Operations Associate Analyst - HIH - Evernorth

Evernorth Health Services; Hyderabad; On-site; INR 600,000 - 900,000; Full time

Job summary

Evernorth Health Services India, established in Hyderabad in 2024, seeks an Eligibility Senior Analyst to support the Client Service Team and Account Management Operations. The role focuses on daily issue resolution, data analysis, and administrative tasks to ensure high client satisfaction.

You will collaborate with cross-functional teams, monitor metrics, and contribute to process improvements while maintaining timelines and quality in a fast-paced environment.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical and problem-solving skills.
• Excellent communication (oral and written) and presentation skills.
• Demonstrated ability to adapt in a dynamic work environment and make decisions with minimal supervision.
• Ability to manage timelines and deadlines.
• Detail oriented, ability to multitask in a fast-paced environment.
• Ability to work collaboratively with other departments to resolve issues with innovative solutions.

Responsibilities

• Provide business support to clients and account management to ensure satisfaction with issue resolution.
• Consults with Account Management, leadership, and other areas to provide analysis and direction on prioritizing and resolving client issues.
• Responsible for handling daily routine issue analysis, work assignments, and other administrative support.
• May facilitate activities with other areas to oversee delivery of client’s needs.
• Participate in process improvement activities and share ideas for enhancing processes.
• Maintain ownership for assigned work queue with a focus on quality and timeliness.
• Meet all service standards to ensure client satisfaction.
• Handle routine work stream assignments including member and file research, assisting with file processing, advisory role to account mgmt.
• Resolve issues and provide escalation as needed.
• Participate in process improvement conversations and implementation.
• Provide support for year end and 1/1 readiness activities outside of normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Skills

Analytical skills

Problem solving

Communication skills

Adaptability

Time management

Detail oriented

Team collaboration

MS Office

Education

High School Diploma

Tools

MS Office

Job description

INTRODUCTION TO EVERNORTH:

Evernorth Health Services India, established in Hyderabad in 2024, is an innovation hub for Evernorth Health Services, the pharmacy, care and benefits division of The Cigna Group. The innovation hub will support innovation-focused areas, such as generative AI, product development, process improvement, analytics, and software engineering across The Cigna Group and its businesses. Evernorth Health Services India builds on The Cigna Group’s existing presence in India.

About Evernorth Health Services:

Evernorth Health Services (Evernorth) is the pharmacy, care and benefits solution division of The Cigna Group - a Fortune 16 global health company with 75,000 employees, 186 million customers in more than 30 countries and jurisdictions around the world. Evernorth exists to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people. We do this by creating and connecting premier health services offerings, such as benefits management, pharmacy, care solutions, insights and intelligence.

About Cigna:

The Cigna Group is a global health company committed to improving the health and vitality of individuals and communities around the world and includes products and services marketed under its Cigna Healthcare and Evernorth Health Services subsidiaries. Cigna Healthcare is the health benefits provider of The Cigna Group, serving customers and clients through its U.S. Employer, U.S. Government, and International Health business. Evernorth Health Services is the pharmacy, care and benefits solution division of The Cigna Group.

Position Overview

The Eligibility Senior Analyst is responsible for handling daily operational issue resolution, special projects and administrative operational support for the Client Service Team and Account Management Operations. Position requires account and operational knowledge in order to identify route cause, resolve issues, identify trends, and ensure client satisfaction.

Essential Functions

• Provide business support to clients and account management to ensure satisfaction with issue resolution.
• Consults with Account Management, leadership, and other ESI areas to provide analysis and direction on prioritizing and resolving client issues, with minimal client interaction.
• Responsible for handling daily routine issue analysis, work assignments, and other administrative support.
• May facilitate activities with other areas to oversee delivery of client’s needs.
• Participate in process improvement activates and share ideas for enhancing processes.
• With a focus on quality and timeliness, maintain ownership for assigned work queue.
• Meet all service standards to ensure client satisfaction.
• Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account mgmt.
• Resolve issues and provide escalation as needed.
• Participate in process improvement conversations and implementation.
• Provide support for year end and 1/1 readiness activities outside of normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Qualifications

• High School Diploma or equivalent required
• Strong analytical and problem-solving skills
• Excellent communication (oral and written) and presentation skills
• Demonstrated ability to adapt in a dynamic work environment and make decisions with minimal supervision
• Ability to manage timelines and deadlines
• Detail oriented, ability to multitask in a fast-paced environment
• Ability to work collaboratively with other departments to resolve issues with innovative solutions
• Proficiency using MS Office software

Evernorth is an Equal Opportunity Employer actively encouraging and supporting organization-wide involvement of staff in diversity, equity, and inclusion efforts to educate, inform and advance both internal practices and external work with diverse client populations

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.