... 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 ...

... -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 ...

... 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 ...

... 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 ...

... 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 ...

... 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 ...

... 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 ...

... 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 ...

... 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 ...