- The Cigna Group (Bloomfield, CT)
- …record diagnostic coding and quality audit review for the Individual and Family Plan ( IFP ) segment, focusing on completion of time-bound objectives, ... Adjustment program. + Administers a quality review process for evaluation of individual team members work output. + Supervises team prioritization and time… more
- The Cigna Group (Bloomfield, CT)
- …diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines, and HHS' RADV Protocols *Audits accuracy of abstracted ... Contributes to execution of Risk Adjustment programs, and other IFP programs, as needed, to ensure accurate and compliant...to be eligible to participate in an annual bonus plan . We want you to be healthy, balanced, and… more
- The Cigna Group (Raleigh, NC)
- **Profile Summary:** Cigna Healthcare's Individual & Family Plans ( IFP ) business is a dynamic, fast-paced unit serving the Affordable Care Act (ACA) ... market. As part of the Evernorth IFP Analytics team, this role offers a unique opportunity...data requests and audits + Collaborate across teams to plan and execute the migration to Databricks + Convert… more
- The Cigna Group (Bloomfield, CT)
- …risk management-across diverse business areas such as employer healthcare, individual and family plans ( IFP ), pharmacy, stop loss, and dental. Potential ... This role is also anticipated to be eligible to participate in an annual bonus plan . We want you to be healthy, balanced, and feel secure. That's why you'll enjoy… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** **This is an individual contributor role.** + Negotiates, executes, reviews, and analyzes contracts and/or ... in the North Florida Market; for lines of business (Medicare, Commercial, and IFP ). + Manages contract performance in support of network quality, availability, and… more
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