Supervisor, Cigna Benefit Investigation & Prior Authorization Team - Freedom Fertility - Newburyport, MA or Arizona

Must reside in Newburyport, MA or Arizona

We value our talented employees and, whenever possible, strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

As the Supervisor of the Cigna Benefit Investigation & Prior Authorization Team for Freedom Fertility, you will lead a high-performing team responsible for supporting patients, providers, and internal stakeholders through comprehensive pharmacy benefit investigations and prior authorization services. This role combines operational leadership, employee development, quality oversight, workflow management, and continuous improvement to ensure exceptional service, compliance, and business results.

You will oversee a team that facilitates access to medications by verifying pharmacy benefits, researching coverage requirements, obtaining prior authorization approvals, and resolving insurance-related barriers to therapy. The Supervisor serves as a key liaison between frontline staff and leadership, helping drive operational excellence while delivering a best-in-class patient and provider experience.

• →Provide daily leadership, coaching, and support to a team of Benefit Investigation and Prior Authorization Representatives.
• →Monitor team productivity, quality, service levels, and turnaround times to ensure operational goals are achieved.
• →Conduct regular one-on-one meetings, performance evaluations, and career development discussions.
• →Manage staffing, scheduling, workload distribution, and workflow prioritization.
• →Oversee pharmacy benefit investigations, coverage reviews, and prior authorization activities to ensure accuracy and timeliness.
• →Partner with providers, health plans, pharmacies, and internal business partners to resolve complex insurance and authorization issues.
• →Ensure accurate documentation and compliance with payer requirements, HIPAA regulations, and company policies.
• →Identify process improvement opportunities and implement solutions that increase efficiency, quality, and customer satisfaction.
• →Analyze operational metrics and prepare performance reports for leadership review.
• →Support onboarding, training, cross-training, and ongoing development initiatives.
• →Lead team meetings, huddles, and communication initiatives to drive engagement and accountability.
• →Serve as a subject matter expert and escalation point for complex benefit investigation and prior authorization cases.
• →Collaborate with leadership to support departmental goals, strategic initiatives, and business priorities.
• →Promote a culture of accountability, collaboration, quality, and continuous improvement.

• High School Diploma or GED required; Associate's or Bachelor's degree preferred.
• 3+ years of healthcare, pharmacy operations, insurance verification, benefit investigation, prior authorization, or related experience.
• Previous leadership, supervisory, or team lead experience preferred.
• Strong understanding of pharmacy benefits, prior authorization processes, formulary management, and payer requirements.
• Knowledge of specialty pharmacy, patient access, and reimbursement processes preferred.
• Experience analyzing performance metrics and driving operational improvement.
• Strong working knowledge of HIPAA and healthcare compliance requirements.
• Proficiency in Microsoft Office applications, including Excel, Outlook, and Teams.
• Excellent verbal and written communication skills.
• Strong organizational, problem-solving, and decision-making skills.
• Ability to effectively manage multiple priorities in a fast-paced environment.
• Demonstrated ability to coach, motivate, and develop employees.
• MA or AZ state Pharmacy Technician license, certification, and/or registration as required by applicable state laws.

• 9:00 AM - 5:30 PM (4 days per week)
• 12:30 PM - 9:00 PM (1 day per week)

• Weekend shift approximately every 12 weeks, based on business needs.
• Weekend schedules will be communicated in advance and may vary to support operational requirements.

This position requires flexibility to support business operations, employee development, and customer service needs while maintaining a strong focus on quality, compliance, and patient satisfaction.

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.

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.