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Operating Effectiveness Senior Analyst- eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: Responsible for all aspects of Clinical Integration, including but not limited to: administration, clinical pathway development, CPT code management, denial…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Franklin, TN 37067
Street Address: TBD

Locality: Franklin, TN 37067
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Operations Systems Lead Analyst - eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: EviCore is currently seeking two Systems Operations Lead Analysts. The Lead Analyst is responsible for gathering data requirements across several disparate…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Colorado Springs, CO 80907
Street Address: TBD

Locality: Colorado Springs, CO 80907
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director - Medical Oncology - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: As a Medical Oncology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director - Neurosurgeon - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: As a Neurological Surgery Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director - Infectious Disease - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: As an Infectious Disease Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Project Mgr

Date: 2023-12-04 (Cached)

Job Description: This position is responsible for managing project plans as well as key supplier and business relationships, including schedule, scope, for large, complex…

Company: HCSC
Hiring Organization: HCSC
Salary: TBD
Location: Chicago, IL
Street Address: TBD

Locality: Chicago, IL
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director -Radiologist - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria.

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Scheduling Coordinator

Date: 2023-12-04 (Cached)

Job Description: You must have knowledge of prior-authorizations* and know how to submit a request with corresponding insurance or third party companies such as AIM, AVAILITY…

Company: West Texas Digestive Disease Center
Hiring Organization: West Texas Digestive Disease Center
Salary: TBD
Location: Lubbock, TX 79424
Street Address: TBD

Locality: Lubbock, TX 79424
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Supervisor Appeals

Date: 2023-12-04 (Cached)

Job Description: The Supervisor of Appeals will lead a team of Appeal Specialists and Appeals Coordinators who service clinical and non-clinical appeals, and claim review…

Company: Independence Blue Cross
Hiring Organization: Independence Blue Cross
Salary: TBD
Location: Philadelphia, PA 19103
Street Address: TBD

Locality: Philadelphia, PA 19103
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director - Gastroenterology - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: We have both full-time and part-time opportunities available. As a Gastroenterology Medical Director at eviCore, part of Evernorth Health Services, a division…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operating Effectiveness Senior Analyst- eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: Responsible for all aspects of Clinical Integration, including but not limited to: administration, clinical pathway development, CPT code management, denial…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Colorado Springs, CO 80907
Street Address: TBD

Locality: Colorado Springs, CO 80907
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operating Effectiveness Senior Analyst- eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: Responsible for all aspects of Clinical Integration, including but not limited to: administration, clinical pathway development, CPT code management, denial…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Bluffton, SC 29910
Street Address: TBD

Locality: Bluffton, SC 29910
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Pharmaceutical Prior Authorization Technician

Date: 2023-12-04 (Cached)

Job Description: The Pharmaceutical Prior Authorization Technician will be responsible for the entire prior authorization (PA) process, once it is understood that a PA is…

Company: Appalachian Mountain Community Health Centers
Hiring Organization: Appalachian Mountain Community Health Centers
Salary: TBD
Location: Robbinsville, NC 28771
Street Address: TBD

Locality: Robbinsville, NC 28771
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Claims Processor

Date: 2023-12-04 (Cached)

Job Description: In the role of process associate, you will execute transactions as per prescribed guidelines and timelines, reviews and validates the inputs from the other team…

Company: Infosys
Hiring Organization: Infosys
Salary: TBD
Location: Aguadilla, PR
Street Address: TBD

Locality: Aguadilla, PR
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Quality Control Reviewer III

Date: 2023-12-04 (Cached)

Job Description: Optimize work processes to investigate, research, and gather information regarding member appeals and provider inquiries by analyzing and investigating all…

Company: 1199SEIU Benefit and Pension Funds
Hiring Organization: 1199SEIU Benefit and Pension Funds
Salary: TBD
Location: New York, NY
Street Address: TBD

Locality: New York, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Reception

Date: 2023-12-04 (Cached)

Job Description: Must be a responsible, motivated and flexible individual. Must be available to commute to satellite office (Toms River) when necessary.

Company: NJ Regional Ear, Nose & Throat Center, LLC
Hiring Organization: NJ Regional Ear, Nose & Throat Center, LLC
Salary: TBD
Location: Manahawkin, NJ 08050
Street Address: TBD

Locality: Manahawkin, NJ 08050
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operations Systems Lead Analyst - eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: EviCore is currently seeking two Systems Operations Lead Analysts. The Lead Analyst is responsible for gathering data requirements across several disparate…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Bluffton, SC 29910
Street Address: TBD

Locality: Bluffton, SC 29910
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operations Systems Lead Analyst - eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: EviCore is currently seeking two Systems Operations Lead Analysts. The Lead Analyst is responsible for gathering data requirements across several disparate…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Melbourne, FL 32901
Street Address: TBD

Locality: Melbourne, FL 32901
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operations Systems Lead Analyst - eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: EviCore is currently seeking two Systems Operations Lead Analysts. The Lead Analyst is responsible for gathering data requirements across several disparate…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Franklin, TN 37067
Street Address: TBD

Locality: Franklin, TN 37067
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Care Coordinator II

Date: 2023-12-04 (Cached)

Job Description: Maintain data accuracy and adhere to Summary Plan Description (SPD) time frames for creating and modifying authorization on Medical claims system (QNXT) for…

Company: 1199SEIU Benefit and Pension Funds
Hiring Organization: 1199SEIU Benefit and Pension Funds
Salary: TBD
Location: New York, NY
Street Address: TBD

Locality: New York, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operations Systems Lead Analyst - eviCore- Hybrid

Date: 2023-12-04 (Cached)

Job Description: EviCore is currently seeking two Systems Operations Lead Analysts. The Lead Analyst is responsible for gathering data requirements across several disparate…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Nashville, TN 37228
Street Address: TBD

Locality: Nashville, TN 37228
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sales Director, Evernorth Growth Office - Hybrid

Date: 2023-12-04 (Cached)

Job Description: Reporting into the Evernorth Growth office, this position drives direct, open market sales for the Evernorth Behavioral Health portfolio, including cultivating…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Morris Plains, NJ 07950
Street Address: TBD

Locality: Morris Plains, NJ 07950
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Hospital Care Investigator

Date: 2023-12-04 (Cached)

Job Description: Verification of insurance eligibility and benefits for all patients requesting services at NYC H+H Metropolitan. Retirement Savings and Pension Plans.

Company: NYC Health + Hospitals
Hiring Organization: NYC Health + Hospitals
Salary: TBD
Location: New York, NY
Street Address: TBD

Locality: New York, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, Care Management

Date: 2023-12-04 (Cached)

Job Description: Direct and oversee the financial, operational, and administrative activities of Care Management Programs. Oversee clinical and support staff in the performance…

Company: 1199SEIU Benefit and Pension Funds
Hiring Organization: 1199SEIU Benefit and Pension Funds
Salary: TBD
Location: New York, NY
Street Address: TBD

Locality: New York, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Director - Radiation Oncology - eviCore - Remote

Date: 2023-12-04 (Cached)

Job Description: As a Radiation Oncology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Data as of 2023-12-04 (Cached) with id 152067. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.

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