Remote Pharmacy Prior Authorization Senior Specialist

Living Well Health Center; Boston (MA); Ibrido; USD 26.000 - 40.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health benefits

401(k) plan

Paid time off

Paid holidays

Descrizione del lavoro

The Cigna Group, including Evernorth Health Services, seeks a Pharmacy Prior Authorization Senior Representative to support high-touch patient programs. You will research benefits, obtain prior authorizations, process orders, and collaborate with internal teams, patients, and providers.

Ideal candidates bring 2+ years of pharmacy tech experience, current national certification, and licenses in AZ/MA/IL. The role offers a competitive hourly rate and bonus eligibility.

Competenze

• Pharmacy technician experience with prescription processing and claims adjudication.
• Strong math skills for accurate prescription calculations.

Mansioni

• Enter prescriptions accurately and adjudicate claims.
• Submit prior authorizations and follow up as needed.
• Communicate benefits and answers to internal/external inquiries.
• Participate in program trainings and meetings.

Conoscenze

Pharmacy tech experience

Math skills

Communication skills

Multitasking

Prior authorization experience

Prior authorization appeals

EMR systems

Data entry

Formazione

National Pharmacy Technician Certification

AZ Pharmacy Technician License

MA Pharmacy Technician License

IL Pharmacy Technician License

Strumenti

CoverMyMeds

EMR software

Descrizione del lavoro

The Cigna Group, including Evernorth Health Services, seeks a Pharmacy Prior Authorization Senior Representative to support high-touch patient programs. You will research benefits, obtain prior authorizations, process orders, and collaborate with internal teams, patients, and providers.

Ideal candidates bring 2+ years of pharmacy tech experience, current national certification, and licenses in AZ/MA/IL. The role offers a competitive hourly rate and bonus eligibility.