Case Management Lead Representative

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Provide day-to-day guidance to teammates on processes, systems, patient referrals, and care coordination steps • Support complex patient cases and operational questions by identifying next steps and timely solutions • Assist with partner inquiries and escalations in coordination with the supervisor or leader • Share best practices that improve consistency, quality, and team confidence • Participate in partner huddles and team discussions focused on referrals, patient status, and workflow priorities • Monitor patient referral activity and follow up on items affecting access to care • Support patient cases, calls, and workflow tasks during high-volume periods or team absences • Promote clear, compassionate communication supporting positive patient and partner experiences • Assist with onboarding and training new team members through job shadowing, screen sharing, and process education • Provide peer coaching and practical guidance • Monitor team communication channels and respond to questions as a knowledgeable resource • Share updates, process changes, reminders, and key information through team chats or emails • Identify opportunities to improve workflows, reduce barriers, and strengthen service delivery • Maintain readiness to support coverage across shifts, including weekends or holidays when business needs require it

🎯 Requirements

• High School Diploma or GED • Minimum 2 years of experience in patient care coordination, case management support, healthcare operations, or a related healthcare or pharmacy setting • Experience serving as a senior resource, mentor, trainer, peer coach, or subject matter expert for team members • Strong communication, organization, and problem-solving skills • Proficiency with Microsoft Office applications and patient care coordination systems • Ability to manage multiple priorities while maintaining accuracy, professionalism, and attention to detail • Experience processing referrals and reviewing patient insurance benefits (preferred) • Experience communicating patient financial responsibility and coverage information (preferred) • Experience in specialty pharmacy, infusion therapy, home infusion, or related healthcare services (preferred) • Experience supporting process improvement, workflow updates, or operational initiatives (preferred) • Experience helping train, onboard, or coach team members in a healthcare environment (preferred)

🏖️ Benefits

• Annual bonus plan • Medical insurance • Vision insurance • Dental insurance • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Cable broadband or fiber optic internet service required for home working, with at least 10Mbps download/5Mbps upload