Cigna Careers – Clinical Programs Patient Advisor

Job Description:

As a Customer Service Advocate, you’ll help our 95+ million members make the most of our benefit offerings. In this role, you’ll set our customers at ease by helping answer their questions and providing solutions to their problems. Above all, you’ll make a real impact on the lives of others, day in and day out.

Job Responsibilities:

• Enters complete and accurate records into the appropriate systems for all contacts.
• Responsible for validating potential clinical and/or financial opportunities using scripted questions. Forward all potential clinical opportunities to a pharmacist to address.
• Engage members to educate them about more effective ways to manage cost and to take better advantage of their prescription benefit.
• Handle refill requests, launch faxes, and may also leverage digital platforms (emails, texting) to communicate with patients as appropriate.
• Using pharmacy and benefit plan knowledge, will be responsible for managing a broad spectrum of member inquiries related to plan design, order status, specific account information, and other matters in accordance with company standard operating procedures, work instructions, and other established guidelines.
• Work collaboratively with other Clinical Programs employees to ensure that best practices are shared.
• Participate on special projects or other duties as assigned.

Job Requirements:

• Ability to learn about pharmacy-related fundamentals, including the correct pronunciation of drug names and general conditions for use;
• Strong attention to detail; Good organizational ability;
• Ability to engage and influence members toward developing behaviors that promote better health outcomes; Demonstrate dependability, self-motivation and goal-orientation;
• Ability to work in fast-paced, production environment;
• Good verbal and written communication skills; Basic math skills;
• Willingness to work a flexible schedule based on business needs;
• PTCB certification preferred but not required
• 2-3 years in a clinical setting, call center, or customer service required. Previous pharmacy experience preferred
• General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously
• High School diploma or equivalent
• Ability to positively represent ESI’s vision and values when interacting with customers and members

Job Details:

Company: Cigna

Vacancy Type:  Full Time

Job Location: Scranton, PA, US

Application Deadline: N/A

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