The Cigna Group is an American multinational managed healthcare and insurance company based in Bloomfield, Connecticut.
Small Group Sales Lead – Remote – Cigna Healthcare
About the job
Job Purpose
We are seeking a highly motivated and results-driven Sales Lead to join our team. This is a unique opportunity to come in on the ground floor of a new venture for Cigna Healthcare in the fully insured small group space. The ideal candidate will have a start up mentality, and lean in to being a player/coach as this business segment is built. As an early contributor the sales lead will be critical in shaping our sales strategy, establishing in market relationships, and leading the future small group sales team.
Responsibilities And Duties
- This role will market and generate sales of Cigna small group insurance products through existing agents/brokers and by developing relationships with new clients
- Drives increased sales and Company growth by developing positive business relationships with agents/brokers
- Maintains an in-depth understanding of the Cigna products and processes and how agents/brokers interact with these products and processes.
- In depth understanding of the federal and state regulatory environment within the ACA small group space.
- Is focused on leading/coaching the Account Consultants to effectively manage agents/brokers and to ensure that they place their clients’ business with the Cigna.
- Partner with marketing and product on strategies to drive growth, retain current business, name recognition and best in class experience for distribution.
- Provide regular sales forecasts and performance reports to senior management.
- Identify training needs and provide coaching to enhance the sales team’s competencies.
- 40% travel in-market for external client/broker visits & trade shows
COMPETENCIES
- Customer Service – Listens closely with empathy to the needs and experiences of brokers and customers; responds to concerns with a sense of urgency
- Operational Execution – Identifies the necessary actions and initiatives to effectively execute on the local market strategy
- Leadership & Collaboration – Has a strong external network; can bring together stakeholders and effectively influences others through collaboration. Strong focus on maintaining persistency within the book, and working with account consultants to execute on that strategy.
- Business Acumen – Understand the market, and functions with a financial focus.
- Change Leadership – Builds an agile organization that is able and willing to adapt to changing requirements; clearly communicates the need; can see opportunities for synergy; knows how to organize people and activities
Requirements
- In depth knowledge of the small group sales environment, from key distribution to platform partners.
- 6+ years experience in the small group health insurance space, with 2+ years leading a sales team
- Comfortable working in a complex environment with multiple stakeholders
- Proven ability to lead a sales team and develop staff
- Enjoys working hard and looks for challenges; able to act and react as necessary, even if limited information is available
- Comfortable dealing with and managing an ever-changing, highly competitive industry/ environment
- Proven experience building a competitive sales force
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.
This role is also anticipated to be eligible to participate in an incentive compensation plan.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.
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.
Proof Reading
About the job
Job Title: Communications Analyst/ Proof Reading
Location:- 115 Tabor Rd, Morris Plains, NJ
Duration: 06 months contract ( possible Extension )
Pay Rate: $ 24/ hr on W2
Monday – Friday 8am-5pm EST
Description:
Reason: Special Project
Department: Regulated Markets – Services
Job Category: Business Operations
Job Title: Communications Analyst
Duties: Proof Reading / Document Reviewer for M3P Operations Team:
The consultant Communications Analyst/Proofreader will function independently and with other members of the Medicare Prescription Payment Plan (M3P) Operational Team to ensure all member communication content meets CMS requirements, client requirements, and Express Scripts requirements prior to delivery to members.
Learn and apply understanding of plan design elements to member materials and apply that knowledge to proofreading jobs.
Proofread electronically a high volume of member-facing materials relating to Medicare Part D prescription drug coverage according to specified instructions (e.g., confirm correct verbiage, potential client logo usage, plan design and other elements).
Proofread against backup for accuracy and compliance with CMS and client requirements
Utilize Microsoft Word track changes and/or Adobe Acrobat commenting, and check for grammar
Apply internal style guide requirements to ensure work meets expected standards. Work with M3P Operations Team on any style questions and provide input/feedback
Work with M3P Ops Team to manage assigned projects according to priorities established each morning as well as any updates thereafter.
Ensure jobs are completed within requested times and route completed requests back to Workflow Manager.
Resolve questions about communication or request and to resolve any discrepancies in backup materials.
Resolve timing conflicts and overall priorities and to resolve any discrepancies in backup materials.
Skills: .
Education: .
Skills and Experience:
Minimum Degree Required: Bachelor’s Degree
Pharmacy Technician – Medicare Stars Program – Cigna Healthcare – Remote
About the job
The Pharmacy Technician in the Stars Pharmacy Call Center will work within the Part D Medication Adherence area of the Cigna Medicare Stars department. The Star rating system was developed by the Centers for Medicare & Medicaid Services (CMS) to measure the quality of care delivered by a health plan. This call center role performs telephonic outreach to Cigna Medicare customers, pharmacies, and providers for the purpose of addressing prescription medication adherence. You will be responsible for assisting customers to obtain prescribed medications, determine barriers to medication adherence and working to overcome those barriers by working with the clinical pharmacy team, physicians, and resources within the Medicare Health Plan.
