The Cigna Group
Health Care
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Position Summary
The Operations Lead Analyst is a critical position supporting prior authorization processes within the Cigna Benefit and Clinical Operations organization. This position is responsible for handling daily operational issue resolution, special projects, and administrative operational support. Position requires account and operational knowledge to identify root cause, resolve issues, identify trends, and ensure client satisfaction.
Key Responsibilities
Handle routine work stream assignments, including but not limited to member and file research, assisting with file processing, and providing advisory support.
Provide business support to clients and account management to ensure satisfaction.
May facilitate activities with other areas to oversee the delivery of client needs.
Participate in process improvement activities and share ideas to enhance processes.
With a focus on quality and timeliness, maintain ownership of the assigned work queue.
Meet all service standards to ensure client satisfaction.
Participate in process improvement conversations and implementation.
Provide support for year-end and 1/1 readiness activities outside the normal schedule.
Participate in team meetings as required.
Maintain performance metrics as required.
Qualifications
High School Diploma or GED required, Bachelor’s Degree preferred.
2+ years of work experience of PBM and healthcare implementation operations.
Strong analytical and problem-solving skills.
Excellent communication (oral and written) and presentation skills.
Demonstrated ability to adapt to a dynamic work environment and make decisions with minimal supervision.
Experience managing workflows, coordinating projects, or resolving operational issues.
Ability to manage timelines and deadlines.
Detail-oriented, ability to multitask in a fast-paced environment.
Ability to work collaboratively with other departments to resolve issues with innovative solutions.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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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