Patient Care Coordinator, Specialty Pharmacy

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Serve as the primary coordinator for patient cases from referral through therapy completion • Complete prior authorization documentation, schedule medication deliveries, and facilitate document retrieval within required timelines • Provide customer service and empathetic support in a phone-based environment • Perform claim adjudication, prior authorizations, billing, and eligibility checks, including outbound calls • Collaborate with pharmacists, technicians, and healthcare professionals to resolve patient issues and maintain continuity of care • Conduct welcome calls and outreach for new patient onboarding • Maintain patient records through benefit verification, therapy initiation, follow-up, and case closure • Use software platforms to manage authorizations, medication profiles, and patient communication • Assist with patient questions and provide backup during high-volume periods • Identify and document case concerns, escalations, and process gaps for leadership review • Uphold patient confidentiality and follow internal policies and accreditation standards • Complete additional duties as assigned

🎯 Requirements

• High school diploma or equivalent • Registered Pharmacy Technician licensure • Minimum of 2 years of healthcare or specialty pharmacy experience • Strong computer proficiency, including Windows, Excel, and Word • Comfort working in a phone-based environment • Strong verbal and written communication skills • Ability to work independently and collaboratively in a fast-paced environment • Strong organizational skills • Pacific Standard Time hours • Reliable cable broadband or fiber optic internet connection if working from home, with at least 10 Mbps download and 5 Mbps upload • Preferred qualifications include National Certified Pharmacy Technician (PTCB), but this is not required • Preferred licensure in Alabama, Florida, Tennessee, Montana, Ohio, Texas, or New York, but this is not required • Willingness to obtain registration in additional states • Knowledge of pharmacy terminology, insurance processes, medical terminology, and basic pharmaceutical law is preferred

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Tobacco-free policy • Reasonable accommodation support