Senior Operations Analyst

🔥 1 hour ago

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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

• Support operational programs and projects, ensuring deliverables are completed accurately and on time • Identify and recommend opportunities to improve and streamline operational processes and procedures across departments • Contribute to department planning efforts and operational initiatives • Assist with business processing activities, service-level monitoring, and reporting • Prepare and review operational documents, reports, and key business records • Gather, analyze, and distribute operational reporting to internal and external stakeholders as needed • Perform pricing configuration activities and support related operational processes • Partner with cross-functional teams to support business objectives and operational initiatives • Analyze and validate data to ensure claims are adjudicating accurately and in accordance with established requirements • Monitor production performance and ensure operational targets and service levels are achieved • Maintain effective processing controls to support operational accuracy and compliance • Anticipate business needs and proactively address potential issues • Resolve non-routine issues and escalations, providing guidance and support to less experienced team members • Complete day-to-day operational responsibilities independently while leveraging available resources and expertise when needed

🎯 Requirements

• High school diploma or GED required • 1+ years of relevant experience; direct Pharmacy Benefit Management (PBM) experience strongly preferred • Strong analytical and problem-solving skills • Excellent verbal and written communication skills • Strong attention to detail and organizational skills • Ability to work effectively in a fast-paced, production-driven environment • Ability to manage multiple priorities and meet deadlines • Willingness to work a flexible schedule based on business needs.

🏖️ Benefits

• Medical, vision, dental, and 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 • Leaves of absence