Authorization Specialist II

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Oversee authorization processes, including formulary exceptions and renewal timelines, ensuring accuracy and compliance • Direct daily workflow for authorization specialists, aligning operations with patient needs and departmental priorities • Develop work schedules, lead staff meetings, and communicate updates regarding internal processes and contracts • Support recruitment, onboarding, training, and competency development to maintain a skilled team • Monitor team performance, provide feedback, and recommend corrective action when needed • Ensure productivity, regulatory compliance, and accreditation standards are consistently met • Serve as a resource for team members, helping troubleshoot authorization issues and operational challenges • Collaborate on identifying process efficiencies and presenting improvement ideas to leadership • Complete additional duties as assigned to support operational excellence

🎯 Requirements

• High school diploma or GED required • 2+ years of experience in pharmacy claims, pharmacy technician support, or related healthcare roles • Knowledge of medical terminology and coordination of benefits • Proficient computer and Microsoft Office skills • Strong customer service orientation and ability to maintain confidentiality • Experience with payer websites and authorization requirements preferred • Familiarity with pharmacy payer systems and workflows preferred • Ability to work independently with minimal supervision • Strong organizational, communication, and time‑management skills

🏖️ Benefits

• Medical, vision, and dental • 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