Eligibility Supervisor - Accredo at Cigna in St. Louis, Missouri

Job Description:

The Supervisor - Eligibility manages a team of Associates responsible for document intake and categorization, prescription entry and shipment research for a program using established guidelines and procedures in response to patient and physician calls. This position may also oversee prescription clarification and proactive efforts to obtain new prescriptions for patients. This position continuously monitors and identifies areas in which day-to-day operational efficiencies can be increased, rework can be decreased and overall production of the department falls within established productivity and quality standards.

Essential Functions

• 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.
  
  

• Bachelor's degree or 6 - 8 years equivalent experience.


• At least 1 year experience in insurance or a health related field.


• Previous leadership/supervisor experience is required.


• 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.


• Strong relationship building and collaboration skills are required.
  
  

Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.

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.