The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

RN Quality Specialist

QA EngineerQA EngineerFull TimeRemoteTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

10 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Provides remote, patient-centered case management support and education to assigned patients. The role focuses on relationship building, care coordination, and navigation of insurance and pharmacy protocols to support medication access, adherence, and disease-state education.

  • Adhere to all program-specific contractual agreements, company policies, quality standards, and compliance requirements.
  • Build and maintain therapeutic relationships with assigned patients throughout the duration of the program.
  • Deliver patient-centric education regarding treatments, disease states, and prescribed products.
  • Manage a designated caseload including scheduled outreach, adherence monitoring, and accurate documentation in program databases.
  • Coordinate interactions between patients and internal or external clinical partners as appropriate.
  • Customize interactions based on individual patient needs, health literacy, and program requirements.
  • Participate in program-specific customer meetings, training sessions, and orientations.
  • Demonstrate clinical competency and system proficiency as validated through required assessments.
  • Support special projects and additional duties aligned to contract performance and business needs.

Qualifications

  • Active, unrestricted Registered Nurse (RN) license in primary state of residence; compact license required.
  • Minimum of two (2) years of RN clinical experience.
  • Demonstrated proficiency with Microsoft Office applications and basic database navigation.
  • Strong verbal and written communication skills.
  • Ability to manage multiple priorities, meet deadlines, and work independently in a remote environment.

Requirements

  • Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program.
  • Case management or care coordination experience.
  • Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments.

Benefits

  • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year and paid holidays.
  • Hourly rate of 33 - 56 USD, depending on relevant factors, including experience and geographic location.
  • Eligibility to participate in an annual bonus plan.

Job Requirements

  • Active, unrestricted Registered Nurse (RN) license in primary state of residence; compact license required.
  • Minimum of two (2) years of RN clinical experience.
  • Demonstrated proficiency with Microsoft Office applications and basic database navigation.
  • Strong verbal and written communication skills.
  • Ability to manage multiple priorities, meet deadlines, and work independently in a remote environment.
  • Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program.
  • Case management or care coordination experience.
  • Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments.

Benefits

  • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year and paid holidays.
  • Hourly rate of 33 - 56 USD, depending on relevant factors, including experience and geographic location.
  • Eligibility to participate in an annual bonus plan.

Related Categories

Related Job Pages

More QA Engineer Jobs

Quality Assurance Tester – Journeyman

ICF

We are not a typical consulting firm and our people are not typical consultants.

QA Engineer10 days ago
Full TimeRemoteTeam 5,001-10,000Since 1969H1B Sponsor

Associate Quality Assurance Tester ensuring quality standards for federal projects

Alabama + 2 moreAll locations: Alabama, North Carolina, Texas
$81.5K - $138.5K / year

Senior Data Conversion Tester

Trilogy Federal

Trilogy Federal drives innovative solutions for complex business challenges across financial management, healthcare, and government industries. Our collaborative, client-first service approach, combined with our commitment to the rapid implementation of pragmatic solutions, has earned Trilogy an unparalleled reputation for delivering transformative results.

QA Engineer10 days ago
Full TimeRemoteTeam 51-200Since 2009H1B Sponsor

Senior Momentum Data Conversion Tester for federal customer data conversion activities

Virginia
$115K - $135K / year

Quality Assurance Tester- Journeyman (Remote)

ICF

We are not a typical consulting firm and our people are not typical consultants.

QA Engineer10 days ago
Full TimeRemoteTeam 5,001-10,000Since 1969H1B Sponsor

The Associate QA Tester will collaborate with Senior testers to develop comprehensive test scripts ensuring high quality standards for every user story, creating documentation of detailed testing results and explaining them to the development team. This role involves working within an agile framework, collaborating with various teams to ensure solutions meet client needs with the highest quality.

United States
$81.5K - $138K / year

Payment Specialist- Evernorth- Remote

Cigna Healthcare

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

QA Engineer10 days ago
Full TimeRemoteTeam 10,001

The Payment Specialist will be responsible for analyzing, posting, balancing, and reporting payments for assigned entities and payers within the billing system. This includes managing the assigned book of business by posting payments, completing necessary transfers, adjustments, and refunds, and recording daily cash posting to a log.

United States
$18 - $26 / hour