myMatrixx is currently seeking an Operations Senior Representative. The Operations Senior Representative delivers specific delegated technical, administrative, or operative tasks assigned by a supervisor. Participate in preparing and reviewing statements and document related to business operations / Finance Operations. Assists in the production levels and effective processing controls and related reporting in accordance with established procedures. Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

SHIFT: Monday - Friday 8:30a - 5p EST

RESPONSIBILITIES:

• Day-to-day operational functions related to assigned product.

• Coordinate clinical interventions to include reviewing and sorting progress notes and clinical documents, coordinating assignment with clinical pharmacist, and audit of document formatting for accuracy before delivery to prescribers’ office.

• Contact prescriber offices to gather information, coordinate delivery of intervention documentation, and schedule teleconferences between prescriber and clinical pharmacist.

• Respond to inquiries or requests additional information from clients, different departments, and/or others for information and assistance.

• Resolve non-routine issues escalated from junior team members

• Supporting departmental projects.

• Identify areas of opportunity for operational efficiencies to ensure optimal team performance.

• Subject matter expert on product processes available to answer team's clarifying questions.
   

QUALIFICATIONS:

• High School Diploma or GED required.

• 2+ years of experience in managed care, pharmacy technician, or workers’ compensation claims required.

• 2+ years of customer service experience.

• MS Excel proficiency required.

• Organization and time management

• Attention to detail

• Data entry

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.

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: 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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.