Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Quick apply
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Quick apply
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Quick apply
Review, approve and co-sign APP encounters. Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Quick apply
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review, approve and co-sign APP encounters. * Clinical and Operations Performance and Quality ... This position will be remote within the designated market with occasional in-home patient treatment ...
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Review and approve APP, RN, SW, and PharmD plans of care. * Overall accountability for reducing ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW, and PharmD plans of care. * Overall accountability for reducing ... This position will be remote within the designated market with occasional in-home patient treatment ...
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Atlanta, GA · On-site +1
$53K - $70K/yr
West Tower, 200 Piedmont Ave. SE Atlanta, GA Job Type: Full Time Salaried Remote Employment ... Reviews Statements of Work (SOWs), contract amendments, and funding requests to ensure financial ...
New
Atlanta, GA · On-site +1
$53K - $70K/yr
West Tower, 200 Piedmont Ave. SE Atlanta, GA Job Type: Full Time Salaried Remote Employment ... Reviews Statements of Work (SOWs), contract amendments, and funding requests to ensure financial ...
New
Review and approve APP, RN, SW, and PharmD plans of care. * Review, approve, and co-sign APP ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW, and PharmD plans of care. * Review, approve, and co-sign APP ... This position will be remote within the designated market with occasional in-home patient treatment ...
Lawrenceville, GA · On-site +1
Remote or any Colony Bank location with available space Position Overview: The Director of Digital ... Negotiate contracts, manage Service Level Agreements (SLAs), and conduct quarterly business reviews.
Lawrenceville, GA · On-site +1
Remote or any Colony Bank location with available space Position Overview: The Director of Digital ... Negotiate contracts, manage Service Level Agreements (SLAs), and conduct quarterly business reviews.
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
Atlanta, GA · Remote
$20/hr
We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion ... CIGNA, OSCAR, BRIGHT, Golden Rule, Surebridge, Optimed, Pivot Health, National General, etc)
Atlanta, GA · Remote
$20/hr
We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion ... CIGNA, OSCAR, BRIGHT, Golden Rule, Surebridge, Optimed, Pivot Health, National General, etc)
... Cigna Ventures, and Rainfall Ventures. Alma was also named one of Inc's Best Workplaces in 2022 and ... This is a full time, fully remote position on our team. Occasional travel may be required for team ...
Quick apply
... Cigna Ventures, and Rainfall Ventures. Alma was also named one of Inc's Best Workplaces in 2022 and ... This is a full time, fully remote position on our team. Occasional travel may be required for team ...
Atlanta, GA · On-site +1
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Atlanta, GA · On-site +1
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Quick apply
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Atlanta, GA · On-site +1
$91K - $163K/yr
Experience in utilization management, case review, or payer operations * Experience with clinical data annotation, health informatics, or AI-related projects * Solid understanding of prior ...
Atlanta, GA · On-site +1
$91K - $163K/yr
Experience in utilization management, case review, or payer operations * Experience with clinical data annotation, health informatics, or AI-related projects * Solid understanding of prior ...
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
| Aspect | Cigna Utilization Review Remote | Cigna Medical Reviewer |
|---|---|---|
| Credentials | RN or licensed healthcare professional | RN or licensed physician |
| Work Environment | Remote, telehealth setting | Remote or onsite, clinical setting |
| Employer & Industry | Cigna, health insurance industry | Cigna, healthcare and insurance industry |
| Primary Focus | Review of insurance utilization for appropriateness | Clinical assessment and direct patient care |
While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.
For Cigna Utilization Review Remote jobs in Georgia, the most frequently searched job titles are:
The top searched job categories for Cigna Utilization Review Remote jobs in Georgia are:
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Full-time
Re-posted 9 days ago
Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi[1]Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk[1]based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.
Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making.
Roles and ResponsibilitiesClinical Guidelines Execution – 25%Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
#LI-BG1 #LI-Hybrid