LVN Quality Clinical Coordinator - Houston, Texas

Cigna Houston , TX 77020

Posted 5 months ago

It's fun to work in a company where people truly BELIEVE in what they are doing!

We're committed to bringing passion and customer focus to the business.

Job Description

Assist with PPO and HMO membership to improve health care quality and outcomes for the customer and the client. Encourage customers to engage in their preventive health care and focus on healthy living.

Required Skills

Assist the Network Operations team with Stars Rating goals, Cigna Collaborative Accountable Care goals, and other miscellaneous projects. Familiar with HEDIS specifications and criteria.

Able to understand and connect with the customer. Able to place phone calls to customers regarding their health care and schedule physician office visits. Familiar with a queue line and Outlook email. Able to use Excel and keep organized call tracking logs.

Required Experience

Minimum Requirements:
Clinical License Required LVN

Preferred Requirements:
Managed care experience, ideally with Medicare or Medicaid HMO.

Regulatory compliance experience: CMS, HEDIS, STARS. Knowledge of Microsoft Office products. Spanish Speaking.

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: Do not email for an update on your application or to provide your resume as you will not receive a response.

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