Medicare Population Health HRA Care Navigator
1 month ago
Summary
Responsible for outreaching to Cigna Healthcare Medicare customers to screen for care coordination needs and engage them in internal Population Health programs. Job related functions include telephonic customer outreach to complete health screenings, educating customers on available benefits, coordinating with internal teams to ensure timely hand-off to appropriate care teams, and maintaining documentation for regulatory review. The Care Navigator must ensure all necessary information is collected, reviewed, and processed according to established policies. Potential activities that may occur during telephonic customer interaction will vary, but may include:
- Assisting with the scheduling of medical appointments
- Connecting customers to case management and community resources
- Addressing gaps in care
- Educating customers on plan benefits
- Routing customer referrals to appropriate care management team based on identified needs
- Escalating customer concerns or issues appropriately
Qualifications:
- Possesses strong written and verbal communication skills with a focus on top-quality customer service and health care coordination.
- Empathetic attitude with ability to offer emotional support
- Experience and knowledge of multiple aspects of the health care system.
- Excellent listening skills
- Helps customers identify problems or barriers and navigate health care resources
- Passion for the proper care and well-being of customers
- Proficient in computer application skills and navigation, including email (Outlook), spreadsheets (Excel), Word processing, and data input, including ability to utilize dual monitors.
- Works well in a team approach with strong interpersonal skills
- Ability to handle multiple tasks, set priorities and develop action items. Detail oriented.
- Knowledge of regulatory requirements with emphasis on Medicare
- High school diploma, college degree preferred or equivalent managed care experience
- 1 or more years' experience in managed care or related work in Health Services with emphasis on population management preferred.
- 1 or more years' experience with processes that involve telephone contact and process management preferred.
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 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.
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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
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.
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