• Supports and advances revenue cycle performance for Weill Cornell Medicine. • Applies deep knowledge of medical specialties coding, billing workflows, laboratory reimbursement rules, and payer coverage policies to improve financial outcomes and ensure compliant, accurate, and optimized revenue capture across specialty and multi-specialty practices. • Partners closely with department leadership, laboratory operations, coding teams, faculty, and central revenue cycle functions to identify opportunities, resolve revenue cycle barriers, and drive sustainable improvement. • Manages clinical practice's expectations regarding financial performance. • Research issues and presents findings to administrators for process improvement. • Reviews ordering patterns, charge capture accuracy, and test-specific reimbursement behaviors to identify underpayments, denials, and missed billing opportunities. • Conducts analysis of revenue trends, including professional and technical components, CPT/HCPCS code utilization, add-on services (e.g., special stains, IHC, molecular tests), and laboratory panels. • Monitors changes to CMS and commercial payer coverage policies specific to department testing (e.g., NCDs/LCDs, molecular diagnostic requirements, medically necessary criteria, bundling edits). • Advanced knowledge of CPT coding, including laboratory (80000 series), Molecular Tier 1 & 2, (IHC), surgical pathology levels (88300–88309), interpretation services, special stains, flow cytometry, and ancillary diagnostic testing. • Collaborates with Physician Organization Managed Care Office to initiate and manage Payer reimbursement disputes to resolution. • Leverages EPIC Beaker/CPOM and HB/PB workflows to identify issues related to result routing, order linkage, charge capture timing, and missing professional versus technical splits. • Monitors performance to ensure financial and departmental posting benchmarks are maintained. • Analyzes denials (e.g., bundled NCCI edits, missing/invalid diagnosis, lack of prior auth on molecular/genetic testing, frequency limitations, modifier usage).

The job profile for this position is Pharmacy Technician Senior Representative, which is a Band 2 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. This is a full-time work from home position that must reside within the state of Massachusetts or Illinois Freedom Fertility Pharmacy, a division of Evernorth Health Services a part of The Cigna Group is looking for Senior Pharmacy Technicians to join our team. Ready for a job that encourages you to use your communication and problem-solving skills? If so, prepare to use those skills to help your patients’ dreams of having a family come true! As a Senior Pharmacy Technician at Freedom Fertility Pharmacy, you’ll use your empathy and listening skills to handle inbound calls from patients and learn more about their medical history and challenges with fertility. This is not your average customer service job – you’ll work for a company that truly cares about people while helping our patients achieve happiness. Here’s a little more on how you’ll make a difference: - Ensure process efficiency – Collaborate with both patients and physicians to coordinate fertility plans and medications. Own the patient experience through resolving customer issues and ensuring 100% follow-up to customers. - Pay attention to detail – Accurately obtain and enter patient information, including shipping, insurance, and payment details. - Be a team player – Escalate complex claims to the appropriate team for further action. - Accurately perform data entry tasks and enter prescriptions into our system. Use the knowledge you gain from training, your problem-solving skills and support from your team to accurately process prescription claims so they will be dispensed accurately. - Juggle multiple tasks without sacrificing attention to detail. - Participate in special projects and perform other duties as it pertains to specific contract performance Why join us? - Health coverage effective day 1 (including medical, dental, vision) - Holiday, PTO and OT pay - 401K with company match - Tuition reimbursement - Fun, friendly and unique culture – bring your whole self to work every day! What you need to do the job: - High School Diploma, or GED required. - 1+ years of relevant experience as a Pharmacy Technician. - Valid National Pharmacy Technician certification is required. - Valid Massachusetts or Illinois Pharmacy Technician license is required. - 1+ year(s) of call center experience preferred. - Microsoft Office proficiency and data entry skills. - Exceptional attention to detail, accuracy, and quality. - Excellent verbal and written communication skills. - Ability to multitask in both PC/Phone related tasks. - Works effectively and fosters teamwork; Demonstrates ownership of projects and carries responsibility for building strong working relationships with colleagues and customers. - Results oriented; demonstrated ability to prioritize and manage workload and meet deadlines. Work Schedule: Ability to work a shift between 8:00am - 9:00pm Eastern time including rotating Weekends: 8:00am - 4:30pm Eastern time 9:00am - 5:30pm Eastern time 10:30am - 7:00pm Eastern time 11:30am - 8:00pm Eastern time 12:30pm - 9:00pm Eastern time Training Schedule: Monday - Friday 9:00am - 5:00pm, Eastern Time for 5-8 weeks. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 20 - 30 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

• Function as the global regulatory lead for early stage programs and participate in and advise global development teams • Define and lead the Regulatory strategy for early-stage gene therapy programs (pre-IND through Phase 1/2) • Lead preparation for and participation in global health authority interactions, including FDA (CBER), EMA, and other regional agencies • Lead the strategy and preparation of key regulatory objectives and documents such as Fast Track, RMAT, PRIME, and health authority meetings (INTERACT, Pre-IND, PDUFA meetings, scientific advice, etc.). • Proactively identify and communicate potential risks and define mitigation strategies • Monitor the evolving regulatory landscape for gene therapy and proactively advise internal stakeholders on global regulatory guidelines and requirements • Lead and manage the preparation and publication of regulatory submissions • Oversee regulatory activities conducted by CROs to ensure alignment with overall strategy

• Support clients’ NMTC programs through maintaining program compliance and management of a portfolio of NMTC investments • Analyze QALICB financial statements and reports to detect risk of loan default and risk of NMTC program compliance default • Assist with review of post-closing disbursements of QLICI funds • Monitor and track the portfolio’s loan performance and compliance with loan agreements and program requirements, and prepare reports for management review • Collect, review and analyze community impact reporting, including validation and presentation to internal and external stakeholders • Interacting and building relationships with partners, banks, and investors • Monitor CDE status including board LIC representation compliance • Prepare CDFI Fund AMIS reporting including QEI Tracking, ILR, TLR, and QEI Closeout Reports • Monitor CDE’s compliance with Allocation Agreement and NMTC application • Analyze CDE’s compliance with IRS regulations including substantially all testing and redemption testing • Prepare and submit required compliance reporting to investors, partners, state agencies and lenders.