• Manage end-to-end medical provider credentialing, including initial applications, re-credentialing, and renewals • Maintain and update provider profiles in platforms such as CAQH and various insurance credentialing portals • Ensure compliance with credentialing requirements, including documentation accuracy and timeliness • Monitor expiration dates for licenses, certifications, and insurance, ensuring proactive renewals • Coordinate with internal teams and external partners regarding credentialing status and requirements • Maintain accurate and up-to-date employee personnel records, ensuring file completeness and compliance • Support end-to-end recruitment processes, including sourcing, screening, and interviewing candidates • Partner with hiring managers to align on role requirements and candidate profiles • Ensure adherence to company policies, labor laws, and documentation standards

• Support client hiring needs as the first point of contact for customers • Manage end-to-end medical provider credentialing, including initial applications, re-credentialing, and renewals • Maintain and update provider profiles in platforms such as CAQH and various insurance credentialing portals • Ensure compliance with credentialing requirements, including documentation accuracy and timeliness • Monitor expiration dates for licenses, certifications, and insurance, ensuring proactive renewals • Coordinate with internal teams and external partners regarding credentialing status and requirements • Maintain accurate and up-to-date employee personnel records, ensuring file completeness and compliance • Support end-to-end recruitment processes, including sourcing, screening, and interviewing candidates • Assist in onboarding processes, ensuring all pre-employment requirements are completed • Partner with hiring managers to align on role requirements and candidate profiles

Job DetailsJob Location: Brookfield, CT 06804Education Level: Graduate Degree (Master's)Salary Range: $45.00 - $65.00Travel Percentage: NoneJob Shift: AnyROMTech is now looking for a Telehealth Nurse Practitioner to join our Chronic Care Management program. This is a part-time contract position (20 hours/week to start), fully remote, supporting patients with chronic conditions using ROMTech’s innovative telehealth and remote monitoring platform. Flexible, remote, potential for more hours as patient volume grows. Candidates must be licensed in CT or FL. Responsibilities Conduct virtual patient assessments and monthly check-ins Develop and manage individualized chronic care plans Review device and patient-reported data; intervene as needed Provide education on disease management, medications, and therapy adherence Collaborate with ROMTech clinicians and support teams QualificationsRequirements: NP with master’s degree and active state licensure in CT or FL 2+ years clinical experience in chronic care, primary care, or related field Telehealth or remote patient monitoring experience Strong EMR, documentation, and communication skills CCM/RPM experience, multistate licensure, experience with older adults or high-risk patients Bilinugal (English & Spanish) required

As an Intern within Coverage Review Operations, you’ll be responsible for reviewing if coverage can be granted for a medication based on guidelines established by each particular plan. You’ll have the opportunity to collaborate with Pharmacists, Nurses, and Medical Directors in your department and across the business—and learn from some of our brightest and most innovative colleagues and leaders. Expectations of Intern - Utilizes multiple systems and other clinical resources to research information - Applies patient assessment skills to provide pharmacists and medical directors key information to aid in their reviews - Works and maneuvers within a queue system that prioritizes clinical reviews - Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience Qualifications - Must be currently enrolled in a PharmD program with a 3.0 GPA - Active intern license in good standing - Currently enrolled in ACPE accredited college of pharmacy - Ideal candidate has an interest in Managed Care, Pharmacy Benefit Processes - Retail pharmacy experience preferred - Proficiency with Microsoft Office Suite and Excel - Excellent communication (oral and written) and presentation skills - Work collaboratively with cross-functional partners - Ability to focus on results, even under tough circumstances and/or a changing environment - Relate openly and comfortably with diverse groups of people across all levels of the organization - Ability to adapt approach and demeanor in real time to match the shifting demands of different situations - Self-starter who is eager to learn and acquire new skills Schedule - Available to work 20 hours per week - Opportunities to work up to 40 hours during breaks per business need - This role is work at home (WAH) from a U.S. location 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. About 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. 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. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.