What Medical Assistant Jobs are in Flagstaff?

Showing 1704 Medical Assistant jobs in Flagstaff

Phlebotomist - Flagstaff

86011 Flagstaff Sonora Quest

Posted 2 days ago

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Job Description

**Primary City/State:**
Flagstaff, Arizona
**Department Name:**
**Work Shift:**
Day
**Job Category:**
Phlebotomy
**Are you a phlebotomist looking to work in the Flagstaff area? You belong here!**
**We're searching for people who want to work for a purpose, to help patients, to ensure quality diagnostic care, and to be dedicated to ensure our patients are getting the critical health results they need in time to make important health decisions. We don't just want a phlebotomist. We want someone who understands that behind every lab there is a human being with loved ones who count on them, who also want to make a difference. If this sounds like you, apply today and come help us do great work on behalf of better health!**
**POSITION SUMMARY**
This position may be located within a Hospital Facility, Patient Service Center (PSC), In Office Phlebotomy (IOP) or Mobile Diagnostic Services (MDS). This position may be responsible to provide coverage at multiple locations. This position is responsible for the collection and receipt of biological specimens into the department, their proper entry into the company's computer system, the preparation of samples for analytical testing and/or the distribution of these specimens to the proper analytical area. This includes responsibility for pre and post aspects of analytical testing. This position will also perform specified analytical testing as assigned. Follows the guidelines of the Code of Conduct.
_Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards._
**MINIMUM QUALIFICATIONS**
+ Minimum age requirement of 18.
+ High School diploma or equivalent may be required dependent on state regulatory requirements.
+ Basic knowledge of department resource materials.
+ Completion of a phlebotomy program or phlebotomy experience.
+ Position may require DHS Fingerprinting Certification or the ability to obtain fingerprint certification.
+ Dependent on department/location, candidate must possess a valid state driver's license in the state of employment and be eligible for coverage under the company auto insurance policy.
+ Float positions require travel and flexible hours required to work multiple locations and required to cover at mobile phlebotomy facilities/in-office phlebotomy locations with minimal notice. Must be flexible and available based on staffing requirements, weekends, holidays and overtime. May be required to work occasional on-call duties weekends, evenings and early AM.
+ Progression through career ladder II-IV is subject to completion of career ladder requirements.
**PREFERRED QUALIFICATIONS**
+ Bilingual (Spanish/English).
+ Knowledge of medical terminology.
+ Additional related education and/or experience.
**EEO Statement:**
EEO/Disabled/Veterans ( organization supports a drug-free work environment.
**Privacy Policy:**
Privacy Policy ( Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
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Occupational Therapist Home Health

86011 Flagstaff CenterWell

Posted 2 days ago

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Job Description

**Become a part of our caring community**
As a therapist at CenterWell Home Health, reporting to the Home Health Branch Administration, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
**$10,000 Sign-On Bonus or Relocation Assistance Available**
**Location:** Pullman, Washington
_Relocation assistance packages are determined based on individual circumstances and company policy._
**Additional Benefits & Perks**
**Benefits Start Day One**
Medical, Dental, Vision, and more
**$5,000 Annual Tuition Reimbursement**
Support for continuing education and professional development
**Company Vehicle & Fuel Benefit Program**
Qualifying employees may receive a company-provided vehicle and a 100% company-funded fuel card
As a **Home Health Occupational Therapist** , you will:
+ Assess/screen patient's daily living/work-related skills and develop therapeutic retraining programs with measurable objectives. Administer and interpret diagnostic and prognostic tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function.
+ Confer with the patient's physician and other health care team members and participate in development/revision of the Plan of Care Treatment.
+ Provide therapeutic treatment and instruction to patients in accordance with physician orders to improve/restore strength, coordination, range-of-motion and function or teach compensation measures.
+ Review/expand the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines of the rehabilitation program as a whole.
+ Consult with other vocational team members, as appropriate, to develop and implement vocationally oriented plans consistent with the needs and capabilities of patients.
+ Report patient status and progress to the physician, rehabilitation staff, Clinical Manager, patient and family members.
+ Participate in care coordination and discharge planning activities and act as a resource to other health care personnel in meeting patient's needs.
+ Design community reintegration activities to assist the client in the physical reconditioning effort, and/or the psychological adjustment and coordinate the plan with members of the interdisciplinary team.
+ Recommend and/or design special adaptive equipment for clients to improve residence or working environments or improve their participation in the rehabilitation program and/or community.
+ Design/train staff and family members to carry out the retraining program including dressing, feeding, grooming and hygiene skills, participate in team and family educational meetings.
+ Supervise, instruct and evaluate Occupational Therapy Assistant and Home Health Aide performance in implementing occupational therapy services.
+ Accurately and thoroughly document patients' care observations, interventions and evaluation on the day services are rendered. Ensure that interim (verbal) orders received from the physician are accurately documented and implemented. Submit evaluation, treatment plans and discharge summary to the supervisor and care management staff.
**Use your skills to make an impact**
Required Qualifications:
+ Current and unrestricted OT licensure
+ Current CPR certification
+ Valid driver's license, auto insurance and reliable transportation.
Preferred Qualifications:
+ Minimum six months of occupational therapy experience
+ Home Health experience
Pay Range
- $70.00 - $97.00 pay per visit/unit
- $102,500 - $141,000 per year base pay
Additional Information
TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$102,500 - $141,000 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About Us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options
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Occupational Therapist OT- Flagstaff

