114 Jobs Found

"CIGNA"

Credentialing Advisor - Evernorth Care Group - AZ Hybrid

CIGNA Phoenix Arizona United States
(No Timezone Provided)

Primary Job Duties and Responsibilities:* Manages health plan requests, audits, and delegated credentialing programs to maintain positive relationships between the health plan, physician, providers, and practice managers.* Leads credentialing efforts, providing expert guidance on all provider creden...

Sr. Account Representative - Curascript - Hybrid

CIGNA Lake Mary Florida United States
(No Timezone Provided)

Job SummaryThe primary expectation of the Sr. Account representative is to manage and grow the revenue and gross margin of their assigned territory through account organic growth and new account acquisition. About CignaCigna is a global health service company dedicated to helping the people we serve...

Credentialing Advisor - Evernorth Care Group - AZ Hybrid

CIGNA Scottsdale Arizona United States
(No Timezone Provided)

Primary Job Duties and Responsibilities:Manages health plan requests, audits, and delegated credentialing programs to maintain positive relationships between the health plan, physician, providers, and practice managers. Leads credentialing efforts, providing expert guidance on all provider credentia...

Procurement operations technology team senior analyst

CIGNA Saint Louis Missouri United States
(No Timezone Provided)

Global Procurement and Third Party Management (GPTPM) is Cigna's official strategic sourcing and supplier relationship management organization. Whether an employee or function is looking to purchase new goods or services, renew an existing supplier relationship, or identify suppliers for considerati...

Claims System Configuration Quality Review Senior Analyst - eviCore - Remote

CIGNA Franklin Tennessee United States
(No Timezone Provided)

Do you want to Drive Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst. This role requires the review of our claims system to ensure all configurations were input correctly per the specifications of the provider. Th...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Philadelphia)

CIGNA Philadelphia Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pittsburgh)

CIGNA Pittsburgh Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Allentown)

CIGNA Allentown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Erie)

CIGNA Erie Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Reading)

CIGNA Reading Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Scranton)

CIGNA Scranton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bethlehem)

CIGNA Bethlehem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lancaster)

CIGNA Lancaster Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Philadelphia)

CIGNA Philadelphia Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pittsburgh)

CIGNA Pittsburgh Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Reading)

CIGNA Reading Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Erie)

CIGNA Erie Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (York)

CIGNA York Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Allentown)

CIGNA Allentown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Harrisburg)

CIGNA Harrisburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lancaster)

CIGNA Lancaster Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bethlehem)

CIGNA Bethlehem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (West Chester)

CIGNA West Chester Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Scranton)

CIGNA Scranton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Norristown)

CIGNA Norristown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Easton)

CIGNA Easton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Wilkes Barre)

CIGNA Wilkes Barre Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Johnstown)

CIGNA Johnstown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Mechanicsburg)

CIGNA Mechanicsburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lebanon)

CIGNA Lebanon Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (State College)

CIGNA State College Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Levittown)

CIGNA Levittown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Altoona)

CIGNA Altoona Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pottstown)

CIGNA Pottstown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Greensburg)

CIGNA Greensburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Butler)

CIGNA Butler Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Chambersburg)

CIGNA Chambersburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bensalem)

CIGNA Bensalem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Williamsport)

CIGNA Williamsport Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Carlisle)

CIGNA Carlisle Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (New Castle)

CIGNA New Castle Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lansdale)

CIGNA Lansdale Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Coatesville)

CIGNA Coatesville Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Morrisville)

CIGNA Morrisville Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Hanover)

CIGNA Hanover Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Washington)

CIGNA Washington Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Doylestown)

CIGNA Doylestown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Downingtown)

CIGNA Downingtown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (East Stroudsburg)

CIGNA East Stroudsburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Irwin)

CIGNA Irwin Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...