Cigna Eligibility Representative Remote Jobs (NOW HIRING)

Are you passionate about making medicine safer, more affordable, and more accessible? Take your career to the next level with Accredo Specialty Pharmacy, a division of Evernorth Health Services a part of The Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate representatives to join our team.

We're looking for Registered/Certified Pharmacy Technicians to join our Tech Triage Team. In this role, you'll serve as the first point of contact for patients, providers, pharmacies, and internal partners requiring specialty pharmacy support. You'll analyze incoming requests, determine the appropriate resolution path, and either resolve the issue, route the request to the appropriate team, or facilitate a warm transfer to a pharmacist when clinical intervention is required.

This is an ideal opportunity for technicians who enjoy problem-solving, critical thinking, and helping patients receive timely access to their medications while working in a structured Monday-Friday environment.

Shift:

Training, 8a - 4:30p EST, Mon - Fri for 6 weeks.

Post Training, 2 days per week of 10:30a - 7p EST and 3 days per week of 9a - 5:30p EST, Mon - Fri.

What you'll do:

• Answer and triage inbound calls from patients, providers, pharmacies, contact center representatives, and internal teams by verifying caller details, assessing needs, and determining the appropriate resolution, transfer, or escalation path.
• Resolve non-clinical pharmacy requests within technician scope, route General Verbal Line calls, and perform warm transfers to pharmacists for clinical consultations or medication-specific concerns.
• Document all interactions, chart notes, customer contact details, call dispositions, and outcomes accurately and timely in pharmacy systems in accordance with company and regulatory requirements.
• Verify and update prescription information, patient profiles, medication and allergy details, and other pharmacy data while maintaining accuracy in internal systems.
• Deliver a professional patient experience by using strong communication skills, following HIPAA, privacy, and quality standards, and partnering with pharmacists and operations teams to resolve issues efficiently.

Requirements:

• High School Diploma or GED.
• Active Pharmacy Technician License
• Must reside in Ohio, Florida or Indiana.
• 1+ year(s) of customer service experience, pharmacy, healthcare or call center experience.
• Demonstrated computer proficiency and data entry accuracy.
• Ability to work independently in a remote environment.

Why choose us:

• Benefits start on Day 1
• 18 days of PTO within a full calendar year
• 401(k)
• Career advancement opportunities
• Bonus eligibility through incentive plans

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 17.75 - 25 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.