Job Description :

You are the key person for CARE Coordination files IOH, where you are working together with all parties involved, internal as well as external. This implies that:

• you take care of the communication with health care providers in order to obtain all the necessary (medical and administrative) information;

• you are in close contact with the insured/patient (i.e. comfort calling);

• you will contact the client’s organization if needed; • you negotiate high costs with providers and doctors,

• you steer patients to the right care giver,

• you explore cost containment opportunities together with the colleagues from Claims Review;

• you work closely with the other organizations (i.e. Network, Fraud Waste and Abuse, Clinical Case Management);

• registering cost containment achievements in dedicated tools and formats,

• clarifying files to authorized parties;

• Issuance of guarantee of payments (GOP) in complex files.

• You coordinate out of country care files and Evacuations mainly is Asia Region, together with other Cigna departments and external assistance providers.

• All our clients and healthcare providers are internationally located. Therefore you manage the English language well, both spoken and written.

Profile:

Active and fluent in at least English any other language is an asset (French is highly recommended) .

At least 1 year experience in IOH Care Team and 1 year in current role completed is a MUST.

• Strong negotiation skills, (i.e. a strong focus on cost containment without never losing sight of commercial benefits and maintaining provider relationships),

• Strong coordinating skills (i.e. accurate, efficient, assimilate different information, critical, negotiating, communicative, skilled decision maker, ...)

• Written skills: conveys messages in clear language, paying attention to accent/circumstances

• and appropriate style

• Customer-focused: communicates empathically

• Accurate: works accurately by giving complete and correct answers

• Responsible: ensures that assigned contracts are followed up in a diligent, timely and accurate manner.

• Disciplined: follows procedures, agreements and document flows correctly

• Efficient: able to strike the right balance between quality and quantity

• Team-player: enjoys working as part of a team • Discrete: exercises utmost discretion when dealing with confidential (medical) information Specific Knowledge:

• Use of necessary reference works

• Knowledge of Microsoft Office- and proprietary IT application

About The Cigna Group