Job description

T he Operations Lead Analyst i s r e s po n si b le f or han d l i n g a multitude of requests for their appointed workstream including issue analysis, problem solving and other tasks to ensure satisfactory results f or cross functional partners and our clients. Po si t i on re q u i r e s intermediate a c c o u n t service and opera t i onal kn owl e d g e in order to successfully complete assigned work. Position requires frequent and detailed communication with internal cross-functional partners. Position requires proactive approach to identify opportunities for improvement and projects, ensuring workload remains at full capacity based on accomplished cross-training. Position will actively participate and/or lead process improvement activities and other projects as assigned by leadership.
Position is a cc o un ta b le f or assigned work with a focus on client satisfaction, quality, timeliness, performance guarantees and the effective use of cross-functional partnerships .

Responsibilities
Reviews client intent submission requests and validates appropriate approvals provided to meet SOC2 audit compliance requirements.
Partners with teams across the organization during audit failure scenarios to obtain correct approvals.
Completes assigned operational tasks and provides support to client benefit requests.
Executes assignments within committed targeted completion dates and/or performance guarantees.
Adheres to all organizational SOPs and Compliance standards.
Provides support to internal and external clients by researching and assisting with resolution of benefit related issues.
Management of client issues and escalations including RC/PM (IMTs)
Reports risks/issues and mitigation to management in a timely manner
Works independently to resolve standard and complex problems using existing procedures; engages cross-functional support and escalates as needed
Shows ability to engage in and participate in process improvement initiatives and other team projects
Supports special projects as assigned by leadership

Qualifications
High School Diploma or equivalent required
S tro n g P C s k i lls i n c l ud i n g M ic r o s oft Of f ice p ro d u c t s , e - m a i l a n d t he I n ter n e t preferred
E x ce llent v er b al a n d w r i t t e n c o m m un i c at i on and p re s e n tation s k i lls h i g hly d e s i r abl e
Strong attention to detail; pro b lem s ol v i n g and analytical skills preferred
Knowled g e of t he h e alth c are a n d P B M ind u s try a n d its p ro d u c t s a n d s er vi c e s desired
Ab i l i ty t o w ork c r o s s fu n c t i onally t o re s ol v e i s s ue s
S tr o n g fo c u s on c u s t o m er s er v ic e
Ab i l i ty t o m ana g e t i m el i n e s a n d m eet tight deadl i n e s

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.

For this position, we anticipate offering an annual salary of 58,100 - 96,900 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .

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 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.

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.

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