The 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 and running reports for internal and external clients upon request; provide documentation related to completion of assigned tasks and identify operational or productivity enhancements. The Operations Analyst will provide project and administrative support to the team and escalate 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.
This role is WFH which allows work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
QUALIFICATIONS
MUST BE A CURRENT CONTACTOR WITH CIGNA, EVERNORTH OR EXPRESS SCRIPTS. Evernorth is a new business within the Cigna Corporation.
Bachelor’s degree or 5 to 7 years of equivalent work experience
0 – 2 years of relevant experience. Preferred 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
Detailed oriented with strong analytical and problem solving skills
Ability to manage timelines and meeting 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
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Job ID: 46988
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