Full Details of Job Post

POSITION SUMMARY

The Clinical Administrator is responsible for managing the day-to-day functioning of the myMatrixx clinical department.  Work closely with pharmacist staff to coordinate clinical interventions.  Duties include ensuring optimal client services, communicating with different departments, outreaching to prescribers offices, participating in periodic meetings, helping with assignment of interventions, measuring and reporting outcomes.

Primary Functions

• Delivers specific delegated clinical tasks assigned by a supervisor
• Receives requests by email, telephone, fax regarding clinical interventions
• Responds to inquiries from adjusters, different departments and/or others for information and assistance
• Sorts progress notes and clinical documents to initiate interventions for pharmacy reviews
• Manages interventions utilizing MS software, myMatrixx portals and systems
• Completes day-to-day tasks under minimal supervision, but ready access to advice from more experienced team members
• Tasks involve a degree of forward planning and anticipation of needs to resolve issues

Key Qualifications

• High school diploma or GED
• At least 1 year of workers comp claims experience
• Proficient data entry skills
• Clinical administrative / medical office experience preferred
• Experience in managed care or pharmacy technician helpful
• Knowledge of myMatrixx systems 
• Excellent communication (oral and written) and interpersonal skills
• Ability to understand and interpret client requests to independently respond to inquiries, grievances or complaints of moderate to substantial complexity.
• Proficient using Excel, Word, Outlook, Fax,
• Ability to quickly learn new portals and systems, navigate the Internet

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: [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.

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

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.