Cigna

SUMMARY MDLIVE is a telehealth company providing virtual care services for general health, primary care, behavioral health, and dermatology. We deliver extraordinary customer care by promptly and accurately responding to our patients concerns, reinforcing our benefits and services by connecting with our patients to establish long lasting relationships that will foster brand loyalty. To further our mission and making sure that the day-to-day activities of the company support those initiatives, we expect employees to: Deliver extraordinary customer service by responding to the patients' questions or concerns in a timely manner via incoming call or incoming chat sessions. Develop and foster patient relationships on every interaction, building rapport from the start to the end of the call demonstrating that you value our patients. Document the necessary patient profile information and update the medical history with any relevant information as it pertains to the...

Position Summary The Product Management Senior Advisor for Cost Containment will be responsible for the management and development of the solutions suite, supporting the OON Protection and Payment Integrity programs under the medical Cost Containment products umbrella. This position will provide subject matter expertise to direct product operations, reporting, compliance, marketing, sales, future product development, and client exceptions. The successful individual in this role will have strong analytic, technical, communication, research and decision-making skills. A solid understanding of the healthcare ecosystem and delivery system dynamics is a must. This individual will be adept at working as part of a small team, comfortable handling competing priorities and able to operate in an environment with aggressive timelines and possible ambiguity. Excellent time management, project management, organizational skills, and orientation to detail. This role is an individual...

Position Summary The PCC (Provider Command Center) team member will report to a Call Center Team Lead, serving as the gatekeeper of the Patient Waiting Room, Exception Queue, Customer Service Escalations via email, and occasional Inbound Call Center support. The PCC team member is a subject matter expert with call center, clinical, provider, and policy and procedures. They act as a support team to providers as well as outbound patient outreach to assist with any scheduling/rescheduling needs. Responsibilities Schedule or reschedule appointments for phone or video consultations Assist with scheduling behavioral health appointments, outreach to providers for availability Assist with language specific consultations video or phone consultations for non-English speaking patients Send escalated alert notification of low provider coverage for state specific patient phone or video consultations to medical providers via text Monitor PCC exception queue and...

Position Summary The PCC (Provider Command Center) team member will report to a Call Center Team Lead, serving as the gatekeeper of the Patient Waiting Room, Exception Queue, Customer Service Escalations via email, and occasional Inbound Call Center support. The PCC team member is a subject matter expert with call center, clinical, provider, and policy and procedures. They act as a support team to providers as well as outbound patient outreach to assist with any scheduling/rescheduling needs. Responsibilities Schedule or reschedule appointments for phone or video consultations Assist with scheduling behavioral health appointments, outreach to providers for availability Assist with language specific consultations video or phone consultations for non-English speaking patients Send escalated alert notification of low provider coverage for state specific patient phone or video consultations to medical providers via text Monitor PCC exception...

Sr. Account Executive - Specialty Pharmacy (Oncology Focus) Join our team as a Sr. Account Executive supporting Accredo's oncology partnerships, where you'll drive patient centered impact while expanding access to specialty pharmacy care. In this role, you'll build trusted relationships with oncology practices, deliver meaningful education, and achieve strategic sales goals that strengthen the patient experience. Responsibilities Achieve sales objectives across the Central East coast I through strategic territory planning. Interpret prescribing and market data to guide territory strategy and identify growth opportunities. Engage oncology offices with high quality educational interactions that promote exceptional patient care. Meet productivity expectations for customer engagement, reach, and frequency. Manage account planning, sales strategy development, and call documentation in Salesforce. Complete all administrative responsibilities...

Position Overview The Managing Director of Express Scripts and EnGuide Pharmacies will lead enterprise-wide strategy, innovation, and execution across two of Evernorth’s most critical pharmacy platforms. This role is pivotal in driving sustained profitable growth, optimizing client and member experience, and delivering differentiated value across payer, patient, prescriber, and pharma channels. The leader will oversee strategic planning, go-to-market execution, and cross-functional alignment across both pharmacies, ensuring seamless integration and operational excellence. Key Responsibilities Lead the strategic direction and execution for Express Scripts and EnGuide Pharmacies, aligning with Evernorth’s broader pharmacy and care delivery goals. Develop and communicate a compelling vision that inspires teams and stakeholders across the enterprise. Drive market differentiation through innovative pharmacy solutions, including digital engagement, supply chain...

Position Title: Sr. Technical Product Owner - SAP Order to Cash & Commerce Cloud (Strategy & Management) Position Overview CuraScript SD is a wholesale pharmaceutical distributor providing customized business solutions and access to specialty medications for community physicians, specialty pharmacies, and health systems. The organization is a wholly owned subsidiary of Evernorth, a Cigna company. We are seeking an experienced and highly motivated Senior Technical Product Owner for SAP Order to Cash (SD) and Commerce Cloud to join our Technology organization. This senior-level Agile role is responsible for ensuring alignment to product vision, principles, and multi-year strategy. Acting as a key liaison between business stakeholders and technical delivery teams, this position drives the product roadmap for integrated e-commerce and order management capabilities. The Senior Technical Product Owner provides deep domain expertise, technical product...

Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable—their homes. As a Home Infusion Registered Nurse, you’ll deliver life-changing care while building meaningful relationships and driving positive health outcomes. Responsibilities: Provide safe and effective administration of IV infusion medications in patients’ homes. Partner with pharmacists and care teams to ensure holistic patient well-being. Document assessments, treatments, and progress to maintain accurate patient records. Serve as the primary point of contact for patient updates and care coordination. Demonstrate autonomy in clinical decision-making to achieve optimal outcomes. Required Qualifications: Active RN license in the state of practice. Minimum 2 years of RN experience. At least 1 year in critical care, acute care, or home healthcare. Proficiency in IV insertion and infusion techniques....

Applicants must reside in Pennsylvania to be considered for this position. On-Site Training: This role requires 12-14 weeks of on-site training at the following location: 1001 Oakdale Road, Oakdale, PA 15071 Support the clinical management and order setup of specialty patients under the supervision of a licensed pharmacist. Ensure accurate coordination of patient deliveries and provide exceptional customer service. Key Responsibilities: Communicate with patients, caregivers, and medical staff to coordinate home and office deliveries. Handle inbound/outbound calls and follow-up as directed by a pharmacist. Assist with onboarding new specialty patients and maintain accurate patient records. Complete patient assessments and medication delivery setup under pharmacist supervision. Provide copay information, process payments, and ensure compliance with accreditation standards. Document all interactions accurately and...

POSITION SUMMARY This role will serve as a senior individual contributor responsible for designing, building, and executing a continuous monitoring program within the Provider Experience & Operations (PX&O) function. This role will leverage data, analytics, and automation to proactively identify emerging risk considerations, with an initial focus on monitoring SOX and SOC controls. The individual will partner closely with the Operational Health Risk and Controls team and operations leadership to design, detect and address potential control breakdowns before they escalate. The continuous monitoring program will also serve as a key monitoring control across select business process controls, enabling timely insights and risk mitigation across PX&O operations. Candidates who reside within 50 miles of the following locations will be required to perform onsite 3 days per week: Bloomfield, CT; Chattanooga, TN; Denver, CO; St. Louis, MO; and Scottsdale, AZ. The Data...

SUMMARY MDLIVE is a telehealth company providing virtual care services for general health, primary care, behavioral health, and dermatology. We deliver extraordinary customer care by promptly and accurately responding to our patients concerns, reinforcing our benefits and services by connecting with our patients to establish long lasting relationships that will foster brand loyalty. To further our mission and making sure that the day-to-day activities of the company support those initiatives, we expect employees to: Deliver extraordinary customer service by responding to the patients’ questions or concerns in a timely manner via incoming call or incoming chat sessions. Develop and foster patient relationships on every interaction, building rapport from the start to the end of the call demonstrating that you value our patients. Document the necessary patient profile information and update the medical history with any relevant information as it pertains to the patient’s...

As an Ad Hoc Negotiator at Evernorth Behavioral Health, you will be a key member of the Network Team, reporting directly to the Ad hoc Supervisor. This role focuses on the strategic negotiation and execution of single case agreements (SCAs) for both high levels of care and outpatient services. You will collaborate cross-functionally to ensure members have timely access to high quality, cost effective behavioral services. How you'll make a difference: Negotiate SCAs with behavioral health facilities and providers to address urgent or unique member needs. Establish and maintain provider relationships that support Evernorth's national network strategy and fill identified network gaps. Initiate and sustain effective communication channels with matrix partners, including Claims Operations, Clinical Operations, Provider Relations, Behavioral Finance, Compliance, Sales, and Marketing. Analyze financial and operational impact of proposed agreements, ensuring...

