[Hiring] Authorization Specialist II @Cigna Healthcare

Role Description

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.

Qualifications

  • 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.

Requirements

  • 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.

Benefits

  • Hourly rate of 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location.
  • Eligible to participate in an annual bonus plan.
  • Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
  • 401(k) plan.
  • Company paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year.
  • Paid holidays and leaves of absence.

Company Description

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.

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