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  • Financial Operations Lead Analyst - Evernorth…

    The Cigna Group (St. Louis, MO)



    Apply Now

    _This is a hybrid position with on-site expectations in St. Louis, MO._

     

    _Only local candidates will be considered._

    POSITION SUMMARY

    The Analyst will own the operational invoicing and reconciliation activities for the IRA MTF program. The Analyst should develop an in-depth knowledge of the program and serve as the primary point of contact regarding Pharmacy reimbursement invoicing to CMS.

    ESSENTIAL FUNCTIONS

    + Support the end-to-end IRA MTF invoicing process: setup, invoicing, payment application, variance resolution

    + Perform a validation review to confirm setup changes were implemented accurately by other team members

    + Apply a subject matter expert knowledge base under minimal supervision to ensure appropriate assessment and action steps taken to ensure successful outcome of identified variances

    + Stay current on regulatory and industry changes related to IRA MTF, CMS guidelines, and pharmaceutical manufacturer requirements

    + Collaborate with internal teams to support current and future business initiative

    + Manage day-to-day prioritization, workload distribution, and issue escalation

    + Special projects and process improvements

    + Ongoing review of policies and procedures

    + Other duties as deemed essential by business to support current and future projects

    QUALIFICATIONS

    + Bachelors degree in Finance, Business, Economics, Statistics, Accounting or related field preferred.

    + 3+ years of relevant experience.

    + Excellent customer service and communication skills; Strong Analytical Skills; Detail oriented.

    + Must be proficient with Microsoft Office Suite.

    + Ability to work cross-functionally to resolve issues and collect reports.

    + Ability to handle analysis from issue identification to proposal of potential solutions.

    + Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines.

    + Strong business, organizational and communication skills.

    + Ability to adapt in a dynamic work environment and make independent decisions.

    + Knowledge of PBM and healthcare industry preferred.

    + Ability to organize and plan multiple projects.

    + Ability to demonstrate self-initiative, work cross functionally to resolve issues as they occur.

    + Proven ability to work under tight deadlines.

    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. We’re always on the lookout for innovative people who will bring outside-the-box thinking to our team management.

     

    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 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 require reasonable accommodation in completing the online application process, please email:_ [email protected]_ _for support. Do not email_ [email protected]_ _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._

     


    Apply Now



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