About The Position

Village Fertility Pharmacy Group (VFP)—part of Freedom Fertility Pharmacy and the Evernorth Health Services division of The Cigna Group—supports patients on their journey to parenthood through compassionate service and expert clinical support. As a Pharmacy Senior Technician Representative, you will work within our Operations (OPS) Insurance team, supporting insurance claims, prior authorizations, and related workflows. In this senior role, you will lead by example, serve as a subject matter resource, and help ensure high-quality, compliant insurance processing for our patients and clinic partners.

Requirements

  • Will be required to obtain an active Massachusetts Pharmacy Technician License or MA Pharmacy Technician Trainee License (with ability to obtain full licensure).
  • CPhT certification required and a valid Pharmacy Technician license required within the state the applicant resides( AZ, MA or IL).
  • Minimum 1 year of Operations experience or equivalent.
  • Minimum 2 years of pharmacy or healthcare experience.
  • Strong knowledge of insurance workflows, including claims submission and prior authorizations.
  • Comfortable communicating with patients, insurance companies, and clinics regarding insurance-related matters.
  • Excellent data entry skills with strong attention to detail and accuracy.
  • Ability to work independently, meet deadlines, and adapt in a fast-paced, insurance-driven environment.
  • Strong organizational, problem-solving, and computer skills.

Nice To Haves

  • Insurance processing, claims, or prior authorization experience preferred.

Responsibilities

  • Lead the Ops team by example in handling insurance-related tasks, including claims processing, prior authorizations, and issue resolution, while maintaining expected volume and quality.
  • Serve as a subject matter expert for insurance workflows and best practices.
  • Mentor and support new team members, with a focus on insurance procedures.
  • Assist with patient and clinic escalations related to insurance issues.
  • Participate in special projects and process improvement initiatives within insurance operations.
  • Support adherence to Quality Assurance standards, emphasizing insurance accuracy and compliance.
  • Provide coaching or performance feedback to new hires related to insurance responsibilities, as needed.

Benefits

  • Day 1 medical coverage
  • 401(k) with employer match
  • Paid Time Off
  • Competitive, comprehensive benefits package
  • Growth and advancement opportunities within Evernorth / The Cigna Group
  • Medical benefits
  • Vision benefits
  • Dental benefits
  • Well-being and behavioral health programs
  • Company paid life insurance
  • Tuition reimbursement
  • A minimum of 18 days of paid time off per year
  • Paid holidays
  • Annual bonus plan
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service