78 Healthcare Provider jobs in East Hartford

**WORK LOCATION: Must live in Connecticut**
The **Manager, Healthcare Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
**DUTIES AND RESPONSIBILITIES**
+ Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
+ Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Creates and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
+ Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ May provide guidance or expertise to less experienced specialists.
**POSITION REQUIREMENTS**
+ **Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred.
+ **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.**
+ Experience in developing and managing key provider relationships
+ Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
+ Intimate understanding and experience with hospital, managed care, and provider business models.
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
+ Customer centric and interpersonal skills are required.
+ Demonstrates an ability to maneuver effectively in a changing environment.
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
+ Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**WORK LOCATION: Must live in Connecticut**
The **Manager, Healthcare Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
**DUTIES AND RESPONSIBILITIES**
+ Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
+ Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Creates and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
+ Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ May provide guidance or expertise to less experienced specialists.
**POSITION REQUIREMENTS**
+ **Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred.
+ **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.**
+ Experience in developing and managing key provider relationships
+ Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
+ Intimate understanding and experience with hospital, managed care, and provider business models.
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
+ Customer centric and interpersonal skills are required.
+ Demonstrates an ability to maneuver effectively in a changing environment.
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
+ Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

WORK LOCATION: Must live in Connecticut

The Manager, Healthcare Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.

DUTIES AND RESPONSIBILITIES

• Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
• Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
• Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
• Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
• Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
• Creates and manages initiatives that improve total medical cost and quality.
• Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
• Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
• Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
• Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
• Manages key provider relationships and is accountable for critical interface with providers and business staff.
• Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
• Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
• May provide guidance or expertise to less experienced specialists.

POSITION REQUIREMENTS

• Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred.
• 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
• Experience in developing and managing key provider relationships
• Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
• Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
• Intimate understanding and experience with hospital, managed care, and provider business models.
• Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
• The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
• Customer centric and interpersonal skills are required.
• Demonstrates an ability to maneuver effectively in a changing environment.
• Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
• Knowledge and use of Microsoft Office tools.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Specialty/Competency:** Data, Analytics & AI
**Industry/Sector:** HI X-Sector
**Time Type:** Full time
**Travel Requirements:** Up to 80%
At PwC, our people in data management focus on organising and maintaining data to enable accuracy and accessibility for effective decision-making. These individuals handle data governance, quality control, and data integration to support business operations.
In data strategy at PwC, you will focus on developing and implementing strategic plans to effectively manage and utilise data within the organisation. You will analyse business requirements, identify data needs, and define data governance frameworks. Your work will involve collaborating with stakeholders to align data initiatives with organisational goals, supporting the use of data to drive informed decision-making and support business growth.
Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
+ Analyse and identify the linkages and interactions between the component parts of an entire system.
+ Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
+ Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
+ Develop skills outside your comfort zone, and encourage others to do the same.
+ Effectively mentor others.
+ Use the review of work as an opportunity to deepen the expertise of team members.
+ Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
+ Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Data Management team you will lead the development and execution of cloud analytics strategies for healthcare providers. As a Manager, you will supervise and mentor teams, delivering quality outputs while fostering meaningful client relationships and navigating complex challenges.
Responsibilities
- Oversee and mentor team members to promote the delivery of exceptional outputs
- Drive team performance through impactful coaching and development
- Maintain adherence to project timelines and quality standards
- Analyze data management processes to pinpoint areas for enhancement
- Foster a collaborative environment that encourages innovation and problem-solving
- Utilize technology to enhance service delivery and operational effectiveness
What You Must Have
- Bachelor's Degree
- 5 years of experience
What Sets You Apart
- Proven experience in healthcare provider environments
- Demonstrating subject matter knowledge in cloud transformations
- Designing and deploying cloud analytics architecture
- Understanding of major cloud platforms like AWS and GCP
- Developing data pipelines for cloud platforms
- Proficiency in SQL and ETL processes
- Experience managing large cloud analytics programs
- Demonstrating critical thinking and problem-solving skills
- Big 4 consulting experience preferred
Learn more about how we work: does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: PwC is an?equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law?
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: salary range for this position is: $99,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:

