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Apply critical thinking to achieve proper clinical decisions when performing clinical reviews Utilize multiple systems and other clinical resources to achieve proper decisions in utilization management reviews Work and maneuver within queue systems that prioritize clinical reviews Be able to make a clinical decision quickly and decide and act with or without all information Work and collaborate with a multi-disciplinary clinical team to provide a customer centric experience Utilization Management Experience Preferred Experience with Specialty Pharmacy / Pharmaceuticals Preferred Clinical knowledge, Required Location: This role is fully remote and open to candidates across the US Education and Certifications: Degree in Pharmacy from an Accredited School of Pharmacy Currently Licensed Registered Pharmacist with 5+ years of experience with an active, unrestricted license to practice in a state or territory of the United States Hourly Pay Rate Range (dependent on location, experience, expectation) The pay range that Magnit reasonably expects to pay for this position is: $41-$55/hour Benefits: Medical, Dental, Vision, 401K\u00a0(provided minimum eligibility hours are met)", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455426827, "name": "Eligibility Senior Representative", "location": "Phoenix, Arizona, US ", "locations": ["Phoenix, Arizona, US ", "Remote"], "hot": 0, "department": "Customer Advocacy", "business_unit": "Cigna Group Contingent Labor", "t_update": null, "t_create": 1686097777, "ats_job_id": "22706878", "display_job_id": "22706878", "type": "ATS", "id_locale": "22706878-en", "job_description": "This is a temporary role through Magnit Global with one of the world\u2019s leading health insurance companies. \ufeff Location/Schedule Notes: Phoenix, AZ 85085 \u2013 100% Remote. 10-months contract (Target Start/End Date: 07/10/2023 \u2013 05/01/2024). Pay Transparency:\u00a0 The pay range that Magnit reasonably expects to pay for this position: $13.47/hour - $17.96/hour based on experience. Benefits: Medical, Dental, Vision, 401K ( provided minimum eligibility hours are met ). Job Title: Eligibility Senior Representative Responsibilities: Accountable for the migration, updating and maintenance of automated eligibility files. Provide technical support for automated eligibility file processing. Identifies file failure and provide resolution. Process multiple types of eligibility file error reports and report them to the client. Partner with eCommerce and IT to ensure successful receipt and processing of files. Filing emails in appropriate client folders, execute mailbox rules and support cancellation process. Report file processing issues and findings to team member for correction Collaborate with internal business partners to identify file errors and establish plan of action for correction. Update team database and internal workflow tool with clear and concise commentary for tracking/reporting purposes Required Skills: Demonstrated proficient skill in MS Outlook and MS Excel (including functions, VLOOKUP, CSV to text and text to CSV) is required. Strong analytical, problem-solving skills and a high level of attention to detail. Strong organizational skills. Strong oral and written communication skills to respond to various incoming internal/external requests. Must be able to work independently and get the job done. Desire to work in a team environment and service-oriented practices. Ability to think creatively. Qualifications: College degree or associate degree is strongly preferred, equivalent combination of education and business-related experience. 3+ years\u2019 work experience in Electronic Data Interchange (EDI) or similar is preferred. Working knowledge of Supplemental Health product preferred. Required Skills: EXCEL Additional Skills: EDI - PROBLEM-SOLVING - ORGANIZATIONAL SKILLS - MICROSOFT OUTLOOK - ELECTRONIC DATA INTERCHANGE - TECHNICAL SUPPORT \u2013 DATABASE \u2013 WORKFLOW \u2013 MAINTENANCE.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455426674, "name": "Eligibility Senior Analyst", "location": "Phoenix, Arizona, US ", "locations": ["Phoenix, Arizona, US ", "Remote"], "hot": 0, "department": "Customer Advocacy", "business_unit": "Cigna Group Contingent Labor", "t_update": null, "t_create": 1686094977, "ats_job_id": "22806555", "display_job_id": "22806555", "type": "ATS", "id_locale": "22806555-en", "job_description": "This is a temporary role through Magnit Global with one of the world\u2019s leading health insurance companies. Location/Schedule Notes: Phoenix, AZ 85085 \u2013 100% Remote. 