Operations Lead Analyst - Express Scripts - Remote (Finance)
Position Summary
The responsibilities of this role include leading and managing daily request execution, reporting, and issue triaging for one or more owned client(s) upon request. Identifying operational or productivity enhancements, barriers, and opportunities for configuration and workflows. The Lead Analyst will drive project and administrative support to leadership teams through escalation of issues, risks, and concerns as needed. Demonstrates Advisory skills by responding to inquiries or resolving complex issues using independent judgment, discretion, general client knowledge, and ESI systematic understanding. Routine communication of risk and status of owned clients and processes to leadership teams, with detailed documentation and evidence around status/risk being communicated.
Functions:
- Execution of client's requests and inquiries in alignment to SLAs and other contractual terms of the client.
- Driving resolution of client's issues aligned to SLAs and other contractual terms.
- Routine communication directly with client and Account Teams. Occasionally leading discussions with these audiences.
- Adherence to all organizational SOPs and Compliance standards; provide subject matter input as it relates to SOPs, systematic knowledge, and operational capacities.
- Maintenance and ownership of SOPs or client related reference documents.
- Assist with operation input related to new process development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources.
- Comply with ESI document and retention requirements.
- Provide exceptional service to clients and meeting the departments key performance indicators
- Cross-functional collaboration & communication with necessary internal partners
- Clear and timely communication of issues and status to leadership teams.
- Account Management - As needed - Requirements intake, resolution of issues, and driving operational project execution
- Clients - As needed - Requirements intake, resolution of issues, advisory of benefits
- IT - As needed - Systems issues, automation setup, and testing
- Product Teams - As needed - Coordinate set-up, resolution of issues, and project support
- Quality Teams - As needed - Issue resolution, documentation, and preventative measure implementation.
- Leadership Team - As needed - Initiative engagements and client health updates
- High School Diploma or equivalent required
- Bachelor's degree or 5 to 7 years of equivalent work experience
- Years of Experience:
- 0 - 3 years of relevant experience. Preferred experience in PBM and benefit set-up knowledge.
- Computer Skills:
- Microsoft Excel/PowerPoint/Word
- Outlook
- Excellent verbal and written communication and presentation skills highly desirable
- Strong analytical problem solving skills
- Knowledge of the health care and/or PBM industry and its products and services
- Detailed oriented with strong analytical and problem solving skills
- Ability to manage timelines and meeting tight deadlines
- Ability to adapt in a dynamic work environment and make independent decisions
- Good organizational, prioritizing skills and ability to multi-task
- Strong customer service focus
- Demonstrated ability to work with other departments/teams to resolve issues
- Experience with use of ERP systems
- Experience with data input and reconciliation
This role is Work at Home/Flex which allows most work to be performed at home.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link .
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