Location: Anywhere in Country
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
? **Business Transformation - Sr Manager - Healthcare Provider - Acute Care**
Today's healthcare environment is undergoing rapid change and transformation. The market is being impacted by changing regulations, new payment structures, increasing reliance on technology, and a move towards population health. As a senior manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in delivering services efficiently and effectively.
**The opportunity**
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment? We currently are seeking a highly motivated Senior Manager, with a focus on provider operations, to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
**Your key responsibilities**
As a Senior Manager in our Health consulting group focused on Clinical Operations, you'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
Our current hiring priorities are focused on engagements related to acute care. Candidates with experience leading work in the following areas are strongly preferred:
+ Acute care labor/ productivity
+ ED throughput
+ OR optimization
+ Length of stay and patient throughput
+ Care management redesign
+ Acute care organization design/ span of control
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds
+ Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**To qualify for the role, you must have**
+ A bachelor's degree and approximately 10 years of related work experience; or a graduate degree and approximately 7 years of related work experience.
+ Approximately 7 years of healthcare consulting experience in provider operations; acute care experience is preferred.
+ Prior experience as a senior manager (or above), in a consulting firm or in a senior management role within industry
+ Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
+ Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
+ Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support; demonstrated record of driving revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior/manager consulting professionals
+ Ability to work collaboratively in a team environment
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills
+ A willingness to travel to meet client needs; travel is estimated at 80%.
**Ideally, you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
+ Clinical background is preferred but not required.
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you.
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $150,400 to $43,600. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 180,500 to 390,500. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law?
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .

The primary function of this role is to provide strategic oversight of ESIs Key Account new sales division. Key Accounts are mid-sized prospective employers (up to 360k ARxs) acquired either directly or through our coalition partners. Leadership of this team includes the development and execution of strategies and/or tactics in the following areas: Territory Planning, Pre-RFP Prospecting and Relationship Development, Proposal Development, Pricing Development, Presentation Development and Delivery (finalist or other), Negotiations, Closing and Contracting and Incentive Compensation. Success will be measured by achievement of sales targets in the following areas: New adjusted scripts (ARxs) and/or Revenue, as well as profitability.
**Scope (e.g., Specific metrics this role will be responsible for):**
+ Driving growth and profitability for the key account segment.
+ Manages profit, revenue and gross margin for new prospects. Developing strategic work plan goals to include, but not limited to, identify and prospect strategy in the middle market segment, win new middle market clients, and grow gross margin, Arx's, and other organic growth opportunities.
+ Identify short- and long-term sales goals and develop a corresponding strategic plan to achieve them. Assess capabilities and/or partnerships required to win in the market.
+ Manage a team of middle market Sales Directors, as well as Directors focused exclusively on our clinical differentiation. Provide career development opportunities, work direction, evaluate performance and provide feedback to promote employee growth and retention.
+ Coaching to and holding the team accountable for using the Challenger Selling approach, as well as important sales processes such as use of company CRM.SFDC.
+ Work collaboratively with relevant business departments to price products/services, inform the development of new products/services and effectively market the business.
+ Identify gaps and lead special projects & task forces focused on improving operational effectiveness and implementing best practices within the division.
+ Ensure teams have the necessary tools and resources to deliver exceptional service
**MINIMUM QUALIFICATIONS TO ENTER THE JOB:**
+ **Education/Certification (required/desired):**
+ Bachelor's degree required (BS Pharmacy preferred); MBA preferred
+ A result-focused executor, who brings discipline, drive, and accountability to ensure delivery on plans for capturing market share.
+ An inspirational, compelling leader who is capable of communicating the vision to external and internal constituents; and commanding the respect and enthusiasm.
+ Experience in prospecting new opportunities.
+ Experience with client negotiations required.
+ Experience in attracting top talent, building and developing effective teams.
**The following competencies/behaviors will be expected for incumbents in this position:**
+ Strong in strategy development, communication and execution
+ Strong business and financial acumen
+ Client centric / customer focused
+ Ability to build strong relationships with senior members of client organization
+ Ability to build and manage strong internal teams
+ Demonstrate the ability to negotiate cross functionally to drive client issues to resolution
+ Ability to manage work strategically, effectively anticipating/planning for client impact of internal and external influencers.
Open to considering candidates in locations outside what is listed on job posting.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 212,900 - 354,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna ( .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!**
This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term.
Non-medical Counseling topics are varied but often include the following issues:
+ Stress
+ Transition/Relocation
+ Grief and loss
+ Employment issues
+ Marital/couple conflict or communication
+ Parent-Child Relational Problems
+ Academic or Educational problems
+ Problems related to Primary Support
The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
**Duties and Responsibilities:**
+ Provide participants with confidential, non-medical counseling services
+ Assess the participant's immediate risk and biopsychosocial needs
+ Provide appropriate referrals for resources and treatment
+ Use clinical expertise, professional judgment and best practices
+ Execute duty to warn/mandated reporting processes
+ Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
+ Demonstrate the ability to be agile and flexible in work process.
+ Deliver excellent clinical judgment and interpersonal communication skills
+ Understand confidentiality and privacy regulations
+ Demonstrate excellent verbal and written communication
+ Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.
**Qualifications:**
+ Must be a U.S. Citizen
+ Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling
+ Current, valid, unrestricted counseling license/certification from a State, D.C., a U.S. Commonwealth, or a U.S. Territory that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred.
+ Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire
+ Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy.
+ Knowledge and experience with Employee Assistance Programs (CEAP certification optional)
+ Knowledge and experience in crisis management
+ Solid understanding of Z-codes
+ Proficient with multiple software and system applications.
+ Demonstrated ability to set priorities including, but not limited to time management and organizational skills
+ Ability to manage own caseload and coordinate all assigned cases
+ Passion for helping the military community
+ Understanding of military life and culture
+ Must pass government-issued background check (tier 2 suitability)
**REQUIRED WORK HOURS:**
Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time.
Currently hiring for **#remote** Licensed Telephonic Counselors who are
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!**
This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term.
Non-medical Counseling topics are varied but often include the following issues:
+ Stress
+ Transition/Relocation
+ Grief and loss
+ Employment issues
+ Marital/couple conflict or communication
+ Parent-Child Relational Problems
+ Academic or Educational problems
+ Problems related to Primary Support
The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of military members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
**Duties and Responsibilities:**
+ Provide participants with confidential, non-medical counseling services
+ Assess the participant's immediate risk and biopsychosocial needs
+ Provide appropriate referrals for resources and treatment
+ Use clinical expertise, professional judgment and best practices
+ Execute duty to warn/mandated reporting processes
+ Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
+ Demonstrate the ability to be agile and flexible in work process.
+ Deliver excellent clinical judgment and interpersonal communication skills
+ Understand confidentiality and privacy regulations
+ Demonstrate excellent verbal and written communication
+ Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.
**Qualifications:**
+ Must be a U.S. Citizen
+ Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling
+ Current, valid, unrestricted counseling license/certification from a State, D.C., a U.S. Commonwealth, or a U.S. Territory that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred.
+ Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire
+ Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy.
+ Knowledge and experience with Employee Assistance Programs (CEAP certification optional)
+ Knowledge and experience in crisis management
+ Solid understanding of Z-codes
+ Proficient with multiple software and system applications.
+ Demonstrated ability to set priorities including, but not limited to time management and organizational skills
+ Ability to manage own caseload and coordinate all assigned cases
+ Passion for helping the military community
+ Understanding of military life and culture
+ Must pass government-issued background check (tier 2 sustainability)
**REQUIRED WORK HOURS:**
Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

