Medicare Telephonic Evaluator - Remote - CT, PA, TN, TX or AZ Job at The Cigna Group
Remote work from home - Bloomfield, CT; Philadelphia, PA; Nashville, TN; Austin, TX or Phoenix, AZ (Must live in/or near one of these areas)
Summary
To perform standardized telephonic evaluations of both internal and external Medicare Sales agents in order to ensure compliance to CMS and Cigna rules and regulation s.
Responsibilities
Performs monitoring of internal partners, external Sales partners (70+ FDRs with ~1,400 down-lines and ~20,000 agents)
Provides feedback to agents and managers as well as external partners regarding agent/agency performance and compliance.
Maintains a strong rapport with telephonic internal and external partners
May be directly involved in complex operational audits and monitoring or regulatory inquiries to provide expertise and guidance on technical or procedural issues
Performs annual audit of CMS’ Foreign Language-TTY study to ensure that agents adhere to guidelines enforced by CMS
Performs ad hoc review of data to improve processes and develop remediation as necessary
Ensures CMS and Cigna audit readiness
Ensures that external partners adhere to filed telephonic scripts
Qualifications
High School Diploma and 3 or more years work related experience required, Bachelor’s degree preferred
Experience working in a Tele-sales environment preferred
Knowledge of CMS and Cigna compliance policies and procedures preferred
High attention to detail, quality and accuracy
Strong coordination and organizational skills
Ability to communicate effectively and follow-up where needed
Fast-learner and multi-tasking skills
Ability to work independently and within a team environment in a matrixed environment required
Strong interpersonal and prioritization skills preferred
Sales and/or training experience recommended
Ability to handle multiple assignments, projects and deliverables simultaneously required
Strong computer skills required (Microsoft Office Suite products preferred)
Excellent listening, written and verbal communication skills required
Adaptability, flexibility, and ability to manage through change in a fast-paced environment required
Goal oriented, resourceful, personally accountable and self-directed
Ability to effectively collaborate across the organization
Process-oriented with organization and planning skills among competing responsibilities and tasks
Proactively seek opportunities for improvement
Ability to speak to different audiences
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 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.
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.
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Summary
To perform standardized telephonic evaluations of both internal and external Medicare Sales agents in order to ensure compliance to CMS and Cigna rules and regulation s.
Responsibilities
Performs monitoring of internal partners, external Sales partners (70+ FDRs with ~1,400 down-lines and ~20,000 agents)
Provides feedback to agents and managers as well as external partners regarding agent/agency performance and compliance.
Maintains a strong rapport with telephonic internal and external partners
May be directly involved in complex operational audits and monitoring or regulatory inquiries to provide expertise and guidance on technical or procedural issues
Performs annual audit of CMS’ Foreign Language-TTY study to ensure that agents adhere to guidelines enforced by CMS
Performs ad hoc review of data to improve processes and develop remediation as necessary
Ensures CMS and Cigna audit readiness
Ensures that external partners adhere to filed telephonic scripts
Qualifications
High School Diploma and 3 or more years work related experience required, Bachelor’s degree preferred
Experience working in a Tele-sales environment preferred
Knowledge of CMS and Cigna compliance policies and procedures preferred
High attention to detail, quality and accuracy
Strong coordination and organizational skills
Ability to communicate effectively and follow-up where needed
Fast-learner and multi-tasking skills
Ability to work independently and within a team environment in a matrixed environment required
Strong interpersonal and prioritization skills preferred
Sales and/or training experience recommended
Ability to handle multiple assignments, projects and deliverables simultaneously required
Strong computer skills required (Microsoft Office Suite products preferred)
Excellent listening, written and verbal communication skills required
Adaptability, flexibility, and ability to manage through change in a fast-paced environment required
Goal oriented, resourceful, personally accountable and self-directed
Ability to effectively collaborate across the organization
Process-oriented with organization and planning skills among competing responsibilities and tasks
Proactively seek opportunities for improvement
Ability to speak to different audiences
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 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.
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.
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.