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We are seeking a highly experienced and proactive Director of Pharmacy Regulatory Compliance to join the Cigna Pharmacy Management team. This role will lead our compliance operations and ensure adherence to regulatory standards across our pharmacy services. This role is responsible for managing a high-performing compliance team, driving strategic regulatory planning, and overseeing first-line c...

SUMMARY:
The Cigna Benefit and Well-Being Educator’s (BWE) primary focus is on providing benefit education to Cigna customers. They work consultatively with the client and the Cigna Account Management team to plan and prepare for customer events, which range from onsite, to virtual, to pre-recordings. The BWE has ownership of customer event content, utilizing existing resources, and delivery o...

Benefit Education Lead - Southeast Region
Required Competencies:
* Customer Focus
* Plan and Align
* Action Oriented
* Organizational Savvy
* Resourcefulness
* Communicate Effectively
Execution
* Support the execution of key discipline within the Customer Event Operations organization, focusing on deployment of customer-facing events across all modalities
...

Responsibilities:
* Draft and update welfare benefit plan documents (e.g., medical benefits), including summary plan descriptions and summaries of benefits and coverage, in accordance with internal and client guidelines.
* Participate in new group meetings for assigned accounts.
* Understand and apply applicable laws and regulations in the preparation of welfare benefit plan docum...

Senior Program Manager (Business Architect)
We are seeking a dynamic healthcare professional to drive innovation in utilization management (UM) and Electronic Health Record (EHR) strategy. A key focus of this role is the implementation and optimization of EHR platforms to enable bi-directional data exchange and support Cigna’s strategic business objectives. As Senior Program Manager (Business A...

Job Summary
The Strategic Advisor, Enterprise Clinical Programs provides end-to-end leadership and support of complex cross-enterprise initiatives positioned to advance Enterprise Clinical Priorities, such as re-imagining prior authorization. This role will contribute to design and development and will own execution of clinical programs, effectively translating clinical strategy into operatio...

Position Summary
As a Product Management Senior Advisor, you will manage and support the suite of medical network products available to Cigna Healthcare clients and customers. The Product Management Senior Advisor will be responsible for the management of existing medical network products and will serve as the expert supporting sales and operational readiness. This person will work closely wi...

Position Summary
Provides expert pharmacy content/professional leadership on complex Sales assignments/projects. Primary responsibility includes working in conjunction with internal sales and client managers to develop and execute strategy to sell integrated programs in the 0500 Segment. Develops and implements sales strategies to achieve sales objectives. Exercises considerable creativity, f...

Job Summary:
The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI).
Key Job Functions:
• Conduct medical records reviews wi...