Company Address: Address Antwerpen

Care Team Senior Supervisor

Your job

As a Care Team Senior Supervisor, you will be managing a team based in KL, Nairobi and Madrid. You will be responsible to motivate your own teams to ensure production levels and targets are achieved, to ensure effective processing controls are in place across locations, as well as championing efforts that achieve the highest possible levels of provider experience and satisfaction that enable the company to meet its growth and profit objectives.

Your role will be broader than the day-to-day management of the team – your agile, provider centric mindset will ensure that you contribute to our overall provider operations strategy, identifying opportunities to enhance the service proposition and to improve the efficiencies and productivity of your teams. Your role will report into the Care Senior Manager based in Madrid.

Your role will be to:

Responsible to lead dedicated care teams across the globe in and efficient and effective way.
Build and bring alive a true culture of provider centricity.
Responsible to meet operational KPI’s within the team in terms of production, quality, TAT, amongst others, and bring those alive across the team to deliver on those.
Analysing support workflows and making suggestions to improve efficiency and effectiveness and be active in seeking and sharing ideas for innovation in business processes.
Managing schedules of team members according to customer/provider demand and any service levels agreements.
Assess the capacity planning for your segments as well as following up on absences and coverage strategies to secure business continuity.
Taking part in forecasting and budgeting for customer service and tracking the actual performance against plan.
Produce meaningful, accurate management reports and statistical information in line with formats and timescales agreed with management, including trending and enhancement activities to quantify operational impacts.
Regular contact with Client Management, Service Ops, Clinical and other Cigna internal stakeholders within your remit.
Identifying and acting to remove obstacles to delivering consistently high levels of services.
Assisting and contributing with the design and rollout of new operational excellence projects.
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing, and performance by providing coaching and skill development in collaboration with the other Care Team management and PSO Management Team
Working closely with senior management to help customer/ provider service deliver on their components of overall company goals and objectives.
Be a focal point for the PSO leads as well as other internal stakeholders.
Leading and supporting your teams through required changes.
International travel on quarterly basis might be required.

Your profile

Minimum 2 years’ experience leading operational teams within the company or outside.
International mind-set, with holistic and able to work remotely with colleagues and direct reports across locations.
Striving for excellent service to our members, clients, and providers.
Experience in and passion for coaching, managing, developing, and motivating individuals and the team.
Experience in change and process improvement management – with a proven track record in improving customer service standards.
Experience managing offshore teams.
Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, Powerpoint.
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members.
Proven data analytics skills (advanced Excel, Qlikview, Tableau …).
Results orientated – ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes.
Accountability – assumes ownership for achieving personal results and collective goals.
Strong communication skills: demonstrating drive and enthusiasm. High level of English is a requirement.

Key Competenties

Manage ambiguity
Balances stakeholders
Organizational Savy
Drives Engagement
Build effective teams
Tech savvy
Global perspective
Data driven

What we offer?

Type of Contract: Permanent.
Multicultural working environment: A diverse job in an international context with impressive clients.
Hybrid working: Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office. Cigna’s “Happy You”: health and wellbeing initiatives, flexible work hours, home working opportunities.
Flexible starting hour: Official Schedule Monday to Friday 9.00 to 17.00 but with flexibility. Our shifts are from 7:00 to 9:30, with the possibility to choose the time that suits you best.
A wide range of social benefits (such as: healthcare insurance, pharmacy insurance, dental insurance, vision insurance, life insurance, shuttle bus and so on) and attractive salary packages.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Claims Representative (GEH) – Provider Service Organisation

YOUR JOB

Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims from Healthcare Providers. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles.

What are your main Duties/Responsibilities:

Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Monitor and highlight high cost claims and ensure relevant parties are aware.
Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
Interface effectively with internal and external customers to resolve Provider issues.
Have full ownership of Provider’s Country Cluster assigned.
Identify potential process improvements and make recommendations to team senior.
Actively support other team members and provide resource to enable all team goals to be achieved.
Work across European business in line with service needs.
Carry out other adhoc tasks as required meeting business needs.

