[Hiring] Operations Sr. Analyst @Cigna Healthcare

Role Description

The Operations Sr Analyst completes assigned operational tasks using standard appropriate tools and provides support to client requests under the direction of the Client Benefit Managers and other team members. Responsibilities include:

• Handling daily request tracking
• Researching operational issues
• Running reports for internal and external clients upon request
• Providing documentation related to completion of assigned tasks
• Identifying operational or productivity enhancements
• Providing project and administrative support to the team
• Escalating issues, risks, concerns as needed

Essential Functions:

• Provide operational support for assigned ESI Markets (Commercial, Medicare, Health Plan, etc.) for going plan changes, new implementations, and renewal activity.
• Review, analyze and verify intent of assigned benefit set-ups as they relate to products and programs.
• Identify and communicate need for customization to support client benefit requirements.
• Attend client calls/meetings as needed.
• Attend internal validation meetings.
• Run customized and scheduled reports.
• Manage performance guarantee tracking and report distribution for internal/external clients as requested.
• Adhere to all organizational SOPs and Compliance standards.
• Provide subject matter input as it relates to checklists and SOPs.
• Assist with operation input related to new product development.
• Identification, research and resolution of operational issues.
• Provide training and mentoring for new team members, off-shore and contingent employee resources.
• Comply with ESI document and retention requirements.
• Independently develop standardized new group benefit design requests in the ESI system.
• Assist with more complex setups or projects as needed.
• Track and report progress to team to ensure deadlines are met.
• Perform verification/QA and system testing before implementation and within contractual timeframe agreements.
• Provide consultative support to internal & external clients by researching & assisting with resolution of benefit design and claims issues.

Qualifications

• 3+ years of equivalent work experience
• 1+ years of relevant experience in PBM and benefit set-up knowledge
• Strong PC skills and knowledge of Microsoft Office Suite and SharePoint, email and Internet
• Excellent verbal and written communication and presentation skills highly desirable
• Strong analytical problem-solving skills
• Knowledge of the health care and PBM industry and its products and services
• Detail-oriented with strong analytical and problem-solving skills
• Ability to manage timelines and meet tight deadlines
• Ability to adapt in a dynamic work environment and make independent decisions
• Good organizational, prioritizing skills and ability to multi-task
• Strong customer service focus
• Demonstrated ability to work with other departments/teams to resolve issues
• PC Skills including Microsoft Office and SharePoint

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

• Annual salary of 54,100 - 90,100 USD / yearly, depending on relevant factors, including experience and geographic location.
• Eligible to participate in an annual bonus plan.
• Comprehensive range of benefits, with a focus on supporting your whole health.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) plan.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.

Company Description

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.