10-months contract (Target Start/End Date: 07/10/2023 \u2013 05/01/2024). Pay Transparency:\u00a0 The pay range that Magnit reasonably expects to pay for this position: $16.56/hour - $22.08/hour based on experience. Benefits: Medical, Dental, Vision, 401K ( provided minimum eligibility hours are met ). Job Title: Eligibility Senior Analyst Responsibilities: Accountable for the migration, updating and maintenance of automated eligibility files. Skilled in programming logic on file mapping and merging requirements. Ensures client data is installed accurately and timely. Provide technical support for EDI installations, testing and processing of eligibility files. Identifies file failure and provides resolution. Review and audit test file and provide appropriate feedback to internal business partners to ensure quality data is implemented. Trouble-shoot and diagnose issues related to electronic data being exchanged by our clients. Develop and maintain documentation on internal process. Partner with eCommerce and IT to ensure successful receipt and processing of data. Track case status in Enterprise Operation Tools and Database to ensure metrics are being reported accurately. Excel expert in file manipulation, functions, file compare and VLOOKUP tool development for process improvement. Required Skills Strong analytical, problem-solving, and detailed oriented skills required. Strong planning and project management skills preferred. Demonstrated intermediate level in Microsoft Excel (including functions, VLOOKUP, pivot table, CSV to text and text to CSV and macro) is required. Excellent organization skills to be able to multi-task and meet increasingly tight deadlines required. Excellent written and verbal communication skills required. Strong interpersonal skills required. Demonstrated ability to drive results required. Ability to work independently and collaborate with internal business partners required. Demonstrated leadership, coaching and motivational skills in fast-paced environment. Qualifications: Bachelor's Degree is highly preferred. 3+ years\u2019 work experience in Electronic Data Interchange (EDI) or similar is preferred. Prior experience working with clients, producers, and/or TPA's preferred. Required Skills: EDI Additional Skills: MICROSOFT EXCEL - PROBLEM-SOLVING - ELECTRONIC DATA INTERCHANGE - ORGANIZATION SKILLS - TECHNICAL SUPPORT - EXCELLENT WRITTEN AND VERBAL COMMUNICATION SKILLS -AUDIT \u2013 METRICS \u2013 COACHING - PROJECT MANAGEMENT \u2013 DATABASE - TROUBLE-SHOOT - MAINTAIN DOCUMENTATION \u2013 MAINTENANCE \u2013 TOPO.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455426079, "name": "Agile Product Management Advisor", "location": "Bloomfield, Connecticut, US ", "locations": ["Bloomfield, Connecticut, US "], "hot": 0, "department": "IT - Process Improvement", "business_unit": "Cigna Group Contingent Labor", "t_update": null, "t_create": 1686084187, "ats_job_id": "22706529", "display_job_id": "22706529", "type": "ATS", "id_locale": "22706529-en", "job_description": "The Agile Product Manager (APM) will be responsible for supporting projects aligned to the Cloud Security value stream. The APM will work with Cloud Security engineering products and services and decompose the value and requirements into Jira work items for the teams. The APM will gather \u201cneed by\u201d dates in order to provide guidance into prioritization and help drive the team's work to completion. Engage with customers and engineering resources to understand needs and expectations; Responsible for decomposition of work in Jira and assisting with backlog grooming and maintaining a backlog through daily standups; In collaboration with the Strategic Delivery Manager and Technical Solution Manager, help influence decisions around prioritization of the work; Collaborate with other APMs and Strategic Delivery Managers to have a holistic understanding of impacts to our customers and partners; Participate in commitment conversations with customers and team members; Identify key operational readiness and communication needs as changes are made to CIP's products and services; may drive some operational readiness tasks; Answer questions to help remove roadblocks for the team; Lead delivery team with organization planning for program increments Agile or Kanban certification or related experience; proficient in Jira; Ideal candidate will have 5+ years of experience in IT or Information Protection; Excellent written and verbal communication skills across a variety of audiences; Demonstrated ability to work independently while managing multiple priorities; Strong, independent decision-making ability; Ideal candidate will be a self-starter with a willingness to learn areas of technology and business; Highly collaborative individual with the ability to influence others and build strong personal relationships. Schedule Notes 100% remote. M-F 8-5 EST preferred but open to CST. Hourly Pay Rate Range (dependent on location, experience, and expectation) The pay range that Magnit reasonably expects to pay for this position is $47.84 - $63.79/hour. Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455424350, "name": "Software Engineering Senior Advisor", "location": "Morris Plains, New Jersey, US ", "locations": ["Morris Plains, New Jersey, US "], "hot": 0, "department": "IT", "business_unit": "Cigna Group Contingent Labor", "t_update": null, "t_create": 1686078692, "ats_job_id": "22805644", "display_job_id": "22805644", "type": "ATS", "id_locale": "22805644-en", "job_description": "Preferred local to Morris Plains, NJ but open to remote for great candidate. Hyrbid onsite 3 days/week Seeking a Senior level software engineer - Team Lead to join the Digital Security & Web Engineering team. This team's focus is delivering high-quality web applications adhering to enterprise development best practices. This is a highly collaborative team that owns and supports some of the most critical features in Member website. Craftsmanship, pride in ownership and passion for excellence are core expectations. Improve application quality and reliability by implementing good standards and processes Increase productivity by implementing tools and processes Serve as the technology go-to person on any technical questions Resolve complex technical issues Ensure quality is maintained by following development patterns and standards Design and build prototypes i.e. The Rapid Prototype, which becomes the application system Prepare deployment and post deployment plans to support the conversion and deployment of the solution Interact with architects, technical project managers, developers to ensure that application solution meets customer needs. The ideal candidate will be an enthusiastic and collaborative full stack developer with experience in developing RESTful APIs (Java, Spring Boot) and JavaScript E2015+(React) Other technologies used include AWS, Pivotal Cloud Foundry, Open Shift, Docker, Jenkins, MongoDB, Docker and Kafka Experience with Multi Factor Authentication, Identity & Access Management Technology is a huge plus Function well in large-scale, highly complex, cross-functional / platform environment Solid individual performance, but may spend considerable portion of their time providing direction for others, share knowledge, coaches and mentors Should be comfortable with pair programming E2E test/Contribute towards Automation Demonstrable experience with TDD methodologies and tools such as Junit, Mockito, TestNG Java, Spring Boot, RESTful APIs, ReactJS, JavaScript, ES6, HTML, CSS, NPM, Node js, SQL/NoSQL Database Process/Practices: Test Driven Development (TDD), pair programming, Continuous Integration (CI), Continuous Deployment (CD), JIRA, Confluence, PCF, AWS, Jenkins, and XL Release. Strong background in object-oriented software development and knowledge of modern, cloud-hosted, single-page applications Exposure to AWS and certain cloud-based technologies is highly desired Experience in defining requirements and conceptualizing solutions on related projects or work assignments Exposure to Agile development methodologies is highly desired Demonstrated problem-solving skills and the ability to work collaboratively with other stakeholders or team members to resolve issues Creating process flows and diagrams necessary to assist the requirements-gathering process Strong customer service focus Ability to adapt in a dynamic work environment and make independent decisions Willingness to work in a fast-paced environment, handling multiple priorities Bachelor's Degree 10+ years of work experience in application engineering Schedule Notes Preferred local to Morris Plains, NJ but open to remote for great candidate. Hourly Pay Rate Range (dependent on location, experience, and expectation) The pay range that Magnit reasonably expects to pay for this position is $62.07 - $82.76/hour. Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455407323, "name": "Clinical Pharmacist", "location": "Morris Plains, New Jersey, US ", "locations": ["Morris Plains, New Jersey, US ", "remote"], "hot": 0, "department": "Clinical", "business_unit": "Cigna Group Contingent Labor", "t_update": 1686090803, "t_create": 1685973513, "ats_job_id": "22801943", "display_job_id": "22801943", "type": "ATS", "id_locale": "22801943-en", "job_description": "Role Overview: Job Description Summary The Clinical Pharmacist completes assigned operational tasks using standard appropriate tools (Siebel, BA, Clinical Rules Platform, Criteria, Coverage Benefits, etc.) and provides support to client requests under the direction of the Managers and other team members. Responsibilities include (but not limited to) support of service transactions associated with business needs including but not limited to business partner support and internal team support, handling daily request tracking, researching operational issues and running reports for internal and external clients upon request; provide documentation related to completion of assigned tasks.