This position is a temporary assignment. As a contractor, you’ll be employed by Magnit, not The Cigna Group or any subsidiaries of The Cigna Group.

LOCATION AND SCHEDULE:

100% Remote; MUST be able to work the EST time zone schedule. 

Training for the first 4-6 weeks will have a schedule of EITHER - Monday - Friday, 8:30am - 5:00pm EST OR Monday - Friday, 10:00am - 6:30pm EST; 

Schedule after training will be 10:00am - 6:30pm EST. 

Candidates must have reliable high speed internet connection. 

ROLE OVERVIEW:

Operations Representative:

Delivers specific delegated technical, administrative, or operative tasks assigned by a supervisor. 

Participate in preparing and reviewing statements and document related to business operations / Finance Operations. 

Assists in the production levels and effective processing controls and related reporting in accordance with established procedures. 

Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

Administrators: responsible for contributing to day-to-day function to include but not limited to ensuring optimal client experience, communication with multiple departments, prescriber office outreach, measuring and reporting outcomes.

Key Functions:

Subject matter expert on product processes available to answer team's clarifying questions

Identifies areas of opportunity for operational efficiencies to ensure optimal team performance

Supporting departmental projects

Resolve non-routine issues escalated from junior team members

Day-to-day operational functions related to assigned product

Coordination of clinical interventions to include reviewing and sorting progress notes and clinical documents, coordinating assignment with clinical pharmacist, and audit of document formatting for accuracy before delivery to prescribers’ office

Contacts prescriber offices to gather information, coordinate delivery of intervention documentation, and schedule teleconferences between prescriber and clinical pharmacist

Responds to inquiries or requests additional information from clients, different departments, and/or others for information and assistance

Delivers straightforward administrative and/or other basic business services in Customer Service. 

Receives requests by mail, telephone, or in person regarding insurance claims/policies. 

Responds to inquiries from policy holders, providers and/or others for information and assistance. 

Performs research to respond to inquiries and interprets policy provisions to determine most effective response. 

Mails or routes claim forms and supporting documentation to various units for final processing. 

Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions. 

Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. Issues tend to be routine in nature. 

Good knowledge and understanding of Customer Service and business/operating processes and procedures. 

Works to clearly defined procedures under close supervision.

Skills

PHARMACY TECH Experience Required 

1+ years' experience in managed care, pharmacy technician or workers’ compensation claims would be advantageous

Customer service

Communication

Organization and time management

Attention to detail

MS Office Products

Data entry

Competencies

Operations Representative (Non-Senior)

Align: Plans and Aligns

Inspire: Communicates Effectively

Develop: Tech Savvy

Deliver: Action Oriented

Required Skills

PHARMACY TECH Experience Required

AUDIT

Pharmacy Technician Certification

Additional Skills

FINANCE

DOCUMENTATION

CLINICAL DOCUMENTS

SORTING

RETAIL SALES

TIME MANAGEMENT

CLAIMS

MICROSOFT OFFICE

SUBJECT MATTER EXPERT

DATA ENTRY

PHARMACY

BUSINESS OPERATIONS

MANAGED CARE

CUSTOMER SERVICE ORIENTED

OPERATIONS

EDUCATION:

High School Diploma Required

Pharmacy Technician Certification

Hourly Pay Rate Range (dependent on location, experience, expectation)  

The pay range that Magnit reasonably expects to pay for this position is: $16.00/hour-$18.00/hour  

Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)