Cigna Prior Authorization Jobs (NOW HIRING)

Account Management (Non-IC) Lead Associate

The Account Manager is responsible for ensuring Accredo's customers, inclusive of payers, prescribers and patients, receive superior service. Responsible for the overall satisfaction and retention of assigned book of businesses. Manages the day-to-day customer relationships and resolves customer complaints by investigating problems, developing solutions, preparing reports and making recommendations to management. Accountable for core service delivery for customers working cross-functionally with all operational teams. The Account Manager proactively reviews performance metrics to promote client satisfaction, manage contractual requirements, profitability, accounts receivables and retention. Utilizes technology, tools, processes and resources to anticipate and exceed client's needs and expectations. Collaborates with other team members on customers' activity, expectations, and service needs. Responsible for increasing the visibility and awareness of our organization's service offerings and maximize sales growth.

ESSENTIAL FUNCTIONS and Expectations

• Align with Corporate values and create and maintain an environment based on such values

• Manages day to day customer relationships through comprehensive knowledge of customer's benefit plan and Accredo's product offerings.
• Daily interaction with customers, providing preventative consultation, analysis and issue resolution associated with Accredo's core services.
• Responsible for timely and accurate management and execution of all client benefit requests, contract requirements, including benefit changes, product upsells, new groups, terminations and escalated issues.
• Accountable for new group and specific product implementations; including establishing and leading internal meetings to ensure collaboration and attention to detail throughout the process in order to meet expected timelines and quality standards.
• Manage and lead customer centric team meetings to review Accredo's operational performance against client's expectations and needs.
• Presentation of Accredo's services and operational performance metrics to customers on a monthly and/or quarterly basis to show specific performance measures in comparison with Accredo's book of business to promote client satisfaction, client retention and upsell opportunities.
• Serve as a single point of contact for customers and referral sources and respond to general inquiries, urgent requests and escalated issues in a timely fashion.
• Provide collaborative prior authorization assistance.
• Align and work with manager on the management and strategic direction of sales and account management
• Build positive trust relationships with new and existing customers and referral sources to influence targeted group(s) in the decision making process
• Liaise with and persuade targeted doctors to prescribe our products utilizing effective selling skills to meet sales goals. Keep accurate records and documentation for reporting and feedback
• Align and work with manager and various team members and participate in strategic sales and marketing initiatives
• Other duties as assigned

QUALIFICATIONS

• Bachelor's degree in related field or 3 to 5 years of experience.
• Excellent communication, negotiation and sales skills
• Excellent PC skills including Microsoft Office and Internet experience.
• Excellent verbal and written communication and presentation skills.
• Strong analytical and problem solving skills.
• Strong focus on book of business client satisfaction and client retention results.
• Demonstrated ability managing projects, utilizing proven project management processes.
• Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
• Ability to travel overnight up to 20%

• * Must be a current resident of the island of Oahu. *

This is a hybrid role and requires the ability to work in person.

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 75,200 - 125,300 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.

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 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.