Pharmacy Prior Authorization Analyst - Express Scripts - St. Louis, MO at Cigna

Posted in General Business about 2 hours ago.

Type: Full-Time
Location: St. Louis, Missouri





Job Description:

***MUST RESIDE IN MO/IL METRO AREA***

As a Pharmacy Prior Authorization Analyst on the Good Faith team, you will monitor internal systems for timely mailed member communication to ensure notifications are within compliance guidance.

RESPONSIBILITIES:


  • Work from case management system and email reports, attach letters to completed cases in case management system and print letters as needed, stuff envelopes, and postage for letters to be mailed

  • Monitor team's dashboard to ensure all jobs are completed and mailed from vendor

  • Handle return mail and create spreadsheet to update new address for members and re-mails after it is updated

  • Handle reporting for multiple departments manual letters

  • Print and mail Eligibility of Benefit request for multiple teams

  • Work on other projects as necessary

QUALIFICATIONS:


  • High School Diploma or GED required

  • 2+ years of Microsoft Office skills required

  • Excellent communication, interpersonal and negotiation skills required

  • Strong analytical skills and detail oriented

  • Ability to solve complex problems and work independently with minimal supervision

  • Ability to diagnose a situation and make recommendations on how to correct

  • Ability to work a flexible schedule

  • Ability to operate printer and postage meter

*****Work Shifts are between the operating hours of 6AM - 8PM Monday - Friday, 8AM - 4:30PM on Saturday; Schedule may include some weekends and holidays for this position***

This role is located onsite which expects most work to be performed at a Cigna office location, but may allow for some work to be performed at home.

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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.

Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.

The Cigna Group 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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