YOUR PROFILE

Customer focused with ability to identify and solve problems.
Ability to meet/exceed targets and manage multiple priorities.
Proficient in Microsoft Office applications.
Preferred if English and Arithmetic qualification gained.
Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential.

KEY COMPETENTIES:

Must possess excellent attention to detail, with a high level of accuracy.
Strong interpersonal skills with good verbal and written communication to internal and external clients.
Strong customer focus with ability to identify and solve problems.
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organize, prioritize and manage workflow to meet individual and team requirements.
Ability to exercise judgement.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Intake Care Supervisor – Africa

YOUR JOB

Your role will be to:

Motivate individuals and team collectively to achieve agreed work output targets covering productivity, quality and customer/provider satisfaction
Recommend and implement innovative strategies to improve efficiency and provide excellent customer service.
Be proactive in identifying improvement/enhancement opportunities and active in seeking and sharing ideas for innovation in business processes within the Integrated Health Team and other operations; recommend and implement innovative strategies to improve efficiency within the pre-authorisation and care coordination process and provide excellent customer service, including to members, clients, but also health care providers.
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing and performance.
Ensure appropriate performance management actions are taken.
Proactively address and/or escalate any risks.
Develop/maintain proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise.
Produce, review and interpret reporting and data in line with formats and timescales agreed with management, including trending and enhancement activities with quantification of operational impacts.
Be the key focal point for the implementation of new clients and/or procedures, as well as being a contact for clients/members, including hosting (potential) clients and presenting our services to them.

YOUR PROFILE

You are always looking for solutions.
Minimum of two years experience in an operational team.
Active language knowledge of at least English; any additional language is a plus.
Experience and/or interest in coaching, managing, developing and motivating individuals.
Experience in complaint management – with a proven track record in improving customer service standards.
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Excellent interpersonal skills: strong empathy and listening skills.
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members.
Action-orientated problem-solving skills.
Excellent organisation, planning and prioritisation skills.
Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues.
Personal flexibility and adaptable to change.
Results oriented– ability to define goals, establish plans and manage work to achieve desired outcomes. Creates meaningful business related metrics and tracks progress/results.
Accountability – assumes ownership for achieving personal results and collective goals.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Senior .NET Developer – Apollo

Your responsibilities

Together with the team, you support requirement definition, and transform and develop these requirements into an appropriate architecture and solution.
You have end-to-end responsibility for backend applications that support our claims handling processes.
Write automated unit and integration tests.
Formulate & propose improvements, both on functional and technical level.
Define technical guidelines.
Document the implemented architecture and solution.
Deliver quality code, whilst keeping deadlines and business value in mind.
Work together in an international, cross-functional scrum team and the wider International Health organization.
Have a proactive role within the development chapter across all IGO/NGO scrum team.

Don’t worry, you don’t have to do this alone; you will work closely with the other developers, the Product Owner, Scrum Master, Subject Matter Experts and testers in your scrum team. You will be supported by the internal customer and our architects. On top of that, you are supported by the Developer Chapter, the group of .NET developers working in all IOH teams.

Your Profile

We value traits like an agile mindset, passion & positivism. We are looking for colleagues who take responsibility and want to make a difference. To collaborate in an international environment, English language skills are required (written and spoken).

General requirements

You have a Bachelor or Master degree in IT.
You have a excellent knowledge of written and spoken English and are a strong communicator.
You are able to articulate and bring structure in your ideas and solutions.
You have 5 or more years of experience in .NET (backend) development.
You are able to convert functional analysis into technical design and estimates, working with our Architecture team.
You are able to work both independently and as part of a close knit team.
You are eager to work on bespoke .NET components, as well as customize and configure imaging & workflow vendor platforms.
You demonstrate strong communication, prioritization, organization and problem solving skills.
You enjoy driving solutions from conception to release.
You have a customer oriented, creative and inventive mindset.
You have strong motivational and convincing skills
You are sensitive to cultural differences and you enjoy working in a global, multi-location team.
You are able to deal with ambiguity.

