Clinical Programs Patient Advisor

Job Description

Have you heard? Express Scripts is now part of Cigna. Together, we’ve got big plans. How big, you ask? Well, we want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. And that’s only the beginning.

Does your dream job involve a healthy mix of helping others, problem solving, and working in a supportive, team environment? What about a starting pay of $16 - 18 an hour, medical benefits that start on day one, and 18 days of paid time off per year? Yeah, we thought so. We’re pretty sure you’ll love this position.

As a Customer Service Advocate, you’ll help our 95+ million members make the most of our benefit offerings. In this role, you’ll set our customers at ease by helping answer their questions and providing solutions to their problems. Above all, you’ll make a real impact on the lives of others, day in and day out.

Provide operational support for multiple programs within the Express Scripts clinical product portfolio, including but not limited to ScreenRx, Advanced Opioid Management, and several other programs that engage patients, providers, caregivers and clients to promote better health outcomes.  In doing so, the Patient Advisor will need to be fluent about the intricacies of each program and be able to document activity in company databases. 

ESSENTIAL FUNCTIONS:

• Responsible for validating potential clinical and/or financial opportunities using scripted questions.  Forward all potential clinical opportunities to a pharmacist to address.
• Engage members to educate them about more effective ways to manage cost and to take better advantage of their prescription benefit.
• Handle refill requests, launch faxes, and may also leverage digital platforms (emails, texting) to communicate with patients as appropriate.
• Using pharmacy and benefit plan knowledge, will be responsible for managing a broad spectrum of member inquiries related to plan design, order status, specific account information, and other matters in accordance with company standard operating procedures, work instructions, and other established guidelines.
• Enters complete and accurate records into the appropriate systems for all contacts.
• Work collaboratively with other Clinical Programs employees to ensure that best practices are shared.
• Participate on special projects or other duties as assigned.

QUALIFICATIONS:

• High School diploma or equivalent
• 2-3 years in a clinical setting, call center, or customer service required.  Previous pharmacy experience preferred
• PTCB certification preferred but not required
• General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously
• Good verbal and written communication skills; Basic math skills;
• Strong attention to detail; Good organizational ability;
• Ability to work in fast-paced, production environment;
• Willingness to work a flexible schedule based on business needs;
• Ability to learn about pharmacy-related fundamentals, including the correct pronunciation of drug names and general conditions for use;
• Ability to engage and influence members toward developing behaviors that promote better health outcomes; Demonstrate dependability, self-motivation and goal-orientation;
• Ability to positively represent ESI’s vision and values when interacting with customers and members

At Express Scripts, we dare to imagine a better health care system, and we’re driven to make it happen. Where some see obstacles, we see possibilities. We’re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.

We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes – like no one else can. We believe health care can do more. We are Champions For BetterSM.

Express Scripts, part of Cigna Corporation, unlocks new value in pharmacy, medical and beyond

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.