of utilization management criteria, and ability to read pharmaceutical contracts, along with business acumen and financial analytical... management policies to determine client eligibility for rebates, ultimately providing quality assurance evaluations...
healthcare operations. This role focuses on leveraging Generative AI to enhance efficiency, accuracy, and speed within Provider... understanding Ability to work comfortably with all levels of management including senior and executive leadership Proven ability...
, and management strategies Effectively collaborates with Accredo partners on benefit, service, and relational strategies targeting...+ years equivalent related experience Proficient knowledge (min of 3+ years) in healthcare / managed care business...
will provide business direction and end-to-end project management for cross-functional programs and projects for the Dental... of strategic ideas. Determine the appropriate change management approach working with business partners. Work with portfolio...
knowledge of the healthcare services industry. Excellent project management, communication, and presentation skills. Proven... to prioritize multiple projects in a fast-paced environment to meet deadlines Strong peer relationship management skills to foster...
strategic direction and management of the day to day contracting and network management activities for a local given territory... Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning...
Provider Data Management Analyst Are you ready to make a difference in healthcare analytics? Join our Market... Analytics, Pricing & Solutions team as a Provider Data Management Analyst and help drive innovation, accuracy, and compliance...
and analytical thinking. Demonstrate effective time management skills. Self-starter and motivated individual. Ability to work.... At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna...
plays a pivotal role in supporting both clinical program strategy and financial performance management. This role bridges... engagements. The advisor will collaborate with Clinical Program Management, Account Teams, and Pricing to ensure the delivery...
and minimum 5 years' experience in account management focused on mental health, EAP, or healthcare insurance. Life and Health...'s Employee Assistance Program (EAP) clients. This role partners with Sales and Account Management and provides consultative...