Authorization Specialist II - CarepathRx - Remote

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.

What you'll do to make a difference:

• 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.

What you need to be successful:

• High school diploma or GED required.

• 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.

• Experience with payer websites and authorization requirements preferred.

• Familiarity with pharmacy payer systems and workflows preferred.

• Ability to work independently with minimal supervision.

• Strong organizational, communication, and time‑management skills.

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 hourly rate of 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location.

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

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.