Eligibility Supervisor – Accredo – Remote, MO

***Must reside in Missouri or Illinois — within a commutable distance to St. Louis Missouri

Want to Drive Growth and Improve Lives? A re you passionate about helping people? As an Eligibility Supervisor you’ll support a team of reimbursement specialists. In this exceptionally rewarding position, you’ll ensure our patients receive the highest standard of care. You’ll monitor productivity and performance, provide coaching and training, ensuring efficient, professional and helpful patient assistance with inbound and outbound calls.

How you’ll make aa difference:

• Provide department leadership including mentoring, problem solving, increasing productivity, coaching for success, and process improvement.
• Correspond with management on employee/HR issues, state of the department and any service issues involving key clients or legal issues to the company.
• Ensure the success of maintaining strong working relations with clients and prompt communication regarding concerns and problem resolution
• Analyze reporting data trends within team relative to quality to ensure efficiency and productivity requirements are maximized to benefit patients.
• Provide feedback to team related to productivity and efficiency
• Assist team members concerns and handling escalated issues relative to prior authorizations, benefits, eligibility, etc.
• External client communication
• Monitor quality and case volume through the generation of client database and Call Center reports, random call monitoring and random case file audits.
• Conduct monthly 1:1 meetings
• Coach and mentor team members
• Conduct team meetings
• Monitor Work in Progress (WIP) Daily
• Ensure key performance metrics are met for team
• Write/Revise SOPs and Job Aids as needed
• Assist in Drug Launches
• Hiring/Interviewing potential personnel

What you’ll need to be a success:

• High School Diploma or GED required
• 2 + years of Supervisory, Lead or SME Experience required
• Healthcare experience
• Specialty Pharmacy Experience preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 50,600 – 84,400 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.