• Medicare Affordability Value Program…

    The Cigna Group (Bloomfield, CT)
    …and affordability related experience preferred + 3+ years' experience within Claims operations strongly preferred + Medicare experience preferred + Strong ... Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a...cost trend reduction through strategic collaboration with business and clinical leaders who bring innovative ideas and projects from… more
    The Cigna Group (05/13/24)
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  • HCC Coding Provider Education Senior Analyst-…

    The Cigna Group (Bloomfield, CT)
    …TO ORLANDO AND TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned ... expertise to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk...initiatives. + Work closely with matrix partners including Network Operations , Stars or Clinical Operations ,… more
    The Cigna Group (05/29/24)
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  • Risk Adjustment Provider Educator Senior Analyst…

    The Cigna Group (Bloomfield, CT)
    …$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 ... overall operational market goals in conjunction with market network operations , stars strategy and vendor partners. The role will...expertise to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk… more
    The Cigna Group (05/13/24)
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  • Medical Director - Pulmonologist/Nephrologist…

    The Cigna Group (Bloomfield, CT)
    …-- Cigna , & CareAllies. Market and Regional level case work for Cigna Medicare . **Summary description of position** : A Medical Principal performs medical ... review and case management activities. The physician provides clinical insight to the organization through peer review, benefit...business acumen experience a plus. + Fluency in Spanish ( Cigna Medicare ) or other languages If you… more
    The Cigna Group (04/26/24)
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  • Per Diem Home Care Physician - Birmingham, AL

    The Cigna Group (Bloomfield, CT)
    …supervising physicians to join our growing teams as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial clients. ... Evernorth Home based Care (ENHB), a division of Cigna , is the premier home-based healthcare provider and...reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical… more
    The Cigna Group (06/01/24)
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  • Finance Enablement VBA Modeling Advisor

    The Cigna Group (Bloomfield, CT)
    The Medicare Advantage (MA) Finance Enablement VBA Modeling Advisor will manage FP&A models for provider groups engaged via a professional capitation, risk/surplus ... variety of stakeholders for proposed updates (such as Accounting, Network Operations , Analytics, Medical Economics, etc.). **Responsibilities** + Act as model… more
    The Cigna Group (05/01/24)
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