Position Summary: This position is for the quality and statutory medical director for a given market. The Market Medical Executive (MME) role is viewed as the clinical leader by both internal and external partners. The MME drives key business and clinical initiatives through consultative interactions to achieve total medical cost competitiveness, profitable membership growth through retention and new sales, and innovative solutions which are aligned with the local market’s priorities. RESPONSIBILITIES: Contributes to growth and persistency through strategic collaboration with market leaders, sales, and account management Serves as the clinical expert with customers, clients and producers Couples data analysis with clinical insights to drive consumer engagement and affordability Recognizes new opportunities based on market and national clinical and business trends and partners with cross-functional matrix partners to bring solutions to the market Leads medical...

Lead the way. Deliver excellence. As a Client Account Support Lead Analyst , you'll oversee the full client onboarding journey. You'll drive key conversations, secure essential setup details, and deliver clear, persuasive implementation plans. You'll ensure smooth transitions for new and renewing clients and confidently present timelines in finalist meetings. You'll lead initiatives that strengthen team outcomes. What you'll do: Own a book of business and lead the full implementation lifecycle for Client Operations. Partner with Sales during the RFP process to understand client intent, assess feasibility, and explain benefit design implications Create and maintain Administrative Summary and Structure documents. Collaborate with Sales to submit non-standard benefits to the Product Benefit Advisory Board and ensure coordinated benefit design Lead a cross-functional matrix team to execute implementation tasks, including benefit build, structure...

Candidates who reside within 50 miles of the following locations may be asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ. As a Quality CSN - Network Strategy & Solution Lead , you play a vital leadership role in shaping and delivering client-specific network (CSN) strategies that create measurable value. You will guide complex initiatives, connect cross-functional partners, and turn strategic opportunities into real outcomes for clients and the business. Responsibilities Lead the strategic planning and execution of CSN initiatives, ensuring timelines, milestones, and deliverables are aligned to strategic goals. Serve as a subject matter expert in claims processing and quality standards, providing guidance and integrating expertise into CSN design and audits. Drive end-to-end CSN implementation, including stakeholder alignment, launch readiness, and post-implementation evaluation. Build...

Must reside in Pennsylvania, Ohio, and West Virginia to be consider for the position. On‑Site Training: This role requires 6-8 weeks of on‑site training at the following location: 1001 Oakdale Road, Oakdale, PA 15071 Responsible for supporting the clinical management and refill coordination of specialty pharmacy patients under the supervision of a licensed pharmacist. This role involves direct communication with patients, caregivers, and healthcare professionals to ensure accurate and timely delivery of medications. Responsibilities Coordinate patient deliveries by making outbound and receiving inbound calls from patients, caregivers, and medical staff. Conduct follow-up calls as directed by a licensed pharmacist. Assist the specialty pharmacy team with tasks such as: Evaluating product usage Managing and documenting supply inventory Setting up medication orders Performing verbal patient assessments Maintain and update patient...

As a key technical leader, you will strengthen and evolve our Workforce Management (WFM) technology ecosystem-helping teams deliver reliable, insight-driven service experiences. You'll partner with engineers, architects, and business stakeholders to shape a modern, scalable WFM platform that supports our enterprise's contact center strategy. Responsibilities Lead the long-term strategy, standards, and architecture for enterprise WFM platforms, including Verint WFM, Intradiem, Alvaria, and Genesys Decisions. Provide technical expertise for WFM initiatives, ensuring high-quality data integration, data delivery, and data governance across systems. Collaborate with application, solution, and technical architects to align WFM data architecture with broader enterprise technology roadmaps. Analyze logs, integrations, dashboards, alerts, and reports to maintain system health and improve operational performance. Drive evaluations of emerging technologies...

POSITION SUMMARY The Financial Analysis Senior Analyst is responsible for managing all billing aspects for a complex or larger volume book of business including Under 500 Accounts. This role is accountable to collect all premium/fees and claims/claims funding billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience. Key responsibilities of this role include: owning the end-to-end billing relationship; identifying opportunities for process improvements to enhance client satisfaction, reduce financial risk and successful implementation of new and renewing clients from a financial perspective. Primary Responsibilities Manage the end-to-end billing relationship for a complex book of business of approximately 500 accounts. Make independent decisions regarding credits and debits, notifications and communication on client receivables. Provide support for external and internal...