Posted 2 days ago

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Job Description

**Requisition number:**
**Job category:** Healthcare Delivery, Rehabilitation Services
Explore opportunities with Northern Arizona Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Occupational Therapist, you will be responsible for assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions.
**Primary Responsibilities:**
+ Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the physician in the development of the therapy plan of care.
+ Observes, records, and reports to the nurse supervisor and the physician the patient's response to treatment and changes to the patient's condition.
+ Conducts patient assessments evaluating the level of function by applying diagnostic and prognostic functional ability tests.
+ Instructs patient, family, caregiver, and participating members of the health care team in the areas of therapy in which they can participate to assist the patient
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current Occupational Therapy licensure in state of practice
+ Current CPR certification
+ Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
**Preferred Qualifications:**
+ Demonstrate ability to manage multiple tasks simultaneously
+ Demonstrate ability to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
\#LHCJobs
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Phlebotomist

Posted today

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full-time
Sonora Quest Laboratories, a distinguished leader in diagnostic testing in Arizona, is seeking a skilled Phlebotomist to enhance our clinical team. In this role, the successful candidate will be responsible for collecting blood samples from patients, maintaining the integrity of specimens, and ensuring the comfort of patients during the procedure. This position requires meticulous attention to detail, a high level of precision, and the ability to work effectively under pressure. By joining our team, you will contribute to our mission of providing exceptional medical insights and diagnostic services that support healthcare providers and improve patient outcomes.
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Phlebotomist - Flagstaff

Posted today

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Job Description

Primary City/State:
Flagstaff, Arizona

Department Name:

Work Shift:
Day

Job Category:
Phlebotomy

Are you a phlebotomist looking to work in the Flagstaff area? You belong here!

We're searching for people who want to work for a purpose, to help patients, to ensure quality diagnostic care, and to be dedicated to ensure our patients are getting the critical health results they need in time to make important health decisions. We don't just want a phlebotomist. We want someone who understands that behind every lab there is a human being with loved ones who count on them, who also want to make a difference. If this sounds like you, apply today and come help us do great work on behalf of better health!

POSITION SUMMARY
This position may be located within a Hospital Facility, Patient Service Center (PSC), In Office Phlebotomy (IOP) or Mobile Diagnostic Services (MDS). This position may be responsible to provide coverage at multiple locations. This position is responsible for the collection and receipt of biological specimens into the department, their proper entry into the company's computer system, the preparation of samples for analytical testing and/or the distribution of these specimens to the proper analytical area. This includes responsibility for pre and post aspects of analytical testing. This position will also perform specified analytical testing as assigned. Follows the guidelines of the Code of Conduct.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

MINIMUM QUALIFICATIONS
  • Minimum age requirement of 18.
  • High School diploma or equivalent may be required dependent on state regulatory requirements.
  • Basic knowledge of department resource materials.
  • Completion of a phlebotomy program or phlebotomy experience.
  • Position may require DHS Fingerprinting Certification or the ability to obtain fingerprint certification.
  • Dependent on department/location, candidate must possess a valid state driver's license in the state of employment and be eligible for coverage under the company auto insurance policy.
  • Float positions require travel and flexible hours required to work multiple locations and required to cover at mobile phlebotomy facilities/in-office phlebotomy locations with minimal notice. Must be flexible and available based on staffing requirements, weekends, holidays and overtime. May be required to work occasional on-call duties weekends, evenings and early AM.
  • Progression through career ladder II-IV is subject to completion of career ladder requirements.


PREFERRED QUALIFICATIONS
  • Bilingual (Spanish/English).
  • Knowledge of medical terminology.
  • Additional related education and/or experience.


EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy
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Healthcare Director

86004 Flagstaff Highgate Senior Living

Posted 3 days ago

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Community, not a facility. As thought leaders in the industry,we take a positive, holistic approach to senior care and encourage independence, as people are happiest when they can make their own choices. We provide opportunities for physical activity, social engagement, intellectual stimulation, spiritual involvement, and fun. We treat our residents and our team members like family. This opportunity will allow you to positively impact the quality of life for over 700 seniors and their families.

REGISTERED NURSE/HEALTHCARE DIRECTOR

We are looking for the right person to partner with our team to oversee and help implement the day-to-day nursing activities for our assisted living and memory care residents. This includes interacting with our residents, their families and medical providers, our nurses, caregivers, and medication assistants. Highgate Senior Living's mission is to devote ourselves to help each resident live a life of purpose and each of us plays a crucial role in doing so. We operate communities in the western US and are seeking the right Registered Nurse to join our team. For this full-time position, we are seeking a caring, detail-oriented individual to work with us as we seek to provide quality care in an environment that promotes a sense of well-being and the feeling of true community in a homelike setting.

Working in an assisted living setting allows you to build long term, meaningful relationships with the residents in your care. The work environment feels like home, very different than an acute, crisis driven environment like a hospital or an ER. A nurse in assisted living spends time focusing on quality of life and promoting individuality and choice. An assisted living Healthcare Director is a key partner to the resident in helping that resident live this last phase of life as he/she chooses. Assisted living residents can be very active, they can thrive, and they can also be facing end of life choices and issues. We view our role in helping them navigate this time as a privilege and an honor. If you are interested in spending your work time in this setting, assisted living may be the right option for you.

The successful candidate will be an organized and thoughtful individual with a positive and self-motivated attitude. You must have strong communication and critical thinking abilities. Excellent time management skills are important along with relationship building, persistence, flexibility, and adaptability.

SKILLS NEEDED
  • Ability to positively interact with residents, providers, and families
  • Able to create partnerships with the clinical and care teams
  • Excellent customer service skills to respond to resident, family, and medical provider requests and concerns
  • First-rate assessment skills to report and respond to changes in condition
  • Leadership skills including teaching, training, negotiation, expectation setting
  • Ability to inspire a team through effectively communicating a vision
  • Calm, levelheaded demeanor to assist during medical emergencies or incidents
  • Excellent verbal and written communication that is factual, based on observation and not subjective
  • Office and computer skills including MS Office suite
  • Business acumen to oversee department labor and expenses
  • Aptitude for staffing and scheduling
  • Ability to learn software that is necessary for the role including eMAR and EHR
  • A heart for service and compassion for elder adults
  • Capacity to recognize what is most important in the moment and for the long term
RELATABLE EXPERIENCE
  • Experience working with seniors or other vulnerable populations
  • Past and present nursing roles in various settings that included leadership opportunities
  • Experience working with pharmacies, physicians, or long-term care providers
  • Past jobs that have involved scheduling, training, and documentation
  • Customer service in different healthcare settings
  • Jobs that required focus, accuracy, and attention to detail
  • Professional experiences that taught you the importance of follow through and problem solving to reach resolution
QUALIFICATIONS

1) At least 21 years of age

2) Current RN License

3) Minimum of two years’ experience as a registered nurse

4) Nursing experience in geriatrics is a plus

7) Ability to pass criminal record/background check

9) Self-starter with a focus on attention to detail

10) Excellent verbal and written communication skills

11) Experience with documentation standards

As an organization we offer our team members a good benefits package, the ability to be heard, have their opinions count and the opportunity to innovate. Our compensation package will be flexible for this role based on the credentialing, tenure and skill sets each candidate brings for consideration. The annual salary range for this position is $83,000 to $91,000. Prior experience in caring for seniors or other specialty population groups is preferred. A passion for your work and a commitment to serving others are essential job qualifications. This is an opportunity to work in a booming industry that is constantly evolving and is making a positive impact for seniors every day. We are a healthcare company and being vaccinated against COVID-19 is preferred. If you want to learn more about this opportunity, please reach out for further information.

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Impactful RN Healthcare Director: Senior Living

86004 Flagstaff Highgate Senior Living

Posted 3 days ago

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Job Description

A leading senior care provider in Flagstaff, Arizona, seeks a dedicated Registered Nurse/Healthcare Director to oversee day-to-day nursing activities for assisted living and memory care residents. This full-time position emphasizes building meaningful relationships within a homelike environment. Ideal candidates will have a current RN License, two years of nursing experience, and a passion for caring for elderly adults. Salary ranges from $83,000 to $91,000, along with a comprehensive benefits package.
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Pediatrician - Impactful Community Health in Flagstaff

86004 Flagstaff ViziRecruiter,LLC.

Posted 2 days ago

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ViziRecruiter,LLC. is inviting applications for a Pediatric Medicine position in Flagstaff, Arizona. Join a supportive team to make a meaningful impact in the lives of children while enjoying the outdoors and vibrant community.

