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Pharmacy Technician - Medicare Stars Program - Cigna Healthcare - Remote

The Cigna Group
Nashville, TN Remote Other | Full Time
POSTED ON 11/10/2024 CLOSED ON 11/25/2024

What are the responsibilities and job description for the Pharmacy Technician - Medicare Stars Program - Cigna Healthcare - Remote position at The Cigna Group?

The job profile for this position is Pharmacy Technician Lead Representative, which is a Band 2 Professional Career Track Role.

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The Pharmacy Technician in the Stars Pharmacy Call Center will work within the Part D Medication Adherence area of the Cigna Medicare Stars department. The Star rating system was developed by the Centers for Medicare & Medicaid Services (CMS) to measure the quality of care delivered by a health plan. This call center role performs telephonic outreach to Cigna Medicare customers, pharmacies, and providers for the purpose of addressing prescription medication adherence. You will be responsible for assisting customers to obtain prescribed medications, determine barriers to medication adherence and working to overcome those barriers by working with the clinical pharmacy team, physicians, and resources within the Medicare Health Plan.

 

Primary Responsibilities include but are not limited to:

  • Telephonic outreach to members, pharmacies, and providers.
  • Will work in a call queue where productivity and quality are monitored.
  • Meet service level goals (call quality, daily/weekly call performance expectations).
  • Maintain member privacy by strictly adhering to HIPAA regulations.
  • Answer complex telephonic questions from customers while ensuring a high level of customer service and maximizing productivity with minimum downtime.
  • Handles customer correspondence, complaints, and inquiries.
  • Will keep track of issues and timelines, research and resolve complex issues, and compile required documentation for daily activities. 
  • Must maintain a professional, customer-centric demeanor at all times.

 

What’s in it for me?

  • An ability to make a positive impact in the lives of our customers.
  • Great team environment!  We have fun and get our work done too!
  • Professional and personal development opportunities.
  • A working environment that embraces diversity.

 

What do I need for this position?

  • Pharmacy Technician license, current.
  • Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA preferred.
  • Minimum of one year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required.
  • Experience in and a passion for delivering excellent customer service.
  • Strong computer skills (will be simultaneously talking on the phone, toggling between multiple open Internet windows, software programs, Word, and Excel).
  • Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills.
  • Superb active listening skills, able to work in a dynamic, fast-paced team environment.
  • Effective written and oral communication skills. 

 

What would be nice to have?

  • Experience working in a call center.
  • 2 years of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting

 

Work Schedule:

8:30am – 5:00pm CST Monday thru Friday.  No weekends, holidays.


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.

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.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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