Operations Senior Analyst - Express Scripts - Remote

Cigna Health and Life Insurance Company; Kentucky; Hybrid; USD 54,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Well-being programs

401(k)

Company paid life insurance

Tuition reimbursement

Paid time off

Paid holidays

Leaves of absence

Job summary

Cigna Health and Life Insurance Company is seeking an Operations Senior Analyst to maintain client authorization portfolios and drive quality improvements within the PBM space.

You will work with analysts and pharmacists to ensure exceptional service to clients, while handling multiple deliverables and collaborating across teams.

Qualifications

• High School Diploma or equivalent.
• 5+ years experience in healthcare industry preferred.
• 2+ years experience in claim review, prior-authorization, and/or pharmacy technician duties.
• Exceptional communication skills, both written and oral, with internal and external business partners.
• Independent worker with strong problem-solving skills.
• Background in quality and/or process improvement preferred.

Responsibilities

• Maintain client authorization portfolios with focus on quality and process improvement.
• Complete day-to-day Business Operations tasks without immediate supervision.
• Attend calls as a team representative to provide status updates.
• Work on tasks with forward planning and anticipation of needs/issues.
• Resolve non-routine issues escalated by junior team members.
• Research potential concerns to determine root cause and preventative measures.
• Identify ways to streamline procedures between or within departments.

Skills

Communication skills

Problem-solving

Independent worker

Multi-tasking

Adaptability

Education

High School Diploma or equivalent

Tools

Microsoft Excel

Job description

Operations Senior Analyst – Express Scripts

Position Summary: As an Operations Sr Analyst, you will be maintaining custom client authorization portfolios with a strong emphasis on quality and process improvement. While the position does require working independently, the position also requires working with others, both within our area and other areas, when necessary. You will always be backed by a phenomenal team of analysts and pharmacists who are focused on providing exceptional service to our clients to ensure your success with our team.

Here's how you'll make an impact:

• 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

Requirements:

• High School Diploma or equivalent
• 5+ years experience in healthcare industry preferred
• 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
• Background in quality and/or process improvement preferred
• 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.

Salary and Bonus:

For this position, we anticipate offering an annual salary of 54,100 - 90,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.

Benefits:

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays
• leaves of absence

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.

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.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.