Note: The job is a remote job and is open to candidates in USA. The Cigna Group provides pharmacy, care, and benefit solutions through Evernorth Health Services. The Operations Senior Analyst will maintain custom client authorization portfolios, support business operations, resolve escalated issues, and identify opportunities for quality and process improvement.
Responsibilities
- Responsible for service transactions associated with business needs including but not limited to: client support, product support, quality support, and internal team support (projects/training)
- Complete day-to-day Business Operations tasks without immediate supervision
- Attend calls as a representative of the team to provide information on progress of different elements of the business
- Work on tasks with a degree of forward planning and anticipation of needs/potential issues
- Resolve non-routine issues escalated from more junior team members
- Research potential concerns to determine root cause and preventative measures
- Identify ways to streamline operational procedures between or within departments
Skills
- High School Diploma or equivalent
- 2 years experience in claim review, prior-authorization, and/or pharmacy technician duties
- Proven ability to multi-task, prioritize, and support multiple deliverables while meeting deadlines
- Proficient in Microsoft Office suite with an emphasis on Excel(to include pivot tables, v-lookup, and the ability to manipulate data)
- Exceptional communication skills, both written and oral, with internal and external business partners
- Flexible and agile, demonstrated ability to pivot based on market demands
- Independent worker with strong problem-solving skills
- Eager to learn and proactive in expanding end-to-end knowledge in the PBM space
- Schedule: 8:30AM – 5:00PM EST Monday – Friday (possible weekend coverage as needed)
- 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
- 5 years experience in healthcare industry preferred
- Background in quality and/or process improvement preferred
Benefits
- Eligible to participate in an annual bonus plan
- Medical benefits starting on day one of employment
- Vision benefits starting on day one of employment
- Dental benefits starting on day one of employment
- Well-being and behavioral health programs starting on day one of employment
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work
Company Overview