United States only** External applicants must have prior Cigna/ESI Pharmacy experience and meet the qualifications of the role **
Role Summary:
The Pharmacy Implementation Coordinator is part of a team responsible for installing and maintaining the plan information that is used and accessed both internally within the Cigna organization and externally by clients, customers and appropriate parties.
The Pharmacy Implementation Coordinator will manage, review and provide oversight of account installation for Pharmacy new business and account renewals. The Implementation Coordinator will work with assigned resources to configure benefits for loading in the Pharmacy vendor system and review setup for the portfolio of assigned accounts. This role also includes issue resolution for the implementation and service of accounts for the National, Regional, and small account business segments. The Implementation Coordinator provides complete, accurate and timely responses to Pharmacy Implementation Managers and builds collaborative relationships with the aforementioned as well as various matrix partners.
Responsibilities:
Administers and manages the installation of assigned accounts
Reviews and completes the configuration, loading and updates of plans
Analyzes benefit requests and secures necessary data to ensure appropriate implementation and alignment with the pharmacy claim adjudication system
Identifies improvement opportunities and mitigates risk to ensure accurate account set up
Researches service issues and provides quick resolution to minimize customer impact
Responsible for requesting, analyzing and reporting pharmacy data
Ensures policies and procedures are documented appropriately
Mentors Implementation Set-up Representatives
Qualifications:
High School Diploma or GED required. Bachelor’s degree preferred
3+ Pharmacy experience required
3+ years PBM and Healthcare implementation experience highly preferred
Demonstrated success and proficiency in organizational skills, written and verbal communication skills, inter-company project management, communication with senior management, and presentation skills required
Established organizational skills to analyze, recommend and improve workflows required
Knowledge of Healthcare plans and benefit structures required
Proficient understanding of Healthcare insurance rules and regulation (HIPAA, Healthcare Reform, etc.) required
Demonstrated ability to develop, document and maintain operational policies and procedures required
Demonstrated ability to work in a highly complex and matrix environment required
Technical Skills:
Knowledge of Pharmacy systems and source documents inclusive but not limited to PCIT, and applicable ESI platform highly desired
Proficient knowledge of SharePoint, Microsoft Office, Project Management software and various software platforms
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.For this position, we anticipate offering an annual salary of 61,400 - 102,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
