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Eligibility Supervisor - CuraScript - Remote

Job description

This role leads the pricing and membership teams within Contract Administration and is also responsible for running the Wholesale initiative. The person in this position manages Contract Administrators, helps ensure customer contract pricing and membership updates are accurate and timely, supports onboarding of new customer groups, and works across teams to improve processes, maintain compliance, and support reporting, audits, and employee development.

Key Responsibilities

  • Supervise the team of Contract Administrators that manages requests from internal teams related to customer contract pricing and membership.
  • Resolve escalations.
  • Ensure accurate and timely updates to customer contract pricing and membership.
  • Ensure Wholesale agreements are entered into the correct system.
  • Ensure accurate and timely month end close and reporting.
  • Review policies and procedures and update them to reflect business needs.
  • Build collaborative relationships with sales, customer service, finance, accounting, and pharma account management teams.
  • Serve as a subject matter expert in the review of new and revised contractual terms of Company partner agreements.
  • Collaborate with SAP and technology teams to build and improve system processes and workflows.
  • Ensure compliance with SOX and Company internal controls. Review internal controls narratives and suggest updates as needed.
  • Provide ongoing coaching, training, and guidance to support employee performance and career growth.
  • Act as a change advocate by developing and implementing project initiatives that support customer and business goals while maintaining high employee satisfaction.
  • Support audits initiated by internal and external audit teams.
  • Complete special reporting and projects as assigned.

Requirements

  • Bachelor’s degree or equivalent business experience.
  • Minimum of 3 years of supervisory experience.
  • Demonstrated leadership skills.
  • Performance management experience.
  • Experience building relationships with internal customers.
  • Strong verbal and written communication skills, with the ability to interact professionally with diverse groups.
  • Strong data analytics and problem-solving skills.
  • Proficiency in Microsoft products, including intermediate Microsoft Excel and PowerPoint.
  • SAP experience is required.

Preferred Qualifications

  • Business-to-business experience in distribution.
  • Previous contract pricing and membership experience.


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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

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