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The Cigna Group
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Philadelphia, Pennsylvania
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healthcare providers to form value-based care relationships, improving care for patients and reducing total ... Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and
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The Cigna Group
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Philadelphia, Pennsylvania
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-based care, case rates or preferred provider networks, performance guarantees, as well product specific ... .
Intimate knowledge of managed care operations and facility network management in behavioral and/or medical
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The Cigna Group
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Philadelphia, Pennsylvania
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Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will ... make recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytics
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The Cigna Group
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Philadelphia, Pennsylvania
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programs, which directly address customer and client demands for lower cost and higher quality of care ... , DRG, outcomes based adjusted, pay for performance, RBRVS)
Responsible for contractual/financial
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The Cigna Group
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Philadelphia, Pennsylvania
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provider/customer relationship in support of the connected care strategy.
This role is external ... Book of Business (BOB) (based on Cigna's local market strategy; CAC’s, Integrated Delivery Systems
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The Cigna Group
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Philadelphia, Pennsylvania
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value-based and risk arrangements.
Identify and solve for gaps in Cigna’s current IFP contracting ... -service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital
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The Cigna Group
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Philadelphia, Pennsylvania
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We are a premier home-based healthcare solution for patients and families facing chronic, complex ... comprehensive care at home to improve quality of life, increase understanding and management of serious illness
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The Cigna Group
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Philadelphia, Pennsylvania
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recommendations for business leaders based on deep understanding of risk adjustment business areas (e.g. provider ...
Qualifications
3+ years of health care or related experience. Risk Adjustment experience a plus
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The Cigna Group
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Philadelphia, Pennsylvania
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provider groups engaged via a professional capitation, risk/surplus sharing, or other value-based ... .).
Responsibilities
Act as model steward for segment-wide value-based arrangement accrual and settlement
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