This is a HYBRID role with on-site presence required.
Only local applicants will be considered.
JOB SUMMARY
This position will be responsible for interpreting client contracts to identify and set up of Performance addition this position will assist in reconciliation reporting. This includes gathering results and preparing reporting to present to Account Management for distribution to clients. The position requires regular communication with cross functional areas in order to meet deadlines including Client Pricing Account Teams IT Audit etc. The ability to communicate requests results and issues effectively with team members management and cross functional areas is essential. The successful candidate will also be expected to proactively contribute to driving and developing best practices across the Financial Client Operations team.
SCOPE OF JOB
Position will be involved in the support of over 6000 active clients with regards to establishing rebate sharing arrangements rebate payments and analysis interpreting contractual financial guarantee exclusions financial guarantee reconciliations and analysis and performance guarantee set ups and reporting.
ESSENTIAL FUNCTIONS
Works under minimal supervision through established procedures to ensure appropriate assessment of Performance Guarantees
Recommends resolution of identified issues during assessment as well as efficiency process improvements.
Work cross-functionally with business partners to research and analysis Performance guarantees.
QUALIFICATIONS
Bachelors degree in related field (Business Finance Economics).
1 years relevant experience.
Related work experience in PBM Pharmaceutical or Healthcare industry preferred.
Strong SQL skills with an ability to work in multiple databases on a daily basis.
Strong analytical planning problem identification and resolution skills required.
Effective communication with internal and external individuals in various functional areas and at all levels of management.
Experience with client benefits and formularies highly preferred.
Understanding of and experience with quality and process improvement concepts methodologies.
Requires experience in business analysis and production testing.
Proven ability to plan for and integrate multiple tasks concurrently as well as work independently.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis underwriting cash management audit or investor relations our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. Were always on the lookout for innovative people who will bring outside-the-box thinking to our team.
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: for support. Do not email 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.
Required Experience:
IC
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.