

App Development Analyst - 65702 Skilled applications developer with experience in SQL Server & MS Access databases in web and client/server environments, and in developing applications within the .NET framework. Main responsibility is to support the Dental Oracle and Distributed Application Help Desks with opportunity to complete full SDLC on Dental .NET Small Enhancements and/or Production Fixes. Candidate will also assist with departmental resource capacity planning. - Work with the business,

Support and execute strategies for business and product development designed to maximize profitable growth and new revenue targets for packaging existing voluntary products with medical using Choicelinx as the front end enrollment vehicle. Strategies include market and segment analysis, product definition, competitive assessment and underwriting/pricing strategies, ensuring that products deliver superior value to customers. The position develops business and marketing plans for product releases to market,

fueled the evolution toward consumer driven health care...It is an approach to health care delivery that responds to consumer needs...

fueled the evolution toward consumer driven health care...It is an approach to health care delivery that responds to consumer needs...

Evaluates need for health care services and as appropriate assesses plans implements...the coordination and management of their health care needs and services...the participants to improve their overall health care experience and provide direct assistance with...

to three years of experience in health care or managed care...

Under general supervision, operates data entry devices to perform a variety of data entry and verification duties. Handles moderately complex assignments. Typically requires a high school education or equivalent and up to two years experience. Frequently reports to a senior data entry operator..-Enters data from online fax images and word documents into Microsoft Access database. - Responsible for understanding the different fields of the database and importance of what can/can't be entered to be in compliance

The primary purpose of this position is to 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. Assists members with environmental difficulties that interfere with obtaining maximum benefits from medical care. Serves as a liaison between primary care team, members, relatives and

Assigns client to appropriate staff member or behavioral health network provider for assessment and counseling. Serves as initial contact for clients and their eligible dependents requesting services. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Acts as a resource to others on non-routine work. Supports and assists with training for employees. May provide guidance around procedures and workflows. Experience level: 2-4 years

support for the following functions CMG Health Care Center Leadership Team Primary Care Management...

Minimum two years of professional experience in a health care setting...

and family to our upcoming CIGNA Health Care Career Fair on Wednesday November 11th...Deliver results and share in the reinvention of health care...

Early Intervention: Determines claimant rehabilitation potential and captures necessary screening information by reviewing policyholder/claimant eligibility and disability action plans. Captures and modifies information relating to vocational services on a regular basis for other team members to update/modify subsequent disability action plans/claim strategies. Evaluates timely activity and case development of an effective return to work plan with an end result of a return to work and/or the most appropriate

This position serves as an integral member of the Provider Contracting Team. This resource will report directly to the Contracting Lead and will assist in developing the strategic direction and management of the day to day contracting activities for a given territory. DUTIES AND RESPONSIBILITIES - Manages contracting with hospitals and other providers (e.g., Hospitals, Ancillaries, and large physician groups). - Specific responsibilities include, but are not limited to: strategic positioning for contracting

ASP.NET Web Developer Nashville, TN 2 Vantage Way-Metro Cntr Full time, 1st shift Role Summary: This role will serve to design and develop code, software, or functionality that meets the business need for an internet based web portal to display basic claim status type data. Security is the highest priority of the design and execution. Unit test plan creation / execution will also be required to confirm quality development has occurred. Responsibilities: Assist in the design, coding, and testing

Performs broader or more complex general clerical operations. Executes automated reports and compiles and prints listings; may manage a database, retrieves data and conducts status inquiries; maintains a filing system; examines documents for quality and accuracy, resolves minor discrepancies; maintains an inventory, receives, stores and issues material and supplies; determines appropriate methods for processing of mail, files and supplies. Coordinates production and daily workflows. Inspects and controls

In addition to Pharmacy Technician Associate duties, is responsible for implementing inventory control procedures and ordering merchandise within regulatory guidelines. Must be a Certified Pharmacy Technician (CPhT)..Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day

Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day after day, when they need us most. And of course, we know them as our valued patients who continue to return year after year. CIGNA Medical Group (CMG) offers a full line of prescription services, brand name, generic

In addition to Pharmacy Technician Associate duties, is responsible for implementing inventory control procedures and ordering merchandise within regulatory guidelines. Must be a Certified Pharmacy Technician (CPhT)..Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day

Applications Architect - Mainframe Systems Role Summary - Skilled mainframe COBOL architect/designer/developer to perform a variety of functions including data modeling, database design, applications design and review, applications development and modification, and performance tuning. Responsibilities Design and implement data models and normalized logical database designs - Develop technical specs by working with the business, business analysts, or systems analysis to gather requirements

Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day after day, when they need us most. And of course, we know them as our valued patients who continue to return year after year. CIGNA Medical Group (CMG) offers a full line of prescription services, brand name, generic

Philadelphia based Intracorp a subsidiary of CIGNA Corporation helps employers maximize their workers compensation...Property Inc licensed for use by CIGNA Corporation and its operating subsidiaries...

