Behavioral Health Personal Advocate

1 month ago

Remote, Oregon, United States The Cigna Group Full time
The job profile for this position is Case Management Analyst, which is a Band 2 Senior Contributor 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.

Training Schedule: Monday-Friday 830AM-5PM CST (7 weeks)

Production Schedule: Monday-Friday 1030AM-7PM CST

The Personal Advocate position is responsible for representing Cigna Behavioral Health (CBH) to all inbound callers within a call center environment and assuring caller's contact with CBH is positive. Advocates are many times the first encounter customers have with Cigna and thus are responsible for giving a positive first impression. The Advocacy tasks of this position are varied and often complex in nature requiring flexibility and multi-tasking capabilities. Responsibilities may include but are not limited to: educating customers on benefits, eligibility, referrals, non-clinical resources and assessing for potential risk of harm or substance abuse concerns.

This position services calls in a warm and empathetic manner as many of the calls are sensitive in nature. Independent problem solving skills are critical to success within the role along with intelligent judgment of assessing the caller's needs. Based upon the call type and requests advocates should be able to use customer service skills, knowledge of the mental health/substance abuse field and Cigna training to effectively address callers needs in an educational manner. This position is an entry level role with opportunity for growth within the company. Incumbents will utilize telephonic communication the majority of the time with some web, and internal CBH materials to achieve first time resolution for callers.

Responsibilities:

The primary responsibility of the Advocate role is answering calls from customers. The majority of the day will be answering inbound calls from customers looking to access, understand, or utilize services.

Within a call an advocate may:

  • Register participants in the intake system and opens case files
  • Educate participants on their benefits based upon individual plan design and other clinical or non-clinical resources available
  • Conduct an intake as needed to assess for presenting concern and risk of harm or substance abuse concerns
  • Provide participants with names and phone numbers of nearest providers
  • Multi-task by maneuvering through various computer programs and screens

As needed an advocate may also:

  • Write authorizations to ensure claims are paid correctly.
  • Provide follow-up calls to participants to ensure correct information is given
  • Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded
  • Send complaints to initiate grievance process for customers

On all calls an advocate is responsible for:

  • Providing high quality customer service as identified by Advocacy department quality standards
  • Using independent problem solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution
  • Understanding the business needs of the role, while balancing the needs of the customer
  • Taking an educational approach to ensure callers are able to understand the complexities of accessing care
  • Demonstrating a complete awareness and understanding of the responsibilities and workflows of the various departments within Cigna

QUALIFICATIONS:

  • Masters Degree
  • Previous customer service experience or related position
  • Superb interpersonal communication
  • Effective listening and organizational skills
  • Ability to manage multiple tasks, setting priorities where needed
  • Independently problem solve, with ability to function without constant supervision
  • A demonstrated ability to type effectively; with strong PC skills/word processing experience and ability to learn new computer software systems
  • Ability to learn new workflows and tasks quickly
  • Ability to work independently and be a team player
  • Previous call center environment experience 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.

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.

  • Behavioral Health Nurse Practitioner

    4 weeks ago

    Remote, Oregon, United States The Cigna Group Full time

    Behavioral Health Nurse Practitioner Consultant - PMHNPThe PMHNP Consultant supports the collaborative integrative care team: provider, patient, social worker, and nurses through regular consultation on an assigned caseload of patients. The behavioral health nurse practitioner consultant advises the primary care provider on appropriate medications and other...

  • Managing Director, Evernorth Behavioral Health Product

    4 weeks ago

    Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Product Development Managing Director, which is a Band 6 Management 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...

  • Behavioral Health 24/7 Clinical Navigation

    1 month ago

    Remote, Oregon, United States The Cigna Group Full time

    As a 24/7 Clinical Navigation & Support (CN & S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for customers. The CN & S team is the destination for customers identifying a clinical need by providing one unique entry to address in the moment needs of the customer. You will help customers navigate the mental health...

  • Behavior Analyst

    2 months ago

    Remote, Oregon, United States Kyo Full time

    Kyo is a leading provider of child-centric Applied Behavior Analysis (ABA), serving thousands of children and teens across nine states. Every day, we seek to achieve the unachievable for our clients.Kyo's BCBAs work with each client to create customized treatment plans and target the skills that are most meaningful to them and their families. They utilize...

  • RN Health Coach

    2 months ago

    Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Nurse Case Management Lead Analyst, which is a Band 3 Senior Contributor 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...

  • Bilingual Certified Diabetes Health Educator- Evernorth- Tampa, Orlando, Miami

    2 months ago

    Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor 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...

  • Customer Success Advocate II

    2 months ago

    Remote, Oregon, United States Lumen Full time

    About LumenLumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress.Lumen's commitment to workplace inclusion and employee support...

