Senior Operations Advisor – Express Scripts

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Support day-to-day benefit operations activities, including client maintenance requests, benefit plan updates, and operational issue resolution. • Assist with increased volumes of client changes and escalated requests associated with annual enrollment and year-end implementation cycles. • Conduct case and XML reviews to ensure accuracy, completeness, and timely resolution of outstanding items. • Partner with internal operations teams to monitor and advance client maintenance activities, identifying risks and driving appropriate follow-up. • Support client readiness and operational planning activities during peak implementation and maintenance periods. • Provide subject matter expertise on operational processes, benefit configuration, and client support practices based on previous organizational experience. • Assist with year-end client case and XML status reviews, helping ensure transparency, alignment, and timely resolution of open items. • Support quality reviews and validation activities to help ensure operational accuracy and adherence to established procedures. • Collaborate with team members and leadership to address workload demands and maintain service-level commitments during peak business cycles. • Share institutional knowledge and best practices gained through prior service with the organization. • Support special projects and operational initiatives as needed.

🎯 Requirements

• Participant in or eligible for the Cigna Retiree Encore Program. • Previous experience in pharmacy benefit management, health care operations, benefit administration, or a related operational environment. • Strong understanding of benefit configuration, maintenance processes, and client support operations. • Demonstrated ability to work independently and effectively manage multiple priorities. • Strong analytical, organizational, and problem-solving skills. • Excellent communication and collaboration skills. • Proficiency with operational systems, reporting tools, and Microsoft Office applications. • Ability to quickly re-engage and contribute with minimal onboarding.

🏖️ Benefits

• Health insurance • Flexible work arrangements

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