Philadelphia based Intracorp a subsidiary of CIGNA Corporation helps employers maximize their workers compensation...Property Inc licensed for use by CIGNA Corporation and its operating subsidiaries...

Windows OS Automation Engineer Role Summary: Provides engineering leadership and oversight on design, engineering and development of information technology solutions. Responsible for the most complex, multi-site, multi domain activities and integration. Manages the troubleshooting and resolution of infrastructure compatibility issues based on system architecture, project requirements, and customer expectations. Partners with IT leadership on engineering related issues and strategies. May manage infrastructure

Windows OS Automation Engineer Role Summary: Provides engineering leadership and oversight on design, engineering and development of information technology solutions. Responsible for the most complex, multi-site, multi domain activities and integration. Manages the troubleshooting and resolution of infrastructure compatibility issues based on system architecture, project requirements, and customer expectations. Partners with IT leadership on engineering related issues and strategies. May manage infrastructure

Provides clerical/secretarial support to principal's performing basic secretarial duties such as typing, filing, photocopying, telephone assistance, mail, supplies and calendars. May also schedule and confirm appointments, meetings and travel arrangements. Performs administrative duties such as assisting in the preparation of monthly operating results, monitoring expenses, tracking information using a PC, special projects requiring research and judgment, developing and analyzing reports..Provides clerical

Manages an assigned book of business and works on new business opportunities, focused on attaining profitable growth, persistency, and earnings. Performs case-specific risk assessments. Responsible for account level rate development and conducting customer negotiations with Sales. Develops and monitors account earnings plans to achieve growth and profitability. Develops strategic recommendations related to market competition, products and pricing. Partners with business line owner to deliver customer presentations

Receive inbound sales calls and inbound customer service calls. The mission is to grow the business by moving the customer from retail to Home Delivery. Works on special projects to improve sales and accuracy in the pharmacy or to train other Inbound call representatives..Receive inbound sales calls and inbound customer service calls. The mission is to grow the business by moving the customer from retail to Home Delivery. Works on special projects to improve sales and accuracy in the pharmacy or to train other

Responsible for the daily operations of sales support services. Interacts with underwriting in coordinating rate quotes and with brokers to help manage flow of proposal packages and quotes. Assist with RFPs..Responsible for the daily operations of sales support services. Interacts with underwriting in coordinating rate quotes and with brokers to help manage flow of proposal packages and quotes. Assist with RFPs and enrollment packets. Other administrative duties as assigned. Will support multiple sales representatives

Manages the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Responsible for monitoring claim service standards. Typically has B.A. degree and eight or more years of experience in benefits and claims administration with three or more years of management experience. May serve as a single point of contact for customer

Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day after day, when they need us most. And of course, we know them as our valued patients who continue to return year after year. CIGNA Medical Group (CMG) offers a full line of prescription services, brand name, generic

CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day after day, when they need us most. And of course, we know them as our valued patients who continue to return year after year. CIGNA Medical Group (CMG) offers a full line of prescription services, brand name, generic, and over the counter medications. As a Pharmacy Technician with

Never heard of CIGNA Medical Group (CMG)? Not everyone has. In fact, CMG might be one of the best kept secrets in Phoenix. But, what's more important is that the people we serve know us well. They know us as their trusted physicians, clinicians and medical staff that they can count on, day after day, when they need us most. And of course, we know them as our valued patients who continue to return year after year. CIGNA Medical Group (CMG) offers a full line of prescription services, brand name, generic

Work closely with customer their vendors and CIGNA Corporation operations teams...Property Inc licensed for use by CIGNA Corporation and its operating subsidiaries...

Work closely with customer their vendors and CIGNA Corporation operations teams...Property Inc licensed for use by CIGNA Corporation and its operating subsidiaries...

Work closely with customer their vendors and CIGNA Corporation operations teams...Property Inc licensed for use by CIGNA Corporation and its operating subsidiaries...

Technical expert needed for WPS/WESB work (utilizing WID 6.2) related to multiple projects. Architecture, design, development and implementation of WebSphere Process Server based enterprise mission critical projects. - Coaching developers and promoting best practices on modeling/developing business processes in WebSphere Integration Developer - Assist SOA back-plane lead with the implementation of the ESB vision within the organization - Assist in the definition, compilation of ESB design patterns

Acts as the principal designer for major systems and their subsystems utilizing a thorough understanding of available technology, tools and existing designs. Provides comprehensive consultation to business unit and IT management and staff at the highest technical level on all phases of application programming and processes for diverse development platforms, computing environments (e.g., host based, distributed systems, client server, software, hardware, technologies and tools, etc.). Works closely with client

Position is Production Support for Clinical IT applications which provide self service capability to our members, providers and employers. Partners with Clinical IT Application Asset Teams to isolate and troubleshoot problems as necessary. Responds to trouble tickets and works to resolve problem, update ticket and restore service capability as quickly as possible meeting established Service Level Agreements. RESPONSIBILITIES: - Responds to service tickets and service requests within established time criteria