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Cigna Pharmacy Technician- Express Scripts in Bloomfield, Connecticut

POSITION SUMMARY

The Pharmacy Technician is primarily responsible for using analytical skills and audit tools to identify network pharmacy audit risks and develop/execute audit plans and scope of procedures determined necessary to address those risks. Under a moderate level of guidance, this position performs complex on-site network pharmacy audits in order to correct risks identified, protect client assets, and present findings to key internal and external stakeholders. This position will be assist in mentoring and developing less experienced Audit Team Members.

ESSENTIAL FUNCTIONS

Perform efficient and effective audits to produce results consistent with departmental policies and critical corporate goals while meeting or exceeding personal production goals. Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective assessment of the accuracy and legitimacy of claims audited.

Utilizing personal knowledge of medications and available tools including the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate audit techniques, to efficiently and effectively address those risks.

Develop and produce reports as required to meet needs of department management, Account Managers, pharmacies and chain audit contacts, clients and other stakeholders. Providing updates to management on current status of audits including any escalated issues.

Prepare for and participate in client communications, including conference calls and on-site meetings, to present status updates of ongoing issues, results of completed audits, etc., for assigned clients.

Perform special projects as assigned. Mentor less experienced team members to improve their understanding and skills by ensuring they are familiar with resource materials including manuals and systems. Responsible for the training of new associate auditors on departmental processes.

Assist with post audit as required by management.

QUALIFICATIONS

  • Bachelor's Degree

  • Valid driver’s license.

  • Travel up to 50%

  • 2-5 years of pharmacy technician experience in a retail, long term care, specialty, mail order or similar pharmacy setting or equivalent education or Master’s degree.

  • Certified Pharmacy Technician (CPhT).

  • Proficient in database and spreadsheet applications, ie: Microsoft Excel, Access, Word.

  • Excellent organizational, interpersonal, and communication skills.

  • Ability to work well with all levels of internal and external contacts.

  • Ability to handle sensitive or confidential information is critical.

  • Ability to work with minimum management oversight while performing on-site audits.

  • Ability to work a flexible schedule to accommodate project deadlines.

  • Willingness to travel.

ABOUT THE DEPARTMENT

The Pharmacy Operations Group is crucial to achieving our mission of helping to achieve a more sustainable health care system and better health for all. Members of this team are on the front line every day – interacting with patients, strategizing on improvements and efficiencies, and processing more than one million prescriptions that come through our world-class pharmacies and distribution facilities across the country.

ABOUT EXPRESS SCRIPTS

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 to further total health for all.

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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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