Cigna Healthcare is looking for a dedicated Remote Pharmacy Support Specialist to join our team and help provide exceptional support to our members, all from the comfort of your home. In this role, you will assist members with medication-related inquiries, manage pharmacy benefits, and ensure a seamless pharmacy experience. As a key part of Cigna pharmacy services team, you will help improve access to medications and enhance overall member satisfaction.

If you are a detail-oriented professional with a passion for healthcare and a strong background in pharmacy support, this fully remote opportunity could be the perfect fit for you.

Key Responsibilities:

• Pharmacy Benefits Support: Assist members with inquiries about their pharmacy benefits, including coverage options, formularies, co-pays, and medication availability.
• Prescription Assistance: Support members by answering questions about their prescriptions, including processing refills, ensuring timely medication delivery, and resolving issues with prescriptions or medications.
• Pharmacy Systems Navigation: Use pharmacy management systems to look up medication information, process claims, and assist members with coverage verification or medication alternatives.
• Coordination of Care: Work with healthcare providers, pharmacists, and other healthcare team members to coordinate the timely filling of prescriptions and resolve medication-related concerns.
• Medication Education: Provide members with information regarding their medications, including proper use, potential side effects, and adherence strategies to ensure optimal health outcomes.
• Claims Resolution: Investigate and resolve pharmacy claims issues, including rejected claims or billing discrepancies, by working directly with insurance carriers and pharmacies.
• Customer Service Excellence: Offer empathetic, professional support to members, ensuring a positive experience and addressing concerns or inquiries in a timely and efficient manner.
• Record Maintenance: Maintain accurate records of member interactions, prescription issues, and resolution outcomes, ensuring that all data is securely documented and compliant with relevant regulations.

Required Qualifications:

• High school diploma or equivalent; Associate degree or certification in pharmacy support is preferred.
• 1+ years of experience in a pharmacy support role or customer service position, preferably in healthcare or insurance.
• Basic knowledge of pharmacy operations, prescription medications, and insurance benefits.
• Strong communication skills, with the ability to explain pharmacy benefits, medication-related information, and insurance policies clearly to members.
• Familiarity with pharmacy management systems, claims processing, and pharmacy benefit manager (PBM) tools.
• Strong problem-solving abilities, with a focus on providing solutions to member  pharmacy-related issues.
• Ability to work independently in a remote setting and manage multiple tasks effectively.
• High attention to detail and commitment to accuracy in all aspects of pharmacy support.

Preferred Qualifications:

• Experience working with Cigna or a similar health insurance provider.
• Pharmacy technician certification (CPhT) is a plus.
• Familiarity with Medicare/Medicaid prescription benefits and regulations.
• Bilingual skills (Spanish, Mandarin, etc.) are a plus.

Why Cigna?

• Work from Home Flexibility: Enjoy the flexibility of working remotely while making a meaningful difference in the lives of Cigna members.
• Career Growth: Cigna offers a range of opportunities for career development and professional growth, including training programs and advancement opportunities.
• Comprehensive Benefits: Cigna provides a competitive benefits package, including healthcare, dental, vision, retirement plans, wellness programs, and more to support your overall well-being.
• Inclusive Culture: At Cigna, we value diversity and foster an inclusive work environment where all employees feel respected and empowered to thrive.

How to Apply:If you are passionate about pharmacy services and customer care, and you are ready to make a positive impact from the comfort of your home, apply now to join Cigna as a Remote Pharmacy Support Specialist!