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This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region serving as a liaison between Markets and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams.
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Requirements:Coding certification required through AHIMA or AAPC (at least one of the below):Certified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)Certified Coding Specialist for Providers (CCS-P)Registered Health Information Management Technician (RHIT)5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred.
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The Cigna Group Director, Provider Network Management - East TN market supporting Medicare Advantage Bloomfield , Connecticut Apply Now LOCATION: This is a HYBRID position aligned to the Tennessee market.
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Emphasis on value-based arrangements with specialty providers in a commercial context, but conversant with all lines of business (ASO, fully insured, Medicare, Medicare Advantage, Individual and Family Plans) and all provider types (PCP, specialists, ancillary, institutional.
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Cigna Legal seeks an experienced attorney to serve as Associate Senior Counsel to provide strategic advice and counsel to the Medicare Advantage Government Business Segment. Work closely on daily basis with Medicare Advantage Operations, Sales and Growth, Government Affairs, Regulatory Operations, Compliance and other matrix parties as required.
Full-timeExpandUpdated 26 days ago - UpvoteDownvoteShare Job
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Accountability for managing contracting and network management activity supporting Commercial, Medicare Advantage, and other products/initiatives (i.e. Exchange products) as applicable to market.
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This Micromarket BFO role will oversee financial strategy, planning & analysis for Medicare Advantage. The Market Business Financial Officer (BFO) will be responsible for financial strategy and analysis within a highly complex and regulated Medicare Advantage business.
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The team operates in a highly dynamic environment, collaborating across segments, and on a wide variety of Medicare Advantage total cost of care (TCC) reduction initiatives. The analyst will partner directly with a team of Medicare advantage subject matter experts that will partner to review opportunity analyses, explore competitive intelligence and industry best practices, and collaborate to create actionable solutions.
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LOCATION: Based in Raleigh or Charlotte, NC office Medicare Advantage position The Manager, Provider Network Contracting serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager.
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3+ years of Provider Contracting and Negotiating experience involving complex delivery systems and organizations requiredExperience with Physician, Hospital and Ancillary group contracting and negotiationsExperience with Healthcare - Commercial and Medicare AdvantageExperience in developing and managing key provider relationshipsKnowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
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Work closely on daily basis with Medicare Advantage Operations, Sales and Growth, Government Affairs and Compliance. Provide strategic, actionable legal advice and counsel to Cigna’s Medicare Advantage (including Employer Group Waiver Plans (EGWPs) and D-SNP) programs.
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Manager, Provider Contract Network Management - AL/MS Market - Medicare Advantage page is loaded. Manager, Provider Contract Network Management - AL/MS Market - Medicare Advantage.
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Experience with Healthcare - Commercial and Medicare Advantage. Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Clinical and Affordability Analytics team’s mission is to improve customer value and affordability across the Medicare Advantage segment. Reporting to the Director of Performance Optimization Analytics, the Business Analytics Sr. Advisor will work in a highly matrixed environment, providing consultative and prescriptive analytics to Medicare leadership designed to identify new opportunities for medical cost trend reduction.
$109,100 - $181,800 a yearExpandUpdated 27 days ago - UpvoteDownvoteShare Job
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Experience in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS. About Cigna Healthcare.
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medicare advantage jobs Company: Cigna
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