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Eligibility Supervisor at Cigna

Posted in Admin - Clerical 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Orlando, Florida

Job Description:

Help us architect our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have problem-solving or strategy experience? If so, prepare to innovate, create, and inspire. The Eligibility Supervisor primarily responsible for collaborating with the Resource Management Team, Site Directors and Managers to execute the daily and weekly strategies based on forecasted volumes, offline needs, attendance, and any other business obligations we need to fulfill. Will provide a balanced and level loaded skilling plan based upon demand and capacity analysis. This position monitors systems and metrics throughout the day and makes changes to queue resource allocations to insure service level. May also support PARCM operational functions.

About Cigna

Cigna is a global health service company dedicated to helping the people we serve improve their health, well-being, and peace of mind. But we don't just care about your well -being, we care about your career health too. That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and share in changing the way people think about healthcare.


  • Assists with the development of short & long-term goals for department and plan of implementation to bring to completion for on-going success of department.

  • Ensures the success of maintaining strong working relations with clients and prompt communication regarding concerns or problem resolution occurs.

  • Direct assigned team members in accordance with departmental management initiatives.

  • Schedule & facilitate routine staff meetings to communicate department/company processes and/or changes.

  • Follow up with assigned coordinators to ensure policies and procedures are understood and compliant.

  • Provides department leadership in the area of staff performance including mentoring, auditing, productivity monitoring and coaching for success.

  • Corresponds with management on employee/HR issues, state of the department and any service issues involving key clients or legal risk issues to the company.

  • Analyze reporting data trends within team relative to quality to ensure efficiency and productivity requirements are maximized to benefit patients.

  • Provide feedback to team related to productivity and efficiency.

  • Assist team members to resolve patient concerns and handling escalated issues relative to prior authorizations, benefits/eligibility, etc.

  • Monitor quality and case volume through the generation of client database and Call Center reports, random call monitoring and random case file audits.


  • High School diploma; Bachelor's degree preferred.

  • At least 2 years relevant operations experience

  • Previous leadership experience preferred.

  • Strong knowledge of Word, Excel & Power Point preferred.

  • Must possess excellent oral and written communication skills.

  • Ability to coordinate/host meetings with large groups.

  • Ability to interpret data/metrics within the database system and staffing tools and interpret data for application.

  • Excellent communication skills.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.