\u00a0The Clinical Pharmacist will provide support to the team and escalate issues, risks, concerns as needed. ABOUT THE DEPARTMENT The mission of Client Benefit Services is to meet market needs for speed, flexibility and reliability, while driving and influencing best operational practices to position the company to be competitive and effective in the marketplace. Job Functions Accurately analyze & configure benefit intent Work with internal partners to ensure all implications of requested clinical benefit requirements are vetted, understood and communicated as necessary Accountable for timely and accurate translation of client intent into the appropriate clinical systems. Track and communicate status of service requests as necessary Meet with business partners to discuss and clarify clinical benefit requirements Analyze new requirement against existing setup Clarifying implications of intent\u00a0 Provide assistance to team members with POST GO LIVE issue resolution. Translate requirements as necessary into internal requests/submissions for vendor. Manages and tracks all requests to ensure timelines are met including the proactive management of client specific performance guarantees. Responsible for communicating completed benefit notifications to client with documentation of accurate set up. Complete random review of work completed by coding teams Develop an understanding of associated clinical applications Will act as resource in the build and maintenance of the \u201cClient Benefits\u201d Skills & Experience: Microsoft office with a strong understanding of Excel and Access PC Skills Written and verbal communication (listening, feedback; translating complex ideas/processes) Collaboration Analytical thinking/critical thinking Results-oriented Organizational skills. TOP 3 SKILLS - 1) Time Management Skills, 2) Quick Learner and 3) Works well with others Education & Certifications: Current RPh Licensure in good standing as required by the state in which work is performed RPh or PharmD required 2 years PBM experience and clinical background preferred Location: Remote and open to candidates across the US Candidates from NY/ NJ preferred Hourly Pay Rate Range (dependent on location, experience, expectation) The pay range that Magnit reasonably expects to pay for this position is: $45.00/hour-$52.00/hour Benefits: Medical, Dental, Vision, 401K\u00a0", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455395628, "name": "Account Installation Associate Analyst", "location": "Nashville, Tennessee, US ", "locations": ["Nashville, Tennessee, US ", "Remote"], "hot": 0, "department": "Customer Advocacy", "business_unit": "Cigna Group Contingent Labor", "t_update": null, "t_create": 1685731385, "ats_job_id": "22799984", "display_job_id": "22799984", "type": "ATS", "id_locale": "22799984-en", "job_description": "Use the Benefit Sculpting Tool (BST) to review medical benefit summaries Use the ePro and CIT to review medical/dental/vision benefit structure Use Salesforce to review medical/dental/vision benefit structure Use Knowledge Exchange to validate current years benefit structure Review/Create dental and vision summaries via the approved templates and systems to generate the creation of benefit summaries Reviews against benefit standards Review and document if additional PBAB is necessary Review customization approval as needed Reviews legislation as it applies to the current years benefit changes and document structure \u201cFinalize\u201d the benefit summary by generating the .pdf (new and renewal) and the redline document (at renewal). Upload Ben Sum, SBC, Adobe compare and Discrepancy tracker to Vista Close Vista Benefit Summaries Task accordingly Review Adobe Compare Log discrepancies in the Discrepancy Tracker Coordinate with Implementation Specialist the results of review Must be able to problem solve Must be detail oriented Must be able to present data to an audience both orally and written Must be able to multitask and take direction well Must be able to work in Microsoft products such as outlook, excel, and word Must be able to manage time and organize priorities Must have critical thinking and analytical skills Must be able to problem solve Must be detail oriented High school diploma", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455387154, "name": "Technical Customer Support Associate Analyst", "location": "Colorado Springs, Colorado, US ", "locations": ["Colorado Springs, Colorado, US "], "hot": 0, "department": "IT", "business_unit": "Cigna Group Contingent Labor", "t_update": 1686151872, "t_create": 1685661078, "ats_job_id": "22699262", "display_job_id": "22699262", "type": "ATS", "id_locale": "22699262-en", "job_description": "Contributes to the IT Support job family in a support capacity. Provides guidance, assistance, coordination and follow up on client questions, problems or malfunctions of all systems applications, hardware and software installed or maintained by IT. Responds to telephone inquiries concerning support, processing or request procedures, systems status and network connectivity, and a variety of hardware and software problems of all installed application hardware and software products supported by IT. Records inquiries, repair and service requests, resolves or directs requests to appropriate technical area or vendor, tracks status and follows up to ensure client satisfaction. Escalates to or consults with senior staff when solution is unclear. Reports problems with procedures and makes suggestions for improvements. Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in IT Customer Support. Computer Imaging, Software Installation, Customer Support, Communication, Attention to Detail, Excellent Verbal/Written Communication, Good understanding of basic computer troubleshooting skills, Customer Service Skills CompTIA A+ preferred but not required High School Diploma The pay range that Magnit reasonably expects to pay for this position is: $15.52 - $20.69/hour Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": null}, {"id": 137455372318, "name": "IT Project Management Advisor", "location": "Philadelphia, Pennsylvania, US ", "locations": ["Philadelphia, Pennsylvania, US "], "hot": 0, "department": "IT - Infra/Network", "business_unit": "Cigna Group Contingent Labor", "t_update": 1685976546, "t_create": 1685546338, "ats_job_id": "22613632", "display_job_id": "22613632", "type": "ATS", "id_locale": "22613632-en", "job_description": "Provides expert content/professional leadership on complex IT Project Management assignments/projects. Responsible for managing, directing and planning one, but occasionally more than one, complex project consisting of one or more project teams. Responsible for coordinating, scheduling and assigning project tasks, team building, maintaining working relationships with client functional areas outside of IT. Evaluates progress and reports progress in terms of quality and performance metrics common to IT projects. Works with client departments to coordinate systems testing, installation, training and support. Responsibilities include driving the planning, execution, and closure of deliverables related to Endpoint and IT infrastructure initiatives. Customer Focus Work with IT Managers and business stakeholders across Cigna to understand customer needs Work to deliver a consistent, reliable customer experience Leadership Lead cross functional teams of senior team members up to director level Represent Cigna to external stakeholders and customers on technology topics Embrace a lean agile mindset Stakeholder Management Meet with key stakeholders to define requirements for future solutions Work closely with key stakeholders to successfully integrate solutions and objectives Continuous service improvement Support service improvement efforts to prevent or reduce incidents, enhance existing support, and improve customer experience. 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Job title: \u00a0Infrastructure Engineering Advisor Storage Hardware Refresh - Job Description & Responsibilities for Infrastructure Engineering Advisor: Organization is looking for a proactive, open minded, well organized, and customer service focus Storage & Compute IT professional to support Storage hardware refresh activities in a large enterprise SAN, NAS, and Backup infrastructure. Will be responsible for setting new hardware, storage allocation & provisioning within storage array & compute environments, performing data migrations, coordinating migrations with project manager & application teams, and decommissioning of old hardware.\u00a0Will work with various technologies including, but not limited to Dell EMC, NetApp, Infinidat, Cisco MDS/UCS, vCenter, VMware, Zerto, Windows, and Linux.\u00a0Execute Change Requests for products in compliance with Change Management Policies and procedure.\u00a0 Required Skills: Strong team communicator and well organized. Strong working Knowledge of supporting Dell EMC, NetApp, Infinidat, and Cisco MDS storage technologies. Strong working Knowledge of supporting Cisco UCS, Dell, & HP Servers, vCenter, and VMWare server technologies running Windows & Linux OS platforms in virtual and physical environments. Strong working knowledge in data migrations including array based, VMWare vMotion & Storage vMotion, Zerto, and DataDobi. Strong knowledge of Storage & Backup and Compute concepts, security, troubleshooting, and hardware. Strong documentation skills to include creating and updating detailed environment design, installation, and SOP documentation. Strong interpersonal and communications skills to effectively communicate and collaborate with a broad range of groups and individuals, including IT engineers, internal and external service providers, IT management and business unit staff. Ability to work in a fast-paced environment and keep up with multiple projects and deadlines. Ability to work independently or in a group setting as needed to accomplish project and support work. Knowledge plus with scripting tools such as Python, PowerShell, or JavaScript and automation with Ansible or VMWare vRO to improve IT efficiencies. Knowledge plus of ITSM and Change Management tools prefer ServiceNow. Education Bachelor\u2019s degree in computer science or a related discipline preferred and at least five to ten years\u2019 experience in IT Infrastructure or its equivalent in education and work experience. Preferred Certifications: VMWare, Storage Certifications, Compute Certifications. 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