Position Scope Hours for the Position: Must be able to work an 8-hour-shift between the business hours of 9a-9p EST. Flexibility is required to meet business needs. Must be open to work evenings.

Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.

Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.

• Customer Strong: I deliver world-class experiences for all my customers.
• Me to We: I take accountability to trust, partner, and deliver.
• Own It: I see a need and deliver value because I care.
• Evolve and Adapt: I learn and adapt to meet evolving business needs.
• Be Bold: I pioneer and think broadly to solve challenges.
• Take Care: I prioritize self-care and act with compassion toward colleague.

Day in the Life Responsibilities

• Collaborates with customer in creation of care plan and documents plan in medical management system.
• Partners with each customer to establish goals and interventions to meet the customer's needs.
• Establishes plan of care in conjunction with the customer and provider then document into a medical management system.
• Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
• Empowers customers with skills to enhance interaction with their providers.
• Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.
• Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
• Tracks daily activities to trend volume and outcomes.
• Follows standard operating procedures.
• Toggles between multiple systems and applications.
• Research relevant topics in health promotion and disease prevention, as required for specific customers.
• Prioritizes work to meet commitments aligned with organizational goals.
• Understands and adheres to Case Management performance measures to deliver on key results.
• Completes training within the communicated time limit as required per role.
• Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.

Minimum requirements

• Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
• Minimum of two years full-time direct patient care setting as an RN required.
• Must be flexible to work days or evenings based on business needs

Preferred requirements

• For non-standard shift positions/State License Requirements: Available to work (Evenings after 11:30 a.m. ) with a 12% shift differential.
• Must have an active and unencumbered RN License in the State of Residence
• Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
• Excellent communication skills including telephonic (verbal) and digital (messaging, emails).
• Skilled in clinical acumen to form a judgement and act.
• Strong computer skills in Microsoft word, Excel, Outlook, and ability to perform thorough internet research.
• Ability to recognize, address and resolve conflicts in a professional, collaborative manner.
• Demonstrates sensitivity to culturally diverse situations, participants, and customers.
• Demonstrates effective organizational skills and flexibility to meet the business needs.
• Adapts approach and demeanor in real time to match the shifting demands of different situations.
• Ability to manage multiple, complex situations in a fast-paced environment collaborating with clinical and other business partners.
• Some roles may require on-site meetings or audits twice a year required

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 76,600 - 127,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.