Essential technical skills

Development in .NET and MS SQL using Visual Studio

Experience in any of the following is a big plus

Previous experience with Agile methodologies (SAFe, SCRUM, …)
Experience with ORM Frameworks, Enterprise Library, NuGet, WCF
Experience with ALM/DevOps tooling (eg. Azure Devops Pipelines)
Experience with Windows Server infrastructure (including IIS)
GIT or TFS version control systems

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Intake Care Supervisor – Africa

YOUR JOB

Your role will be to:

Motivate individuals and team collectively to achieve agreed work output targets covering productivity, quality and customer/provider satisfaction
Recommend and implement innovative strategies to improve efficiency and provide excellent customer service.
Be proactive in identifying improvement/enhancement opportunities and active in seeking and sharing ideas for innovation in business processes within the Integrated Health Team and other operations; recommend and implement innovative strategies to improve efficiency within the pre-authorisation and care coordination process and provide excellent customer service, including to members, clients, but also health care providers.
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing and performance.
Ensure appropriate performance management actions are taken.
Proactively address and/or escalate any risks.
Develop/maintain proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise.
Produce, review and interpret reporting and data in line with formats and timescales agreed with management, including trending and enhancement activities with quantification of operational impacts.
Be the key focal point for the implementation of new clients and/or procedures, as well as being a contact for clients/members, including hosting (potential) clients and presenting our services to them.

YOUR PROFILE

You are always looking for solutions.
Minimum of two years experience in an operational team.
Active language knowledge of at least English; any additional language is a plus.
Experience and/or interest in coaching, managing, developing and motivating individuals.
Experience in complaint management – with a proven track record in improving customer service standards.
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Excellent interpersonal skills: strong empathy and listening skills.
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members.
Action-orientated problem-solving skills.
Excellent organisation, planning and prioritisation skills.
Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues.
Personal flexibility and adaptable to change.
Results oriented– ability to define goals, establish plans and manage work to achieve desired outcomes. Creates meaningful business related metrics and tracks progress/results.
Accountability – assumes ownership for achieving personal results and collective goals.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Claims Representative (GEH) – Provider Service Organisation

YOUR JOB

Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims from Healthcare Providers. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles.

What are your main Duties/Responsibilities:

Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Monitor and highlight high cost claims and ensure relevant parties are aware.
Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
Interface effectively with internal and external customers to resolve Provider issues.
Have full ownership of Provider’s Country Cluster assigned.
Identify potential process improvements and make recommendations to team senior.
Actively support other team members and provide resource to enable all team goals to be achieved.
Work across European business in line with service needs.
Carry out other adhoc tasks as required meeting business needs.

YOUR PROFILE

Customer focused with ability to identify and solve problems.
Ability to meet/exceed targets and manage multiple priorities.
Proficient in Microsoft Office applications.
Preferred if English and Arithmetic qualification gained.
Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential.

KEY COMPETENTIES:

Must possess excellent attention to detail, with a high level of accuracy.
Strong interpersonal skills with good verbal and written communication to internal and external clients.
Strong customer focus with ability to identify and solve problems.
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organize, prioritize and manage workflow to meet individual and team requirements.
Ability to exercise judgement.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Care Team Senior Supervisor

Your job

As a Care Team Senior Supervisor, you will be managing a team based in KL, Nairobi and Madrid. You will be responsible to motivate your own teams to ensure production levels and targets are achieved, to ensure effective processing controls are in place across locations, as well as championing efforts that achieve the highest possible levels of provider experience and satisfaction that enable the company to meet its growth and profit objectives.

Your role will be broader than the day-to-day management of the team – your agile, provider centric mindset will ensure that you contribute to our overall provider operations strategy, identifying opportunities to enhance the service proposition and to improve the efficiencies and productivity of your teams. Your role will report into the Care Senior Manager based in Madrid.

