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Customer Service Representative at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Fairfield, Ohio





Job Description:

Provide operational support for multiple programs within the Express Scripts clinical product portfolio, including but not limited to ScreenRx, Advanced Opioid Management, and several other programs that engage patients, providers, caregivers and clients to promote better health outcomes. In doing so, the Patient Advisor will need to be fluent about the intricacies of each program and be able to document activity in company databases.

ESSENTIAL FUNCTIONS:


  • Responsible for validating potential clinical and/or financial opportunities using scripted questions.

  • Forward all potential clinical opportunities to a pharmacist to address. Engage members to educate them about more effective ways to manage cost and to take better advantage of their prescription benefit.

  • Handle refill requests, launch faxes, and may also leverage digital platforms (emails, texting) to communicate with patients as appropriate.

  • Using pharmacy and benefit plan knowledge, will be responsible for managing a broad spectrum of member inquiries related to plan design, order status, specific account information, and other matters in accordance with company standard operating procedures, work instructions, and other established guidelines. Enters complete and accurate records into the appropriate systems for all contacts.

  • Work collaboratively with other Clinical Programs employees to ensure that best practices are shared.

  • Participate on special projects or other duties as assigned.

MINIMUM QUALIFICATIONS TO ENTER THE JOB


  • High School diploma or equivalent

  • 2-3 years in a clinical setting, call center, or customer service required. Previous pharmacy experience preferred

  • PTCB certification preferred but not required

  • General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously

  • Good verbal and written communication skills;

  • Basic math skills;

  • Strong attention to detail;

  • Good organizational ability;

  • Ability to work in fast-paced, production environment;

  • Willingness to work a flexible schedule based on business needs;

  • Ability to learn about pharmacy-related fundamentals, including the correct pronunciation of drug names and general conditions for use;

  • Ability to engage and influence members toward developing behaviors that promote better health outcomes;

  • Demonstrate dependability, self-motivation and goal-orientation;

  • Ability to positively represent ESI's vision and values when interacting with customers and members

  • Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.





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