Authorization Specialist II- Evernorth

Cigna

2d • $19 - $29 • Remote

About The Position

As an Authorization Specialist II, you will help ensure patients receive timely access to therapy by overseeing prior authorization workflows, supporting clinical partners, and guiding team members through consistent, high‑quality processes. You will play a key role in improving efficiency, enhancing service delivery, and supporting a compassionate, patient‑focused care experience.

Requirements

• High school diploma or GED.
• Minimum 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.

Nice To Haves

• Experience with payer websites and authorization requirements.
• Familiarity with pharmacy payer systems and workflows.
• Ability to work independently with minimal supervision.
• Strong organizational, communication, and time‑management skills.

Responsibilities

• 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.
• Perform responsibilities according to organizational competencies and behaviors.
• Complete additional duties as assigned to support operational excellence.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees