Operations Lead Analyst

🔥 il y a 18 heures

🎸 Tennessee – Distant

🎸 Tennessee – Remote

⏰ Temps Plein

🟠 Senior

⚙️ Opérations

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The Cigna Group

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1982

🏥 Santé

⚕️ Assurance santé

💊 Pharmaceutique

Healthcare • Healthcare Insurance • Pharmaceuticals

Le Groupe Cigna est une entreprise mondiale de santé engagée à améliorer la santé et la vitalité de ses clients, assurés et patients. Avec ses deux divisions, Cigna Healthcare et Evernorth Health Services, l'entreprise se concentre sur l'amélioration de la qualité de vie grâce aux services de santé et à la gestion des prestations pharmaceutiques. Le Groupe Cigna est dédié à des pratiques éthiques dans le domaine de la santé et de l'intelligence artificielle, et s'efforce de créer des changements positifs dans le système de santé. Il met également l'accent sur ses responsabilités environnementales, sociales et de gouvernance (ESG), visant à promouvoir l'équité en matière de santé et à stimuler l'innovation dans la prestation de soins de santé.

Description

• Build and maintain the Express Scripts relationship with third-party medical providers and health plan clients sharing accumulators for claims processing • Manage day-to-day issues and inquiries, technology and connectivity, performance, and trending analytics • Meet regularly with vendor teams to understand non-data trends and tactical business needs • Navigate complex interactions with vendors and internal partners • Recommend process improvements, systems upgrades, or technology changes to leadership • Work within the CDH Triage team in a fast-paced, high-volume environment handling approximately 10K requests annually

🎯 Exigences

• Consumer Driven Health (CDH) product understanding preferred but not required • Working knowledge of upstream functional processes such as Accumulator Benefits, Modular Frames, Eligibility, and Claims Processing preferred but not required • Ability to use data to identify opportunities and drive positive outcomes • Strong communication skills and ability to understand complex relationships among medical providers, account teams, and internal functional/IT resources • Ability to work cross-functionally and manage multiple requests/issues with competing deadlines • Agility and ability to adapt to changing governmental regulatory requirements • Ability to work independently and as part of a team with minimal oversight • Ability to learn the end-to-end process • Logical reasoning and attention to detail • Strong problem-solving and critical-thinking skills • High School diploma or GED required • 3+ years of experience in a healthcare setting required; operations or significant cross-functional experience preferred • Experience with Microsoft Office software preferred • Demonstrated analytical, strategic planning, communication, and problem-solving skills preferred • Demonstrated initiative and ability to work independently preferred • Ability to work independently with moderate guidance and seamlessly within a larger team preferred • Home internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload

🏖️ Avantages

• Remote work arrangement • Work-from-home internet requirement of at least 10Mbps download/5Mbps upload through cable broadband or fiber optic service • Reasonable accommodation support for the online application process • Tobacco-free policy