Eligibility Manager

🔥 0 minutes ago

🌵 Arizona, Florida, +3 more states – Remote

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

💵 $77.3k - $128.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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