Prior Authorization Representative - Work from Home - Express Scripts

Full Time
Hartford, CT 06152
Posted
Job description
Does your DREAM JOB involve WORKING FROM HOME and HELPING OTHERS? Join CIGNA! We want to change health care to make it more affordable, personalized, and focused on helping the whole person.
As a Pri or Authorization Representative y ou’ll be part of a dedicated team which provides information regarding pharmacy benefits and drug coverage. This crucial role is on the front lines with patients, pharmacists and doctors' offices, r esponding and addressing each phone inquiry with care, detail, and most importantly, empathy.

How you will make a difference

Help patients understand their pharmacy benefits better. Provide information to clients, participants, pharmacists and doctors regarding participants pharmacy benefit, drug coverage and provide accurate procedures for medication exceptions.

Help patients get the medication they need. Handle inbound telephone and written inquiries from pharmacists and doctors regarding prior authorization by screening and reviewing requests based on benefit plan design, client specifics and clinical criteria.

Provide customer service excellence. Facilitate resolution of drug coverage issues and pro-actively address, research and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement.

What You Should Have:
High School Diploma or GED
2 – 3 years of experience
Conflict resolution skills
Excellent organizational skill
Superior written and verbal communication and presentation skills
Strong interpersonal skills
Ability to handle challenging customers in a professional manner
Ability to adapt in a dynamic work environment learns quickly, solve problems and make decisions
Willingness to work a flexible schedule for peak call times
Private & quiet work space

What you’ll love about working here:
Friendly, supportive and unique culture – Bring your whole self to work every day!
1st day Benefits - Medical Dental & Vision
18 days Paid Time Off & 8 Paid Holidays
Employer Contributions for HRA and HSA accounts
401K with Company Match
Tuition Assistance & MORE

NOTE : You will be required to have reliable high speed internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
We are not able to hire residents of the following states: Louisiana, Nebraska, Rhode Island

For positions that are Flex/WAH:
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17 - 23 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) 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 reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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