Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation.

Incumbent will be a member of the Payer Solutions Operations eligibility team; the primary responsibility is eligibility maintenance.

RESPONSIBILITIES:

• Responsible for eligibility maintenance of Payer Solutions member data in Genasys
  
  
  • Timely Payer notification of errors
  
  
  • Clarifies member data as necessary
  
  
  • Supports Payer with manual updates when applicable
  
  
  • Works with matrix partners to correct data disjoints in downstream
  
  
  
  


• Responsible for membership reporting


• Supports eligibility inquiries from internal staff and clients (phone, email, meetings, Skype)


• Responsible for IF reversals, which includes validation that requests contain proper approval and tracking each reversal


• Responsible reporting production- weekly reports and monthly production reports


• Performance Guarantee tracking, as required.


• Understanding of data flow and process for correcting data disjoints


• Project SME


• Other duties as assigned

SKILLS/Knowledge

• 3-4 years of customer service and claim experience. Eligibility experience preferred.


• Strong written and verbal skills


• Genasys AS/400 experience preferred


• OneNote, HTM, ODS, IBoR/Impersonator experience preferred


• Demonstrated organizational, analytical and problem-solving ability


• Ability to prioritize work and manage multiple projects with competing deadlines


• Intermediate Skills in Word, Excel, Access and OneNote


• Ability to pass a keyboarding test which includes 10 Key skills

Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation.

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.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.

Cigna 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.