\ Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates appropriate health care services in conjunction with…
\ The Nurse Clinician \\xe2\\x80\\x93 RN is responsible for reviewing escalated clinical criteria reviews for providers/payors and prior authorization appeals assistance for…
\ 12% shift differential offered for this position. Will have to work either every other weekend OR every Saturday The Personal Advocate…
\ \ The Business Analysis Lead Analyst will be responsible for application support for Payer Solutions based applications and teams. This entails…
\ As a 24/7 Clinical Navigation & Support (CN & S) Care Manager (CM) you will deliver a guided, predictable and streamlined…
\ The Actuarial Data Strategy & Solutions Disruption Team provides provider network analytic reporting which assists potential customers in the decision making…
\ Summary Engineer will work on a team of truly talented individuals and be responsible for design, build and testing (using automation…
\ Do you have passion for Behavioral Health and helping our clients and customers improve their health, wellbeing, and peace of mind?…
\ \ The ideal candidate for this position is a licensed professional with a background in the insurance industry as a care…
\ As a 24/7 Clinical Navigation & Support (CN & S) Care Manager (CM) you will deliver a guided, predictable and streamlined…
\ Responsibilities: Closely work with technical leadership to understand requirements. Should have strong hands on cloud experience with AWS suite. Should have…
\ The Lean Governance Lead Analyst (IT Project Management Lead Analyst) will provide financial and operational management and support for the Provider…
\ Position Summary This role will be directly responsible for leading and managing utilization management/prior authorization platform migration, new client implementation as…
\ Behavioral Coaching and Support Case Manager Custom High Acuity Model (CHAM) Team The specialty case management programs help individuals make the…
\ \ When an individual or family member contacts Evernorth Health Services for assistance related to Autism, they are assigned to an…
The specialty care management programs help individuals make the behavioral changes and first steps necessary to initiate and engage in behavioral treatment.…
\ As a 24/7 Clinical Navigation & Support (CN & S) Care Manager (CM) you will deliver a guided, predictable and streamlined…
\ \ The Personal Advocate position is responsible for representing Cigna Behavioral Health (CBH) to all inbound callers within a call center…
b\'Position Summary \ The Lead Analyst, Messaging & Content Strategy on the Sales Messaging & Distribution team \\xe2\\x80\\x94 part of the Evernorth…
Hours: 8:00 a.m. to 4:30pm EST / 8:30 am to 5:00 pm EST \ \ Summary Description of Position \ Manages a…