SUMMARY MDLIVE is a telehealth company providing virtual care services for general health, primary care, behavioral health, and dermatology. We deliver extraordinary customer care by promptly and accurately responding to our patients concerns, reinforcing our benefits and services by connecting with our patients to establish long lasting relationships that will foster brand loyalty. To further our mission and making sure that the day-to-day activities of the company support those initiatives, we expect employees to: Deliver extraordinary customer service by responding to the patients’ questions or concerns in a timely manner via incoming call or incoming chat sessions. Develop and foster patient relationships on every interaction, building rapport from the start to the end of the call demonstrating that you value our patients. Document the necessary patient profile information and update the medical history with any relevant information as it pertains to the patient’s...

Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable—their homes. As a Home Infusion Registered Nurse, you’ll deliver life-changing care while building meaningful relationships and driving positive health outcomes. Responsibilities: Provide safe and effective administration of IV infusion medications in patients’ homes. Partner with pharmacists and care teams to ensure holistic patient well-being. Document assessments, treatments, and progress to maintain accurate patient records. Serve as the primary point of contact for patient updates and care coordination. Demonstrate autonomy in clinical decision-making to achieve optimal outcomes. Required Qualifications: Active RN license in the state of practice. Minimum 2 years of RN experience. At least 1 year in critical care, acute care, or home healthcare. Proficiency in IV insertion and infusion techniques....

Must reside in Pennsylvania, Ohio, and West Virginia to be consider for the position. On‑Site Training: This role requires 6-8 weeks of on‑site training at the following location: 1001 Oakdale Road, Oakdale, PA 15071 Responsible for supporting the clinical management and refill coordination of specialty pharmacy patients under the supervision of a licensed pharmacist. This role involves direct communication with patients, caregivers, and healthcare professionals to ensure accurate and timely delivery of medications. Responsibilities Coordinate patient deliveries by making outbound and receiving inbound calls from patients, caregivers, and medical staff. Conduct follow-up calls as directed by a licensed pharmacist. Assist the specialty pharmacy team with tasks such as: Evaluating product usage Managing and documenting supply inventory Setting up medication orders Performing verbal patient assessments Maintain and update patient...

Join us in shaping the future of Evernorth Health Services as a Senior Strategic Human Resources Business Partner supporting our Home Pharmacy and Virtual Care businesses. In this role, you will influence high-impact decisions, guide leaders through growth and transformation, and help teams unlock potential during rapid expansion and post-deal integration. This is a career-defining opportunity for an HR Business Partner who thrives in complexity and is energized by meaningful change. Responsibilities Serve as a strategic advisor to senior leaders, aligning HR strategies with business goals to enable growth and transformation. Lead leadership development, workforce planning, organizational design, and long-term talent strategy initiatives. Drive HR execution for mergers, acquisitions, integrations, and organizational redesign. Partner with HR Centers of Excellence to create scalable, enterprise-ready solutions across Talent Acquisition, Employee Relations,...

Join us in shaping the future of Evernorth Health Services as a Senior Strategic Human Resources Business Partner supporting our Home Pharmacy and Virtual Care businesses. In this role, you will influence high-impact decisions, guide leaders through growth and transformation, and help teams unlock potential during rapid expansion and post-deal integration. This is a career-defining opportunity for an HR Business Partner who thrives in complexity and is energized by meaningful change. Responsibilities Serve as a strategic advisor to senior leaders, aligning HR strategies with business goals to enable growth and transformation. Lead leadership development, workforce planning, organizational design, and long-term talent strategy initiatives. Drive HR execution for mergers, acquisitions, integrations, and organizational redesign. Partner with HR Centers of Excellence to create scalable, enterprise-ready solutions across Talent Acquisition, Employee Relations,...

Join us in shaping the future of Evernorth Health Services as a Senior Strategic Human Resources Business Partner supporting our Home Pharmacy and Virtual Care businesses. In this role, you will influence high-impact decisions, guide leaders through growth and transformation, and help teams unlock potential during rapid expansion and post-deal integration. This is a career-defining opportunity for an HR Business Partner who thrives in complexity and is energized by meaningful change. Responsibilities Serve as a strategic advisor to senior leaders, aligning HR strategies with business goals to enable growth and transformation. Lead leadership development, workforce planning, organizational design, and long-term talent strategy initiatives. Drive HR execution for mergers, acquisitions, integrations, and organizational redesign. Partner with HR Centers of Excellence to create scalable, enterprise-ready solutions across Talent Acquisition, Employee Relations,...