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 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 Sr 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, analyz 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 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
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 and paid holidays. For more details on our employee benefits programs, click here.
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 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.