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The Cigna GroupTG

Pharmacy Operations Lead Representative - CarepathRx - US Remote

The Cigna Group is a leading global health company focused on enhancing health services through innovative solutions and partnerships.

The Cigna Group

Employee count: 5000+

Salary: 44k-64k USD

United States only

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Position Summary:

The Pharmacy Operations Lead Rep operates as a Client Support/Support Shift Lead TSS and is the first line contact for our current and future Essentials and Optimizer clients with any questions and/or issues regarding PowerGridRx (PGRX). The SSL exhibits teaching leadership and oversees continuity of care and service to our clients and staff. The SSL will also act as the first line contact for any issues regarding internal issues, such as I.T., team coverage issues, etc.

Position Description:

The Support Shift Lead (SSL) will triage client, pharmacist, and TSS connectivity or PowerGridRx problems. In addition to completing the duties outlined in the TSS job description, the SSL will be first contact for all clients, pharmacists, and/or TSS experiencing PGRX issues. The SSL will also be responsible for making day to day shift changes in assignments to optimize productivity.

Performance Objectives and Responsibilities:

  • Triaging Client PGRX questions/issues to the best of their capability
  • Creating Zendesk tickets and following through with them, when required
  • Directing the client to the correct point of contact, when required
  • Successfully provide TSS staffing services
  • Clinical Support
    • Assist with TSS training and understanding on intervention documentation.
    • Train the TSS and Pharmacist staff to understand the Intervention notes and Parked orders notes.
  • Operation Support
    • Assist with managing the PipelineRx queue by posting orders to the appropriate pharmacist on duty.
    • Monitor queues to assist pharmacists in decreasing turnaround time.
    • Optimize pharmacy workflow by contacting clients on behalf of the on-duty pharmacist to minimize time away from orders.

      Monitor and triage phone calls from high volume call clients, if needed. Assist in answering phone calls during peak hours.

    • Utilize guidelines from the Phone Tree to:

      Ensure the pharmacist on duty always has visibility to the assigned clients. Call client’s IT or PipelineRx IT for support on behalf of the pharmacist on duty for advanced technology issues to be resolved.

      Ensure all clients have pharmacist coverage during PipelineRx contractual shift hours.

      Initiate procedures to coordinate pharmacist coverage during emergencies such as: no-show, call off, sick call, power or internet outage, etc. as established by TSS Manager in conjunction with Pharmacist Supervisor.

  • Communication
    • Facilitate pharmacist communication with clients when access to the client’s system is interrupted during the Pipeline shift.
    • Maintain accurate records of interactions and issues by providing a nightly report of activities during your shift to TSS manager.
    • Establish yourself as a valuable resource to the pharmacist on duty for any issues or concerns during a shift.

Qualifications and Requirements:

  • Possession of high school diploma; bachelor’s degree, preferred,
  • Current National Certification and State license, required
  • 1+ year experience as an institutional pharmacy technician
  • Strong IT and troubleshooting experience, including using a ticketing system such as Zendesk,
  • Proficiency with office technology tools, including Microsoft Office (especially Outlook, Excel, and Word), Google Drive, internet, and email,
  • Able to work efficiently and independently,
  • Able to switch from one responsibility to another without it affecting customer service,
  • Available for emergency assistance,
  • Exceptional interpersonal and customer service skills.

Physical Demands:

∙ May sit, stand, stoop, bend, and walk intermittently during the day.
∙ Finger dexterity to operate office equipment required.
∙ May need to lift up to twenty-five (25) pounds on occasion.
∙ Specific vision abilities required by this role include close vision, color vision, and the ability to adjust focus.
∙ Visual acuity to see and read fine prints.
∙ Must be able to hear normal voice sounds.
∙ This role requires typical office-based physical activities: watching a computer monitor, use of a keyboard, occasionally repositioning light desk equipment, and speaking on a telephone for extended periods of time.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

∙ IT secure office environment that is fully compliant with HIPAA, ARRA/HITECH, Federal and State regulations.
∙ Work performed in an office setting, with occasional travel for meetings in hospitals or other office settings.

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as a comprehensive list of all responsibilities, duties, and skills required for the position.

I acknowledge that I have read the Client Support/ Support Shift Lead TSS Job Description, accept this responsibility and agree to comply with the established expectations.


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 hourly rate of 21 - 31 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, 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), 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, click here.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

About the job

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Job type

Full Time

Experience level

Salary

Salary: 44k-64k USD

Education

Bachelor degree

Experience

1 year minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About The Cigna Group

Learn more about The Cigna Group and their company culture.

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The Cigna Group is a global health company dedicated to improving the health and vitality of those we serve. With a long-standing history that spans over 200 years, we have evolved to meet the changing needs of our clients, customers, and communities. Through our two key divisions, Cigna Healthcare and Evernorth Health Services, we offer a range of innovative healthcare solutions designed to enhance individual and community health.

Our commitment to enhancing health goes beyond traditional insurance offerings. We are continuously challenging ourselves to innovate and partner in ways that foster better health outcomes. This involves not only providing health insurance plans but also engaging in partnerships that promote access to care, address social determinants of health, and leverage technology to improve health engagement and outcomes. We believe that a healthier population contributes to stronger communities, and we strive to create systems that reflect this principle.

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