This role offers a competitive compensation package, comprehensive benefits, and opportunities for loan forgiveness. Candidates must possess an MD or DO degree, and be board eligible or certified in Pediatric Medicine.

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Product Strategy Director - Provider Data - Cigna Healthcare - Remote

Posted 2 days ago

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**Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.**
We are seeking an experienced Product Strategy Director - Provider Data to lead and develop a high-performing team of product managers. This role is responsible for defining and executing product strategy, overseeing the product lifecycle, and delivering innovative solutions that enhance customer experiences, improve operational efficiency, and drive measurable business outcomes.
The Director partners closely with engineering, operations, data, design, and business stakeholders to align product investments with enterprise objectives. This leader continuously evolves the product portfolio by leveraging emerging technologies, including AI, large language models (LLMs), automation, and modern product development practices. The role balances innovation with scalability, risk, and governance while translating strategic vision into actionable roadmaps and measurable results.
**Key Responsibilities**
**Leadership & Team Development**
+ Lead, coach, and develop a team of product managers across multiple products or product lines.
+ Foster a culture of customer focus, innovation, accountability, and continuous improvement.
+ Establish clear goals, performance expectations, and development plans.
+ Promote excellence in product discovery, delivery, and outcomes-based decision making.
**Product Strategy & Vision**
+ Define and communicate theproductvision and strategy aligned with businessobjectives.
+ Develop and manage product roadmaps that balance customer value, operational efficiency, and business impact.
+ Identifyopportunities toleveragedata, technology, AI, automation, and emerging product development approaches.
+ Evaluatenew technologiesand trends to inform long-term product strategy and portfolio evolution.
+ Ensure responsible adoption of innovative technologies whilemaintaininggovernance and scalability.
**Product Development & Delivery**
+ Oversee the full product lifecycle, from discovery and ideation through launch and optimization.
+ Guide teams in applying modern product management and agile development practices.
+ Partner with engineering and data teams to deliver secure, scalable, and well-governed solutions.
+ Encourage experimentation whilemaintainingappropriate controlsand oversight.
**Stakeholder Engagement**
+ Build strong partnerships with senior leaders and cross-functional stakeholders.
+ Communicate product strategy, progress, risks, and outcomes effectively.
+ Drive alignment on priorities, sequencing, and success metrics.
+ Present complex concepts clearly to executive and non-technical audiences.
**Market & Customer Insights**
+ Monitor industry trends, competitive offerings, and emerging technologies.
+ Incorporate customer insights and market research into product decisions.
+ Ensure productsremaindifferentiated and deliver meaningful business value.
**Qualifications**
+ Bachelor'sdegreeor higheris stronglypreferred.
+ 8+ years of product management experience
+ 3+ years ina people management/leadership role.
+ Provider data strategy experience.
+ Proven success leading multiple products or complex product portfolios.
+ Demonstrated ability to coach and develop high-performing product teams.
+ Experience delivering technology-enabled solutions in enterprise or regulated environments preferred.
+ Data andanalyticsbackground preferred.
+ Strategic thinker with strong analytical and problem-solving abilities.
+ Deep understanding of product management, product discovery, delivery, and agile methodologies.
+ Strong executive communication, stakeholder management, and influencing skills.
+ Ability to navigate ambiguity and make sound decisions with incomplete information.
+ Experience driving business outcomes through technology-enabled product solutions.
+ Working knowledge of AI, LLMs, and automation, with the ability to translate technical capabilities into business value.
+ Experience with AI-assisted product development, rapid prototyping, or experimentation-driven approaches preferred.
+ Willingness to travel up to 25%, as needed.
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 161,900 - 269,800 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here ( .
**About The Cigna Group**
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email_ ** ** _for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes._
_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._
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Program Management Senior Advisor - Cigna Healthcare - Remote

