Title: Eligibility Analyst Associate- HealthSpring COMPANY: Cigna COMPANY NAICS: Location ZipCode: 37230 Job Description: Description: Responsible for determining plan eligibility and enrolling members within CMS regulatory guidance. Work to "save" members with incorrect/incomplete applications by performing customer, physician and/or agent outreach (RFI and telephonic) and using support tools (MARx, State web site, Melissa Data, USPS). Process plan changes, cancellations, terminations and involuntary disenrollments within CMS regulatory guidance. Maintain member demographic update and membership revalidation (where required) and apply eligibility requirements for membership changes - ensure out-of-are and SNP eligibility requirements are applied within specific timelines. Research and respond to eligibility inquiries by working the MAS Mailbox and Call Tracker/MSM requests. Ensures all enrollment eligibility is reconciled and maintained in accordance with CMS, SOX, HIPAA, Internal Audit, and Company, and departmental guidelines, requirements, regulations, policies, and procedures. Support the Annual Enrollment Period by completing Preceptor Lite or Preceptor training and mentor temporary employees. Perform research and/or complete special projects as requested. Qualifications: Requirements include High School Diploma required Minimum 1 year prior experience in Enrollment Prior enrollment, reconciliation, or related experience strongly preferred Proficiency with Microsoft Office. Strong organizational skills. Excellent verbal and written communication skills - communications should be respectful, professional, proactive and proactively in a rapidly changing and dynamic work environment. Must be able to react quickly and proactively in a rapidly changing and dynamic work environment. Strong Customer Service skills must be highly customer centric. Ability to manage multiple tasks simultaneously in a fast-paced, customer-oriented environment Primary Location: Nashville-Tennessee Work Locations: 500 Great Circle Road Nashville 37228 Job: Bus Ops--Employer Services Schedule: Regular Shift: Standard Employee Status: Individual Contributor Job Type: Full-time Job Level: Day Job Travel: No Job Posting: May 30, 2018, 2:23:20 PM Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com Education level: No Grade work Shift: Shift Duration: 3 Driver class: Position count: 1 Orgination method: 11 Employer contact first name: Employer contact last name: Employer contact title: job contact email: Job cantact fax: Job contact phone primary: Job contact phone extension primary: Job contact phone secondary: Job contact phone extension secondary: Location Address 1: Location Address 2: Required LIC certification: Required training: Job status: 1 Office id: KY0099 Onet title: Business Operations Specialists, All Other