Job Summary

At Cigna, we are committed to improving the health, well-being, and peace of mind of those we serve. As a Remote Pharmacy Customer Service Representative, you will be the first point of contact for our pharmacy customers, providing exceptional service, resolving inquiries, and ensuring a seamless pharmacy experience. In this role, you will play a critical part in helping members navigate their prescription benefits while representing Cignas values of empathy, integrity, and excellence.

Key Responsibilities

• Handle inbound and outbound calls related to pharmacy benefits, prescription orders, medication refills, and prior authorizations.
• Provide clear and accurate information regarding pharmacy policies, prescription status, and insurance coverage.
• Assist customers with order placements, prescription processing, and address any issues related to delays or billing.
• Collaborate with pharmacists, healthcare providers, and internal teams to resolve complex issues and ensure timely prescription fulfillment.
• Maintain detailed and accurate documentation of all customer interactions in accordance with compliance and quality guidelines.
• Meet or exceed performance metrics including call handling time, customer satisfaction, and resolution rates.
• Proactively identify and suggest process improvements to enhance customer experience.

Required Skills and Qualifications

• High School Diploma or equivalent required; Associates or Bachelors degree preferred.
• Strong communication skills, both verbal and written, with a focus on active listening and empathy.
• Ability to handle high-volume calls and multitask in a fast-paced environment.
• Excellent problem-solving and critical-thinking abilities.
• Proficiency in using computer systems, CRM platforms, and pharmacy management software.
• Knowledge of HIPAA regulations and ability to maintain confidentiality at all times.

Experience

• Minimum of 1-2 years of customer service experience, preferably in a healthcare or pharmacy setting.
• Prior experience working in a call center or remote customer support role is highly desirable.
• Familiarity with pharmacy benefit management (PBM) or insurance processes is a plus.

Working Hours

• Full-time, 40 hours per week.
• Flexibility to work shifts between Monday to Friday, 8 AM – 8 PM EST; occasional weekend or holiday availability may be required based on business needs.
• Remote position, allowing you to work from anywhere within the U.S.

Knowledge, Skills, and Abilities

• Deep understanding of pharmacy operations, insurance verification, and claims processing.
• Strong interpersonal and customer service skills with a patient-first attitude.
• Ability to remain calm and composed under pressure and in challenging situations.
• High attention to detail and accuracy in data entry and documentation.
• Adaptability to evolving technologies and procedures within a dynamic environment.
• Team-oriented with the ability to work independently and meet deadlines.

Benefits

• Competitive salary with performance-based incentives.
• Comprehensive health benefits package including medical, dental, and vision.
• 401(k) with company match and additional financial wellness resources.
• Generous paid time off (PTO) and paid holidays.
• Tuition reimbursement and professional development programs.
• Employee wellness programs including mental health support and fitness discounts.
• Remote work flexibility and ergonomic support for your home office setup.

Why Join Cigna?

At Cigna, we believe in creating a positive impact on peoples lives. You will join a global leader in healthcare dedicated to fostering a culture of diversity, inclusion, and continuous learning. We prioritize your professional growth, well-being, and success, providing the tools and support needed to thrive. If you are passionate about helping others and want to be part of a mission-driven organization, Cigna is the place for you.

How to Apply

Ready to make a difference? Submit your application today via the official Cigna careers page. Please include your updated resume and a brief cover letter outlining your qualifications and interest in the role.