Senior Operations Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $54.1k - $90.1k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

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

• Maintain custom client authorization portfolios with emphasis on quality and process improvement • Perform service transactions including client support, product support, quality support, and internal team support for projects and training • Complete day-to-day Business Operations tasks without immediate supervision • Attend calls as a team representative and provide progress updates on business elements • Plan ahead and anticipate needs and potential issues • Resolve non-routine issues escalated from more junior team members • Research concerns to determine root causes and preventative measures • Identify ways to streamline operational procedures between or within departments • Work independently while collaborating with analysts, pharmacists, and other internal areas to provide exceptional client service

🎯 Requirements

• High School Diploma or equivalent • 5+ years experience in healthcare industry preferred • 2+ years experience in claim review, prior-authorization, and/or pharmacy technician duties • Proven ability to multi-task, prioritize, and support multiple deliverables while meeting deadlines • Proficient in Microsoft Office suite, especially Excel, including pivot tables, VLOOKUP, and data manipulation • Exceptional written and oral communication skills with internal and external business partners • Flexible and agile, with demonstrated ability to pivot based on market demands • Independent worker with strong problem-solving skills • Background in quality and/or process improvement preferred • Eager to learn and proactively expand end-to-end knowledge in the PBM space • Availability to work 8:30 AM–5:00 PM EST Monday–Friday, with possible weekend coverage as needed • Home internet connection through a cable broadband or fiber optic provider with minimum speeds of 10Mbps download/5Mbps upload when working from home

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits starting day one • Vision benefits starting day one • Dental benefits starting day one • Well-being and behavioral health programs starting day one • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work arrangement • Cable broadband or fiber optic internet requirement with at least 10Mbps download/5Mbps upload for home working