Regional Implementation Specialist

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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

• Partner and communicate with Implementation Manager and other matrix partners as needed to answer benefit questions related to plan designs, client's plan interpretation, and Cigna's service administration capabilities • Oversee the creation and maintenance of the final employer Benefit Summaries and SBCs including ensuring accuracy of client intent • Update Employer Benefit Summaries and SBCs post audit build as needed • Ensure all required source documents are IGO and maintained through the document storage process • Attend internal strategy meetings to assist Implementation Manager with preparing for client interface session • Attend other internal meetings upon request from Implementation Managers on a case by case basis • May attend client meetings to participate and provide support as needed on functional implementation processes • Review and analyze implementation source documents to complete case installation in ePro as needed • Act as an ePro expert • Responsible for completing ePRO Maintenance transactions • Responsible for completing renewal and/or new business ePRO transactions as needed • Will submit ePro for legislation review and coordinates with legislation analyst on any updates needed • Determine if ePro inspection is required, partner with ePro Analyst to determine update needed, partner with downstream areas to ensure ePro inspection is completed, and review results • Update ePro based on feedback from ePro inspection process, if applicable • Provide support on end-to-end audits as needed to review disjoints in source documents and assist Implementation Manager • Work fallout reports including DocGen and No Schedules Found and coordinate with Implementation Manager on maintenance activity/updates needed based on review of fallout • Attend and participate in team meetings, ongoing forums, training sessions, and other meetings to enhance continuous knowledge for the role including assigned courses through Cigna University

🎯 Requirements

• High School Diploma or GED required • Bachelor's degree preferred • Detailed knowledge of Cigna's administrative capabilities including benefits, eligibility, ID cards, billing and banking preferred • 3+ years experience in project management/account management/account services/sales, or other areas requiring significant client/customer interaction and ability to effectively problem-solve issues to resolution • Ability to establish matrix partner relationships and follow through on expectations • Strong analytical skills • 5+ years of experience with multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems) • Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization • Ability to manage multiple and divergent priorities and deadlines, work independently and pro-actively, negotiate and manage expectations for mutually acceptable solutions • Demonstrated success in negotiations and ability to influence internal/external constituencies • Demonstrated leadership and motivational skills in fast-paced environment

🏖️ Benefits

• Health insurance • Vision insurance • Dental insurance • 401(k) • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence