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.$59k-79k yearly est.9d ago
Provider Data Analyst - Remote
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.$59k-79k yearly est.60d+ ago
Provider Data Analyst - Remote
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.$59k-79k yearly est.9d ago
Provider Data Analyst - Remote
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.$59k-79k yearly est.60d+ ago
This position within the provider validations team is responsible for translating network compliance processes into evolving business requirements that will further progress technology solutions, assisting with credentialing, compliance, and operations feature prioritization, and understanding any analytical needs across the Network Compliance organization. This role will also consult with members of the team to identify opportunities to leverage existing data sources and develop reporting that will allow the team to more efficiently and accurately perform standard tasks, as well as bring new insights to assist with decision-making and process improvement. This role will have responsibility to develop network products, reports, and strategy designed to drive margin initiatives as well as anticipate and meet client needs supporting audit, reporting, and operational process/tool developments. Finally, the role will also focus on improved service to providers through innovative communication and technology functions.
Duties and Responsibilities
* Responsible for partnering with the Network Compliance leadership team to transform business operations and process improvements into technology requirements to gain efficiencies within system applications and advance automation efforts
* Coordinate or participate in cross functional/departmental collaboration with other internal teams, including but not limited to, Network Compliance, Retail Network Operations, Retail Strategy and Contracting, the Pharmacy Special Investigations Unit, and Sales and Account Management in order to develop solutions for strategic business needs
* Generate credentialing, recredentialing and compliance reports as needed for specific clients to support contractual commitments and compliance audits
* Identify and act upon opportunities to enhance the provider onboarding and recredentialing experience by creating solutions to improve team timeliness, efficiency, accuracy, and service.
* Recognize opportunities to improve on existing communication pathways to support providers through the credentialing and network compliance processes
* Perform ad hoc analyses and special projects, when needed
* Research best practices and improvements involving analytics, tools, and process improvement
* Provide support for questions and issues raised by teammates and internal network partners. Provide answers as quickly as possible, supporting the timeliness of the review or outreach.
Qualifications
* Bachelor's degree preferred; HS Diploma required
* Knowledge of pharmacy provider networks, contracting and credentialing requirements, network systems, and terminology
* Pharmacy benefit management experience preferred, including familiarity with the regulatory environment and compliance issues (i.e., URAC accreditation maintenance, credentialing, delegation and oversight standards, etc.)
* At least 1 year of experience working with relational databases
* Proficient both at developing new and modifying existing SQL code
* Strong analytical, planning, problem identification and resolution skills required
* Project management skills: liaison for the team to the Business Project Owner, coordinate testing plans/scenarios, gather requirements and documents, aid team in meeting project deliverables
* Ability to work in a fast-paced environment and multi-task across multiple deadlines and deliverables, often under uncertain or ambiguous circumstances
* Excellent communication, organizational, and time management skills essential
* Comfortable communicating concerns, questions, and risk at all levels of the organization
* Consistently maintain a positive, helpful, engaged attitude
* Self-starter that can independently support and resolve issues and conflicts with minimal management oversight
* Microsoft Office - Advanced Excel skills, including experience with formulas, data analysis, and/or pivot tables; fluent with PowerPoint, Word, etc.
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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.$37k-50k yearly est.5d ago
This position within the provider validations team is responsible for translating network compliance processes into evolving business requirements that will further progress technology solutions, assisting with credentialing, compliance, and operations feature prioritization, and understanding any analytical needs across the Network Compliance organization. This role will also consult with members of the team to identify opportunities to leverage existing data sources and develop reporting that will allow the team to more efficiently and accurately perform standard tasks, as well as bring new insights to assist with decision-making and process improvement. This role will have responsibility to develop network products, reports, and strategy designed to drive margin initiatives as well as anticipate and meet client needs supporting audit, reporting, and operational process/tool developments. Finally, the role will also focus on improved service to providers through innovative communication and technology functions.
**Duties and Responsibilities**
+ Responsible for partnering with the Network Compliance leadership team to transform business operations and process improvements into technology requirements to gain efficiencies within system applications and advance automation efforts
+ Coordinate or participate in cross functional/departmental collaboration with other internal teams, including but not limited to, Network Compliance, Retail Network Operations, Retail Strategy and Contracting, the Pharmacy Special Investigations Unit, and Sales and Account Management in order to develop solutions for strategic business needs
+ Generate credentialing, recredentialing and compliance reports as needed for specific clients to support contractual commitments and compliance audits
+ Identify and act upon opportunities to enhance the provider onboarding and recredentialing experience by creating solutions to improve team timeliness, efficiency, accuracy, and service.
+ Recognize opportunities to improve on existing communication pathways to support providers through the credentialing and network compliance processes
+ Perform ad hoc analyses and special projects, when needed
+ Research best practices and improvements involving analytics, tools, and process improvement
+ Provide support for questions and issues raised by teammates and internal network partners. Provide answers as quickly as possible, supporting the timeliness of the review or outreach.
