What are the responsibilities and job description for the Manager Record Maintenance - eviCore - Remote position at Cigna?
Responsibilities :
Monitors workflow and call, case, and Cherwell queues to ensure appropriate metrics are achieved.
Research and resolve escalated issues with accuracy.
Identify patterns and trends to quickly identify issues.
Recommend improvements to policies/procedures.
Accountable for team’s performance in both statistical and quality metrics.
Participates in the completion of performance reviews.
Stays educated on all policies and procedures of department.
Ability to prioritize workload to ensure deadlines are met.
Effectively utilize all resources and job aids.
Work with IT to identify trends of potential issues.
Accurately track and report performance or attendance.
Ability to complete special projects or other duties as assigned.
Assist manager with reporting.
Qualifications:
High School Diploma/GED required.
Minimum of one year at eviCore and one year leadership experience preferred.
Knowledge of MedSuite/FDX preferred.
Comprehensive understanding of ISAAC.
Understanding of provider file preferred.
Professional aptitude to solve problems and escalate issues.
Excellent leadership and communication skills.
Ability to communicate and educate in a highly professional and effective manner.
Ability to multi-task and excel in a team setting.
Detail oriented.
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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.
Monitors workflow and call, case, and Cherwell queues to ensure appropriate metrics are achieved.
Research and resolve escalated issues with accuracy.
Identify patterns and trends to quickly identify issues.
Recommend improvements to policies/procedures.
Accountable for team’s performance in both statistical and quality metrics.
Participates in the completion of performance reviews.
Stays educated on all policies and procedures of department.
Ability to prioritize workload to ensure deadlines are met.
Effectively utilize all resources and job aids.
Work with IT to identify trends of potential issues.
Accurately track and report performance or attendance.
Ability to complete special projects or other duties as assigned.
Assist manager with reporting.
Qualifications:
High School Diploma/GED required.
Minimum of one year at eviCore and one year leadership experience preferred.
Knowledge of MedSuite/FDX preferred.
Comprehensive understanding of ISAAC.
Understanding of provider file preferred.
Professional aptitude to solve problems and escalate issues.
Excellent leadership and communication skills.
Ability to communicate and educate in a highly professional and effective manner.
Ability to multi-task and excel in a team setting.
Detail oriented.
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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.
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