• Hiring Work at Home Jobs 30.08.2016 Comments Off on Provider Data Senior Associate for Cigna
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    Provider Data Senior Associate

    Some responsibilities include:

    Description

    SUMMARY:
    This role supports the Network Operations Administrators and Representatives. The Network Operations Department is responsible for the financial and operational activities of the provider network. In this role, you will be exposed to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting, claim payments, meetings, training, etc.). Primarily, this role will be spent internally with substantial administration support but may include limited travel within the city.

    RESPONSIBILITIES:
    · Researching and resolving provider issues such as authorization and claim issues
    · Prepares documentation for meetings, schedules meetings, and educates providers regarding member benefits and the referral process
    · Develops, maintains, and distributes reports for respective market
    · Credentialing of new providers that are interested in joining the Cigna-HealthSpring network
    · Assists with bonus distribution for high performing providers
    · Monitoring and resolving call trackers and grievances that are assigned to Network Operations

    Qualifications

    Bachelor’s degree strongly preferred

    · Strong ability to act as a liaison
    · Strong time management skills; highly organized and detail oriented
    · Ability to work independently
    · Excellent verbal and written communication skills
    · Experience in MS Office Suite.

    To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

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  • Hiring Work at Home Jobs 26.08.2016 Comments Off on Business Project Sr Specialist – Cigna Pharmacy Management
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    Business Project Sr Specialist – Cigna Pharmacy Management

    Some responsibilities include:

    Description

    Cigna Pharmacy Management is seeking a Business Project Senior Specialist who will lead the execution of several small to medium sized projects. This includes the management of business deliverables within all phases of the project delivery life cycle.

    Core Responsibilities

    · Brings together all Business departments to complete a project’s overall business goals.

    · Works with a cross-disciplinary Business team to determine necessary tasks associated with all phases of a project’s delivery life cycle.

    · Effectively organizes and facilitates a Business team to address key aspects of project execution and success, including, but not limited to, communications; training; operational process/procedures; product and services development; legal and compliance; and technology enablement.

    · Partners with Business Lead and IT Project Managers to develop and maintain project plans that consider the priorities, key milestones, time estimates, task sequencing and identification of tasks to be performed.

    · Keeps projects on track and possesses the ability to foresee the entire project as a whole at all times.

    · Drives identification, decision making, and escalation of risks or issues.

    · Clearly understands and articulates the business value of the projects assigned to the team and works closely to ensure value is understood across the team.

    · Demonstrates the ability to work effectively across multiple disciplines (business and technology) as well as the ability to deliver work across a highly matrixed organization, across and up the organization.

    · Vendor management throughout the project’s life cycle, as required.

    Qualifications

    US Candidates Only: Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us at SeeYourself@cigna.com.

    Qualifications

    · Bachelor’s degree a plus.

    · 2 to 5 years of work experience, including 2 or more years driving end-to-end project execution and delivery.

    · Must possess proven track record of knowledge and expertise in the use of project management methodologies (i.e. Agile, Waterfall) and tools.

    · Experience working with a Pharmacy Benefit Manager (PBM) highly desirable.

    · Excellent communication skills. Ability to understand and speak to project scope, impacts, and risks to management.

    · Knowledge of project supportive software tools and systems required – including MS Project, PowerPoint, Excel and Word.

    · Possess the ability to schedule tasks and coordinate with various team members to accomplish specific results.

    · Able to influence executive level teams and peers, adjust personal communication style to match needs.

    · Proven leader and project manager able to drive process and change.

    · Works effectively with minimal direction.

    · Excellent analytical, problem-solving, and conceptual skills.

    · Detail oriented with exceptional organizational skills.

    · Excels at managing multiple deliverables and tasks in order to meet committed timelines.

    To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

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  • Limited Positions: Work at Home Jobs 26.01.2015 Comments Off on Cigna Seeking Contract Sr Associate 01-2015
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    Cigna Seeking Contract Sr Associate for January 2015. There are looking for:

    Description

    General Purpose
    Reviews implementation materials to create documents, policies, certificates, and/or riders. May prepare summaries of coverage. May require legal interpretation or translation of information.
    Responsibilities
    • Reviews and analyzes implementation materials to create various documents for new and existing business.
    • Reviews and analyzes benefits to ensure they are in compliance with legislation.
    • Researches, coordinates and responds to questions from internal partners and/or external clients.
    • Distributes policy documents to Account Manager and other internal partners as requested.

    To learn more visit: Contract Sr Associate – (15000667)

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