**Qualifications**
+ Bachelor's degree preferred; HS Diploma required
+ Knowledge of pharmacy provider networks, contracting and credentialing requirements, network systems, and terminology
+ Pharmacy benefit management experience preferred, including familiarity with the regulatory environment and compliance issues (i.e., URAC accreditation maintenance, credentialing, delegation and oversight standards, etc.)
+ At least 1 year of experience working with relational databases
+ Proficient both at developing new and modifying existing SQL code
+ Strong analytical, planning, problem identification and resolution skills required
+ Project management skills: liaison for the team to the Business Project Owner, coordinate testing plans/scenarios, gather requirements and documents, aid team in meeting project deliverables
+ Ability to work in a fast-paced environment and multi-task across multiple deadlines and deliverables, often under uncertain or ambiguous circumstances
+ Excellent communication, organizational, and time management skills essential
+ Comfortable communicating concerns, questions, and risk at all levels of the organization
+ Consistently maintain a positive, helpful, engaged attitude
+ Self-starter that can independently support and resolve issues and conflicts with minimal management oversight
+ Microsoft Office - Advanced Excel skills, including experience with formulas, data analysis, and/or pivot tables; fluent with PowerPoint, Word, etc.
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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _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._$37k-50k yearly est.22d ago
Sales Market Operations Lead Analyst (Hybrid-McLean, VA)
The Sales Market Operations Lead Analyst will be responsible for delivery of Sales Operations assignments/projects in partnership with the U.S. Commercial distribution leadership and broader Client & Growth Services organization. * Supports sales operations for a dedicated geographic area. * Accountable for facilitating Sales Operations discussions and ensuring the appropriate reporting and analysis, including sales activity and sales performance metrics, are available for such discussions.$61k-83k yearly est.23d ago
Business Data Analyst - Evernorth Health Services - Remote
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. Do not email SeeYourself@cigna.com 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.$51k-65k yearly est.3d ago
Sales Operations Market Lead Analyst (Hybrid-Chicago, IL)
The Sales Market Operations Lead Analyst will be responsible for delivery of Sales Operations assignments/projects in partnership with the U.S. Commercial distribution leadership and broader Client & Growth Services organization. Supports sales operations for a dedicated geographic area. Accountable for facilitating Sales Operations discussions and ensuring the appropriate reporting and analysis, including sales activity and sales performance metrics, are available for such discussions.$56k-76k yearly est.7d ago
Associate Business Analyst Compliance - Evernorth Health Services
Evernorth Direct Health, LLC, Evernorth Health Care (a Cigna Company) Evernorth Direct Health (EDH) is a Cigna owned company operating under the Evernorth brand in the United States.$54k-66k yearly est.2d ago
Sales Operations Market Lead Analyst (Hybrid-Chicago, IL)
**Our mission is to improve the health, well-being and peace of mind of those we serve. In an effort to deliver the differentiated value needed to compete in the marketplace, o** ur evolved growth framework-Drive to 2025 _-_ will bring our mission and strategy to life and position our company for the next era of growth. The key pillars to achieve our goals will be: + _Grow_ : we will grow our existing businesses by delivering differentiated value for the customer and clients we serve today. How we win in the marketplace will be by retaining, deepening and adding client and customer relationships all the while growing the value of new and existing distribution channels through segment expansion, capability development, broker engagement and successful execution of sales and retention strategies. The Sales Market Operations Lead Analyst will be responsible for delivery of Sales Operations assignments/projects in partnership with the U.S. Commercial distribution leadership and broader Client & Growth Services organization. + Accountable for facilitating Sales Operations discussions and ensuring the appropriate reporting and analysis, including sales activity and sales performance metrics, are available for such discussions. Actively engage in the management process and ensure Market Growth Leader has the insights/data needed for meeting readiness/preparedness. + Helps drive consistency and best practices within the local market while working collaboratively across the segment and broader Client & Growth Services organization. + Professional execution: demonstrate the ability to be proactive, anticipate needs with strong organizational and communication skills, honor and support confidentiality and work across the Sales team, RSOs and matrix partners. + May provide support and mentorship to members of the broader Client & Growth Services organization.$56k-76k yearly est.55d ago
Sales Operations Market Lead Analyst-Hybrid
The Sales Market Operations Lead Analyst will be responsible for delivery of Sales Operations assignments/projects in partnership with the U.S. Commercial distribution leadership and broader Client & Growth Services organization. * Supports sales operations for a dedicated geographic area. * Accountable for facilitating Sales Operations discussions and ensuring the appropriate reporting and analysis, including sales activity and sales performance metrics, are available for such discussions.$56k-76k yearly est.30d ago
Data Measurement & Reporting Senior Analyst - Evernorth Health Services - Remote
$62k-83k yearly est.60d+ ago
Data Measurement & Reporting Senior Analyst - Evernorth Health Services - Remote
$71k-95k yearly est.60d+ ago
Business Data Analyst - Evernorth Health Services - Remote
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. Do not email SeeYourself@cigna.com 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.$51k-65k yearly est.3d ago
