Quality Clinical Evaluator (analyst) - Evicore-work At Home

TheCignaGroup LLC

Remote, US
Base: $25 - $38 usd ph; bonus/equity: eligible for...
Fully remote
Valid rn or lpn license in state of primary residence
Minimum 2 years clinical or clinical quality work experience
Proficiency in microsoft office and excel applications
The Cigna Group is seeking a Quality Clinical Evaluator to work remotely, focusing on the development and implementation of quality management programs for clinical personnel. The ideal candidate will have nursing qualifications, relevant experience in clinical quality roles, and proficiency in Microsoft Office

Job Summary

  • The Clinical Evaluator will assist in developing and coordinating a comprehensive quality management program for clinical personnel while ensuring compliance with internal and external requirements.
  • Employees are eligible for an annual bonus plan and receive a comprehensive benefits package including medical, vision, dental, and 401(k) starting on day one.
  • This remote role requires a stable internet connection with speeds of at least 10Mbps download and 5Mbps upload to perform duties effectively from home.

Matching Summary

Match Score: 85

The Cigna Group is seeking a Quality Clinical Evaluator to work remotely, focusing on the development and implementation of quality management programs for clinical personnel. The ideal candidate will have nursing qualifications, relevant experience in clinical quality roles, and proficiency in Microsoft Office.

Salary

Base: $25 - $38 USD per hour; Bonus/Equity: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, 18 days PTO plus holidays

Skills & Requirements

Must-have

  • Valid RN or LPN license in state of primary residence
  • Minimum 2 years clinical or clinical quality work experience
  • Proficiency in Microsoft Office and Excel applications

Nice-to-have

  • Previous EviCore experience strongly preferred
  • Knowledge of Image One/CDP/Isaac systems
  • Experience with Managed Care/Medicare Advantage programs
  • Background in call center quality assurance programs
  • Knowledge of multiple medical specialties

Key Requirements

  • Associate or Bachelor Degree in Nursing
  • LPN Certification or Registered Nurse status required
  • Valid RN or LPN license in state of primary residence
  • Minimum 2 years relative work experience in clinical role
  • Intermediate computer literacy skills

Work Rights

Must have valid RN or LPN license in state of primary residence

Tailored Resume

Cover Letter