Your role will be to:

Responsible to lead dedicated care teams across the globe in and efficient and effective way.
Build and bring alive a true culture of provider centricity.
Responsible to meet operational KPI’s within the team in terms of production, quality, TAT, amongst others, and bring those alive across the team to deliver on those.
Analysing support workflows and making suggestions to improve efficiency and effectiveness and be active in seeking and sharing ideas for innovation in business processes.
Managing schedules of team members according to customer/provider demand and any service levels agreements.
Assess the capacity planning for your segments as well as following up on absences and coverage strategies to secure business continuity.
Taking part in forecasting and budgeting for customer service and tracking the actual performance against plan.
Produce meaningful, accurate management reports and statistical information in line with formats and timescales agreed with management, including trending and enhancement activities to quantify operational impacts.
Regular contact with Client Management, Service Ops, Clinical and other Cigna internal stakeholders within your remit.
Identifying and acting to remove obstacles to delivering consistently high levels of services.
Assisting and contributing with the design and rollout of new operational excellence projects.
Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing, and performance by providing coaching and skill development in collaboration with the other Care Team management and PSO Management Team
Working closely with senior management to help customer/ provider service deliver on their components of overall company goals and objectives.
Be a focal point for the PSO leads as well as other internal stakeholders.
Leading and supporting your teams through required changes.
International travel on quarterly basis might be required.

Your profile

Minimum 2 years’ experience leading operational teams within the company or outside.
International mind-set, with holistic and able to work remotely with colleagues and direct reports across locations.
Striving for excellent service to our members, clients, and providers.
Experience in and passion for coaching, managing, developing, and motivating individuals and the team.
Experience in change and process improvement management – with a proven track record in improving customer service standards.
Experience managing offshore teams.
Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, Powerpoint.
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members.
Proven data analytics skills (advanced Excel, Qlikview, Tableau …).
Results orientated – ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes.
Accountability – assumes ownership for achieving personal results and collective goals.
Strong communication skills: demonstrating drive and enthusiasm. High level of English is a requirement.

Key Competenties

Manage ambiguity
Balances stakeholders
Organizational Savy
Drives Engagement
Build effective teams
Tech savvy
Global perspective
Data driven

What we offer?

Type of Contract: Permanent.
Multicultural working environment: A diverse job in an international context with impressive clients.
Hybrid working: Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office. Cigna’s “Happy You”: health and wellbeing initiatives, flexible work hours, home working opportunities.
Flexible starting hour: Official Schedule Monday to Friday 9.00 to 17.00 but with flexibility. Our shifts are from 7:00 to 9:30, with the possibility to choose the time that suits you best.
A wide range of social benefits (such as: healthcare insurance, pharmacy insurance, dental insurance, vision insurance, life insurance, shuttle bus and so on) and attractive salary packages.

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Senior Client Manager International Organizations

Responsibilities

Be the primary point of contact and person of trust for your clients
Monitor swift implementation of new clients/services
Build client intimacy and maintain excellent working relationships with the various key stakeholders of the client
Provide consultative guidance to clients
Maximize client retention by negotiating contract renewals at sustainable rates
Learn and self-develop continuously through trainings and other learning opportunities
Participate actively in various internal projects, contributing to organisational strategy and organisational learning
Pro-actively identify and pursue up- and cross-sell opportunities
Align the company’s service proposition to the client’s needs while ensuring operational efficiency
Coordinate complaint and problem resolution with other departments

Profile/Skills

5 years experience or more in relationship/account management in Employee Benefits, Financial Services or Consulting, preferably in an international context (ideally with IOs)
Sound knowledge of Excel, Word, PowerPoint. Experience with Access is a plus
Strong technical skills including affinity with collation of data and statistical analysis. Ability to do back of the envelope underwriting calculations or legal reasonings.
Excellent knowledge of English and French. An additional language is a plus (Spanish, German, Arabic)

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
Data Analyst

About the Team and Role:

Cigna International Health (IH) consolidates data into a Common Data Model and Integrated Data Store to enable delivery of a seamless Digital experience to all of our stakeholders, clients, plan members, healthcare providers.
The Data Mapping team within Cigna IH provides mapping services and expertise to any team or project within Cigna IH that needs consolidated data.
Your role will be a hands-on role responsible for delivering these mapping services to our stakeholders.
You will collaborate with team members, data analysts, systems analysts, product and business partners to evaluate and validate requirements and do the most optimal data mapping against our common data model. You will also be participating in developing our Data Management Tooling platform.

