Eligibility Manager

🕒 vor 12 Tagen

🌵 Arizona, Florida, +3 weitere Bundesländer – Remote

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

💵 $77.300 - $128.900 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

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The Cigna Group

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

Gegründet 1982

⚕️ Krankenversicherung

💊 Pharmazie

Healthcare Insurance • Pharmaceuticals

Die Cigna Group ist ein globales Gesundheitsunternehmen, das sich der Verbesserung der Gesundheit und Vitalität seiner Kunden, Klienten und Patienten verschrieben hat. Mit seinen beiden Divisionen, Cigna Healthcare und Evernorth Health Services, konzentriert sich das Unternehmen darauf, die Lebensqualität durch Gesundheitsdienstleistungen und das Management von Apothekenleistungen zu verbessern. Die Cigna Group engagiert sich für ethische Praktiken im Gesundheitswesen und in der künstlichen Intelligenz und bemüht sich, positiven Wandel im Gesundheitssystem zu bewirken. Außerdem legt sie großen Wert auf ihre Umwelt-, Sozial- und Governance-Verantwortung (ESG) mit dem Ziel, die Gesundheitsgerechtigkeit zu beeinflussen und Innovationen in der Gesundheitsversorgung zu fördern.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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