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Operations Senior Analyst jobs in United States
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The Cigna Group · 16 hours ago

Operations Senior Analyst

The Cigna Group is a leading health services organization, and they are seeking an Operations Senior Analyst. The role involves providing operational support for assigned ESI Markets, handling daily request tracking, and assisting with project and administrative support to the team.
CommercialHealth CareHospitalInsuranceMedical
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Responsibilities

Provide operational support for assigned ESI Markets (Commercial, Medicare, Health Plan, etc.) for going plan changes, new implementations, and renewal activity
Review, analyze and verify intent of assigned benefit set-ups as they relate to products and programs
Identify and communicate need for customization to support client benefit requirements; attend client calls/meetings as needed; attend internal validation meetings; run customized and scheduled reports, manage performance guarantee tracking and report distribution for internal/external clients as requested
Adhere to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPs
Assist with operation input related to new product development; identification, research, and resolution of operational issues; provide training and mentoring for new team members, offshore and contingent employee resources
Comply with ESI document and retention requirements
Independently develop standardized new group benefit design requests in the ESI system
Assist with more complex setups or projects as needed. Track and report progress to team to ensure deadlines are met
Perform verification/QA and system testing before implementation and within contractual timeframe agreements
Provide consultative support to internal & external clients by researching & assisting with resolution of benefit design and claims issues

Qualification

Microsoft Office SuiteSharePointAnalytical problem solvingHealth care industry knowledgeCustomer service focusCommunication skillsOrganizational skills

Required

Bachelor's degree or 5 to 7 years of equivalent work experience
Strong PC skills and knowledge of Microsoft Office Suite and SharePoint, email and Internet
Excellent verbal and written communication and presentation skills highly desirable
Strong analytical problem solving skills
Knowledge of the health care and 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
Independently develop standardized new group benefit design requests in the ESI system
Assist with more complex setups or projects as needed
Track and report progress to team to ensure deadlines are met
Perform verification/QA and system testing before implementation and within contractual timeframe agreements
Provide consultative support to internal & external clients by researching & assisting with resolution of benefit design and claims issues

Benefits

Medical
Dental
Vision
401K

Company

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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Company data provided by crunchbase