Skills/Tasks

Delivery of the Data Mapping team you will work in, work with ecosystem, project managers, scrum masters and product owner to ensure that work is completed and that queries, issues, escalations are resolved.
Owning individual mappings for inbound or outbound mapping, own updates to mapping documentation, monitor evolving scope & perform gap analysis, plan and lead workshops, follow-up on CRs to incorporate in plan, manage SMEs and allocate pre-work and research, provide metrics, action data QA feedback.
Build SQL queries to check the results from the mapping workshops.
Validating change requests with full team, perform impact analysis, update and Cigna Data Model
Establishing and maintain strong business relationships with key stakeholders.

About you:

Problem solver with excellent analytical skills and people skills
Strong communication and presentation skills with ability to organize and facilitate workshops with several stakeholders
Should be resourceful, work well under pressure, and able to keep up in a fast-paced environment.
Extremely detail oriented, with excellent organization skills
Ability to build strong working relationships across the organization
Strong preference for Data Management; able to bridge Data Engineering teams (Mapping, Build & Test data flows, Data Governance) and business/project teams.
Capable of writing (T-)SQL code to check the results from the workshops. As we operate in an Agile environment, as a full-stack team member you might assist in building and maintaining SQL (and SSIS) code to actually ingest the mapped data into the Integrated Data Store.
Understanding of Healthcare Insurance industry.

Ideally you will have experience with:

Over 5 years experience of data analytics / business analytics experience strongly preferred
Experience with standard tools such as MS Excel
Experience with SQL and affinity with Relational Data Models
Proven ability to manage stakeholder communications and facilitate workshops, demonstrating strong verbal and written skills
Demonstrated knowledge of healthcare products, benefits, claims, and/or customer service or related experience
Experience with Data Management tools such as Informatika, Collibra, Erwin is a plus

Apply via :

cigna.wd5.myworkdayjobs.com

November 5, 2024
.NET Software Engineer Senior .NET Software Engineer

Overview

Cigna International Health is initiating a project to develop a cutting-edge global mobile solution to bolster the expansion of our health businesses across the globe. We’re actively seeking accomplished leaders to champion our vision and steer us towards building a mobile platform for serving Cigna’s customers all over the world.

We are seeking an experienced Software Engineering to drive our front-end software development efforts in creating high-quality mobile solutions. The ideal candidate will engineer technical solutions, produce clean code, and ensure successful delivery of software solutions aligned with business goals.

Responsibilities

Technical Leadership:

Be responsible for the output of multiple disciplines within Application Development.
Implement software engineering strategy, ensuring that it aligns with the overall business and product objectives.
Contribute to the definition of applications development policies, standards, and procedures.

Project Delivery:

Execute software projects, ensuring they are delivered on time, within budget, and meet quality standards.
Develop solutions using TDD or event driven methodology.
Execute project plans and application designs to ensure projects are aligned with standards and IT strategy.
Architecture and Development: Guide the design principles, and development processes to ensure scalable, secure, and efficient solutions, collaborating with other senior leads.
Operational Efficiency: Implement DevSecOps to streamline processes, tools, and workflows to optimize engineering operations and enhance productivity.

Requirements

Experience: Proven experience (4 years) in a role within software development for commercial software products, with a strong technical background.
Technical Acumen: Knowledge of software development methodologies, source code management strategies, design patterns, DevSecOps, automation, and best practices. Ability to translate non-functional requirements such as availability, flexibility, stability, ease of maintenance and security.
Technologies covered: Experience of implementing software using Enterprise .NET technologies (.NET 5+), web based and desktop clients, application servers, relational and non-relational databases, testing strategies. Experience in building restful microservices is also required.
Education: Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field.
Global and regulatory landscapes: Experience of working practices across multiple geographies and with regional nuances such as tax rules, regulatory interfaces, multi-currency, multi-language etc is an advantage.
Aware of the concrete effects of architectural decisions – specifically microservice architecture – at the code level, in collaboration with other team members. 

Desirable

Microsoft .NET Core Certified
Experience of using Jira
Technologies: container-based services (such as Docker, Kubernetes), service-bus solutions

go to method of application »

Use the link(s) below to apply on company website.

Apply via :

November 5, 2024