Eligibility Manager

🕒 3 dias atrás

🌵 Arizona, Florida, +3 estados a mais – Remoto

🌵 Arizona – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote

💵 $77.300 - $128.900 / ano

⏰ Tempo Integral

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🟠 Sênior

👔 Gerente

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The Cigna Group

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1982

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare Insurance • Pharmaceuticals

O Grupo Cigna é uma empresa global de saúde comprometida em melhorar a saúde e vitalidade de seus clientes, consumidores e pacientes. Com suas duas divisões, Cigna Healthcare e Evernorth Health Services, a empresa foca em melhorar a qualidade de vida através de serviços de saúde e gestão de benefícios farmacêuticos. O Grupo Cigna é dedicado a práticas éticas em saúde e inteligência artificial, e se esforça para criar mudanças positivas no sistema de saúde. Também enfatiza suas responsabilidades Ambientais, Sociais e de Governança (ESG), visando impactar a equidade em saúde e promover a inovação na prestação de serviços de saúde.

Descrição

• Lead day-to-day chargeback, cash application, and adjustment operations across a team of 4–7 analysts, ensuring workload balance, service levels, and quality standards are met • Oversee advanced analysis and resolution of complex payment discrepancies, pricing variances, contractual issues, and aged receivable items • Ensure accurate application of cash and adjustments in accordance with audit controls, contractual terms, and internal policies • Prepare and review End-of-Month reporting, ad hoc analyses, and management-level summaries • Monitor team performance, productivity, and operational metrics to identify risks and drive timely corrective action • Directly manage, coach, and develop a team of 4–7 analysts, including performance management, prioritization, and capability building • Serve as the primary escalation point for complex chargeback and accounts receivable issues, ensuring timely resolution and clear ownership • Provide guidance and subject matter expertise to support accurate and timely resolution of chargeback activity across the team • Partner with the Senior Manager on workload planning, team development, and operational priorities • Provide regular readouts and escalation insights to the Director, highlighting performance trends, key risks, and recommended actions • Act as a key liaison between Chargeback Operations, Finance, Pricing, and external vendors to resolve disputes and systemic issues • Assist in establishing and maintaining regular business reviews / touchpoints with top vendors • Prepare data, insights, and discussion materials for vendor touchpoints to drive accountability, transparency, and continuous improvement • Track vendor performance trends, recurring issues, and follow‑up actions resulting from business reviews • Partner with internal stakeholders to align on vendor strategies, risks, and improvement opportunities • Assist with spearheading projects focused on process efficiency, data cleanup, and operational improvements • Identify gaps in current workflows, controls, or data quality and recommend sustainable solutions • Partner with cross‑functional teams (Finance, Pricing, IT, Audit, Vendor Management) to implement process or system enhancements • Document processes, controls, and best practices to support scalability and consistency across the team • Support testing, validation, and adoption of system enhancements or process changes • Ensure compliance with audit requirements, internal controls, and vendor‑specific deadlines • Contribute to risk identification and mitigation efforts related to chargeback processing and vendor performance • Provide leadership with data‑driven insights to inform prioritization and decision‑making

🎯 Requisitos

• 5+ years of experience in chargebacks, accounts receivable, cash application, or adjustments within a B2B manufacturing or distribution environment • Strong understanding of supplier contracts, chargeback processes, audit controls, and operational governance • Demonstrated experience leading or managing teams, including coaching, performance management, and workload prioritization • Advanced proficiency in Microsoft Excel, including complex formulas, pivot tables, and data analysis techniques • Hands-on experience with ERP systems (SAP and/or Oracle required) • Strong problem-solving skills with the ability to independently resolve issues and lead escalations across cross-functional stakeholders • Excellent verbal and written communication skills, including experience engaging with vendors, leadership, and cross-functional partners • Proven ability to manage multiple priorities, monitor team performance, and meet vendor-specific deadlines • Experience preparing management readouts and operational summaries for senior leadership preferred

🏖️ Benefícios

• Medical, vision, and dental health insurance • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Annual bonus plan