Posted 2 days ago

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**Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.**
**Program Management Senior Advisor, Payment Policy and Coding Business Implementation Lead (BIL)**
**Role Description:**
The Program Management Senior Advisor (Band 4, Individual Contributor) is a senior operational leader responsible for ensuring the accurate, compliant, and high-quality execution of regulatory driven alignment across reimbursement rules, prior authorization, and medical policy implementation. This role translates complex regulatory, legal, and policy requirements into disciplined execution, bringing structure to ambiguity and driving coordinated delivery across highly matrixed, cross functional teams.
As the Business Implementation Lead (BIL) of the Payment Policy and Coding team (PPC) you will act as the point person within the PPC business segment responsible for managing and coordinating the implementation process to ensure compliance of coverage, reimbursement, administrative, and code editing policy. This position is responsible for driving awareness, assessment and implementation of new federal and state laws, which includes reviewing impacts of new and revised compliance instructions and mandates and how it translates to policy implementation. The BIL will work cross functionally with affordability implementation partners and within the PPC along with other BILs as necessary and maintain a close partnership with Regulatory and Compliance teams.
**Additional principal functions of this role include:**
+ Providing compliance awareness and project management support for the Payment Integrity organization.
+ Developing quarterly compliance reports for the leadership team.
+ List management and process improvement of biomarker coding
+ Affordability Project Compliance support - 50 state compliance review to evaluate project impacts and compliance risk tied to editing
+ Preventive Workgroup and Committee compliance alignment and consultation support
+ Partner with various clinical leads as necessary to address policy related compliance matters
+ Partner with the enterprise Legal/ Compliance organization as needed for PPC compliance matters.
This role requires a great level of autonomy, independent critical thinking and flexibility to drive creative approaches and solutions to root cause analysis and problem solving, employing a wide range of methods, tools, and techniques to achieve optimal cross functional efficiencies and the strategic objectives of the PPC. Responsibilities include leading and delivering on cross operational initiatives, clinical governance analysis and operational work stream(s) support. This position will drive development and maintenance of compliance implementation action plans, outcomes and tracking/reporting with the ability to monitor progress against goals, timely escalation of barriers to success along with identification of potential solutions.
**Key Duties and Responsibilities** :
+ Review weekly Regulatory Instructions (RIs), assess applicability and impact across Payment Integrity (PI) and Payment Policy and Coding (PPC), and identify questions, risks, or implementation considerations for discussion with Regulatory and Compliance partners.
+ Participate in weekly Law Forum and Implementation Forum discussions; engage the State Regulatory Manager, Compliance Manager, New Law Implementation Lead, and other partners to support timely interpretation, planning, and execution of regulatory requirements.
+ Lead coordination of cross-functional implementation activities by identifying appropriate SMEs, aligning impacted teams, and partnering with other BILs when new laws create cross-business dependencies or sequencing considerations.
+ Develop, manage, and track implementation action plans, deliverables, timelines, controls, and evidence of compliance, including documentation in OpenPages where RI records are maintained.
+ Identify barriers to implementation, evaluate alternative solutions, escalate risks or issues as appropriate, and provide ongoing communication to ensure obstacles are addressed and required support is in place.
+ Coordinate compliance-related requirements and deliverables across applicable implementation vehicles, including ClaimsXten, Prepay, Precertification, Pricing, benefit classing, claim engine logic, and related operational processes.
+ Maintain information and list management functions for biomarker-related activities and support ongoing compliance alignment for related coding and policy work.
+ Build and maintain effective working relationships across Payment Integrity, Payment Policy and Coding, Legal, Compliance, Product, Operations, IT, and other internal customer groups to support aligned and sustainable implementation outcomes.
**Qualifications** :
+ Bachelor's degree or higher strongly preferred.
+ 7+ years of program or product management experience working within a complex, regulated environment, with a focus on compliance and regulatory implementation highly preferred.
+ Strong knowledge of health plan operations, regulatory processes, and compliance requirements highly preferred.
+ Cigna experience preferred.
+ Experience implementing regulatory mandates and supporting audits, inquiries, disputes, policies, procedures, references, or training in regulated settings is required.
+ Compliance certification preferred, such as CHC, CPCO, CHPC, or CCEP.
+ Proficiency with compliance facilitation and business tools, including iComply, OpenPages, Q&A Fast Map, Law Exchange, Microsoft Office, Tableau, and Wrike.
+ Skilled in leading cross-functional initiatives across Legal, Compliance, Product, Policy, Operations, IT, and other matrixed teams.
+ Demonstrated ability to work independently, prioritize effectively, and drive high-quality, sustainable results in ambiguous or changing environments.
+ Strong business acumen with the ability to quickly understand new business areas, assess impacts, and translate requirements into actionable plans.
+ Proactive, team-oriented collaborator with the ability to build credibility, foster alignment, value diverse perspectives, and gain support across organizational levels.
+ Excellent written and verbal communication skills, including the ability to produce executive-level and regulator-facing materials.
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 116,100 - 193,500 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here ( .
**About The Cigna Group**
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email_ ** ** _for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes._
_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._
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