  • Customer Experience Advocate- EST, MST, CST

    2 weeks ago

    Remote, Oregon, United States Connecteam Full time

    Who Connecteam is:Connecteam is a fast-growing startup on a mission to change the mobile and low tech employees workforce experience. With over 2.7B remotely workers across the globe, the challenges and capabilities for advancement are endless. Our business management platform helps thousands of businesses thrive by taking away the daily hustle and...

  • Health Engagement Well-Being Coordinator

    2 months ago

    Remote, Oregon, United States The Cigna Group Full time

    The Well-Being Coordinator is designated to one Cigna client and works closely with the Cigna account management team and the client's human resources/ well-being team to execute the client's employee health engagement and well-being goals. The primary focus of the Well-Being Coordinator is to promote whole-person health and well-being and provide benefit...

  • IM Health

    3 weeks ago

    Remote, Oregon, United States Pfizer Full time

    ROLE SUMMARYAll over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues have the opportunity to grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and the ability to...

  • Fullstack Engineer II, Engage Team

    4 weeks ago

    Remote, Oregon, United States Included Health Full time

    At Included Health, our mission is to serve members better and more affordable care, and to raise the standard of healthcare for everyone. We fill in the gaps of American healthcare to deliver you a seamless experience, instead of the fragmentation we've all encountered.Included Health is a new kind of healthcare company, formed from the merger of Grand...

  • RN Nurse Case Manager Senior Analyst Medicare/Population Health

    1 month ago

    Remote, Oregon, United States The Cigna Group Full time

    Position Scope:Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications.Establishes patient centric goals and interventions to meet the member's needsInterfaces with the member, family...

  • National Accounts Health Engagement Manager(Remote)

    4 weeks ago

    Remote, Oregon, United States The Cigna Group Full time

    Band 4 – Health Engagement ManagerRole Summary: Oversees and develops wellbeing professionals who influence client organizational wellbeing and vitality strategies. Utilizes in-depth professional knowledge and experience to set departmental goals which align with functional strategy. Champions the execution of projects/initiatives that align to team...

  • Ostomy Peer Support Coach

    1 week ago

    Remote, Oregon, United States Better Health Full time

    Peer Support CoachBetter Health is creating a new medical provider type, disrupting the $60B home medical supply industry. How? By bundling peer support, coaching, education, and home delivery of medical supplies in an end-to-end care solution we turn the focus to our members and help them choose the best medical supplies to address their underlying chronic...

  • Senior Product Designer

    2 months ago

    Remote, Oregon, United States Parachute Health Full time

    In the U.S. alone, over 30 million patients per year are prescribed care via paper and fax. The legacy ordering process is long, complicated, and yields an 83% error rate, resulting in patients ending up in the hospital or worse.The world is transitioning to Digital Ordering across the healthcare industry. At Parachute Health, we're leading the charge with a...

  • Engineering Manager

    3 weeks ago

    Remote, Oregon, United States Lyra Health Full time

    About Lyra HealthLyra is transforming mental health care through technology with a human touch to help people feel emotionally healthy at work and at home. We work with industry leaders, such as Morgan Stanley, Uber, Amgen, and other Fortune 500 companies, to improve access to effective, high-quality mental health care for their employees and their families....

  • Account Management Director

    5 days ago

    Remote, Oregon, United States Soda Health Full time

    Location: Remote, USA About Soda Health Soda Health is a healthcare technology company focused on building solutions which eliminate health inequities and create a healthier America. We provide a technology platform to administer benefits personalized to individual needs, delivered more cost-effectively. Our expertise in healthcare, retail and consumer...

  • Dermatology Senior Health and Science Specialist

    1 month ago

    Remote, Oregon, United States Pfizer Full time

    Why Patients Need You All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues have the opportunity to grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and the...

  • Marketplace Operations Leader

    2 weeks ago

    Remote, Oregon, United States Incredible Health Full time

    Do you have a deep passion for delighting customers? Do you love being a leader who also rolls up their sleeves, mentoring team managers, and being an owner of a large Operations function? Do you want to make a difference in the careers of healthcare workers across the country? If this inspires you, let's talk.Incredible Health is the largest AI-powered...

  • Nurse Case Management Lead Analyst

    2 months ago

    Remote, Oregon, United States The Cigna Group Full time

    Hours Required: 11:00 a.m. --7:30 PM CST or 11.30 a.m.--8:00 PM CSTPosition Scope:The Digital/Telephonic RN Coach uses digital technology and telephonic interactions to inspire and support customers through behavior change on their unique health journey.The coach is responsible for providing wellness coaching, medical decision support, information on...