Senior Operations Analyst

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🔥 5 minutes ago

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • 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

• leads and provides subject matter expertise in collaboration with client services, claims, implementations, clinical, non-clinical, and IT organizations to manage new and existing workflows • Monitors overall operations including review of internal reports and ad-hoc data analysis associated with operational workflows • Identifies ways to improve or enhance operational performance • Has proficient working knowledge of business operations • Has understanding of utilization management, claims operations, IT operations, and call center operations • Develops subject matter expertise in the technical and operational aspects of the company • Collaborates with business and technical partners to gather, evaluate, document, and communicate business and functional requirements • Provides subject matter expertise during the implementation of new clients by integrating workflows into current operations • Assists with functionality and regression testing for program specific enhancements, implementations and code • Provides operational expertise to client services and client operations managers in research and resolution of issues and requests • Researches, designs, develops and maintains new projects and business solutions • Translates business requests into system rules; evaluates existing functionality for operational efficiencies and maintains historical record of system development • Documents and maintains business workflows and requirements, or supports central teams that manage these functions • Coordinates with key leaders and cross-functional stakeholders to execute projects and implementation activities • Assists in preparing internal and external training and direction for clinical and non-clinical staff • Supports the development of key performance metric portfolios as it relates to projects and major company initiatives to include metric development, dashboards, and valuation support.

🎯 Requirements

• Bachelor’s Degree (or equivalent) in Business, Health Services, Mathematics, Computer Science or related field of study • 1+ years, demonstrated leadership potential and aptitude for working in technology, operations, project management and/or healthcare environments • Experience gathering, documenting, and communicating business and functional requirements • Strong analytical, critical thinking, and problem-solving skills with the ability to evaluate business needs and recommend solutions • Must have proficiency with MS Word, Excel and MS PowerPoint • Basic experience writing and modifying SQL queries for troubleshooting, research, and analysis • Ability to manage multiple priorities independently in a fast-paced environment • Ability to learn new systems and technologies quickly • Strong organization and prioritization skills • Experience identifying process improvement opportunities and documenting workflow enhancements

🏖️ Benefits

• medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays • leaves of absence

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