Primary Responsibilities include but are not limited to:
- Telephonic outreach to members, pharmacies, and providers.
- Will work in a call queue where productivity and quality are monitored.
- Meet service level goals (call quality, daily/weekly call performance expectations).
- Maintain member privacy by strictly adhering to HIPAA regulations.
- Answer complex telephonic questions from customers while ensuring a high level of customer service and maximizing productivity with minimum downtime.
- Handles customer correspondence, complaints, and inquiries.
- Will keep track of issues and timelines, research and resolve complex issues, and compile required documentation for daily activities.
- Must maintain a professional, customer-centric demeanor at all times.
What’s in it for me?
- An ability to make a positive impact in the lives of our customers.
- Great team environment! We have fun and get our work done too!
- Professional and personal development opportunities.
- A working environment that embraces diversity.
What do I need for this position?
- Pharmacy Technician license, current.
- Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA preferred.
- Minimum of one year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required.
- Experience in and a passion for delivering excellent customer service.
- Strong computer skills (will be simultaneously talking on the phone, toggling between multiple open Internet windows, software programs, Word, and Excel).
- Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills.
- Superb active listening skills, able to work in a dynamic, fast-paced team environment.
- Effective written and oral communication skills.
What would be nice to have?
- Experience working in a call center.
- 2+ years of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting
Work Schedule:
8:30am – 5:00pm CST Monday thru Friday. No weekends, holidays.
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.
Individual & Family Plans (IFP) Quality Review & Audit Lead Analyst – Remote – Cigna Healthcare
About the job
Primary Functions
Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network & contracting and provider relations to develop, implement and manage a detailed and thorough risk adjustment coding education & training program for both internal coding teams and value-based provider partners.
The ideal candidate will have experience and understanding of risk adjustment rules & regulations, coding guidelines, provider practice negotiations, relationship building, program strategy & execution and be familiar with value-based reporting metrics and HCC analysis.
The Quality Review and Audit Lead Analyst will be instrumental in serving as a key subject matter expert in risk adjustment regulations and coding policy for both Cigna’s internal teams as well as value-based provider partnerships to drive a standard of excellence in risk validation accuracy, compliancy and engagement.
Core Responsibilities
- Work across multiple teams to drive performance and provide support, feedback, education and training on value-based metrics specific to risk adjustment.
- Develop coding curriculum and training materials and ensure annual up to date coding guidelines.
- Collaborate internally to support risk adjustment compliance including policy updates, facilitating compliance meetings and developing new policies.
- Research and stay current to report on coding guidelines, coding clinic updates, RADV protocols and defined best practices.
- Develop, implement, and maintain risk adjustment trainings and informative material and present to a broad range of audiences including current employees, executive and senior leadership and value-based care partners.
- Support reporting distribution and deploy education efforts to increase provider knowledge, adoption and awareness of risk adjustment metrics and clinical/business impacts.
- Collaborate with peers for ongoing HCC educational development while introducing innovative ideas and implementing new technologies to better support value-based programs and quality outcomes.
- Responsible for supporting partnerships with medical & market leaders, both internally and externally, to develop programs/incentives for more accurate, complete and compliant risk capture.
- Demonstrated ability to work in multi-disciplinary team environments and forge strong interpersonal relationships with peers/providers.
- Ability to work independently, meet required timelines and perform at the highest standards of excellence.
- Perform other related duties as necessary.
Minimum Qualifications
- Bachelor’s degree in health care, nursing, business management or related field
- HHS / ACA Risk Adjustment knowledge preferred
- Experience in claims processing and revenue cycle management is preferred.
- Present a professional image and exhibit strong presentation capabilities for both internal/external partners and associates.
- Minimum 5 years’ experience in coding, risk adjustment revenue/policy adherence and/or physician practice management
- Experience in a clinical field or practice management background/credentials strongly preferred
- Coding certification by either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) required in one of the following:
- Certified Professional Coder (CPC)
- Certified Coding Specialist for Providers (CCS-P)
- Certified Professional Compliance Officer (CPCO)
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Risk Adjustment Coder (CRC)
- Demonstrate high degree of professionalism, enthusiasm and initiative
- Strong computer competency with Microsoft Outlook, Excel, Word, PowerPoint, Adobe Acrobat and other software applications as applicable
- Strong verbal and written communication skills with peers, partners, and providers coupled with proven leadership acumen.
- Must be detail oriented, self-motivated, and have excellent organization and project management skills
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 annual salary of 65,600 – 109,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
