Financial Analyst , Senior Analyst - Evernorth Health Services - Remote
AI Summary
The Financial Analysis Senior Analyst provides professional input on complex data sets, compliance projects, and pharmacy pricing appeals. They are responsible for conducting appeal reviews, managing department of insurance complaints, and facilitating external communications.
Candidates should have a Bachelor's degree in Finance, Accounting, or a related field and at least one year of experience in a finance or analytical role. Strong communication skills and experience in a highly regulated healthcare or insurance environment are preferred.
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Summary: The Financial Analysis Senior Analyst provides professional input to complex data sets and compliance assignments/projects. Utilizing independent judgment and discretion, the Financial Analysis Senior Analyst communicates externally to pharmacies and clients, providing professional responses to inquiries and appeals. As a Financial Analysis Senior Analyst, you will be responsible for conducting appeal reviews, department of insurance complaints, and external communications. In addition, you will assist with ad hoc automation testing. May conduct audits to ensure data controls are maintained. Works autonomously, only requiring minimal technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to communicate internally and externally, analyzes datasets, and meet strict deadlines. This role supports the Strategic Optimization Program.
Responsibilities:
- Review, analyze, and response to pharmacy pricing appeals
- Review and respond to department of insurance complaints
- Monitor external facing email, providing guidance and answering questions
- Communicate externally to pharmacies and state Departments of Insurance
- Assists with Ad-Hoc data outputs relating to claims, pharmacy appeals and DOI complaints
Qualifications:
- Bachelor's Degree in Finance, Accounting or related field preferred
- 1 + years in a finance, accounting or highly analytical position
- Experience in healthcare / insurance industry preferred
- Strong communication skills
- Experience in a highly regulated business environment
- Ability to communicate results of analytics to a multitude of individuals/groups
- Strong analytical and problem-solving skills
- A self-motivated team player who thrives on challenges, is comfortable working in a fast-paced, dynamic environment, and is ready for development within our Company
- Innovative and strong desire to learn
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.
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.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
About The Cigna Group
The Cigna Group is a global health company that innovates solutions for improved health and well-being, serving over 190 million customers across 30 countries.