POSITION SUMMARY

This position works primarily to analyze and summarize day-to-day activity involved with pharmacy recoupment as it pertains to the TRICARE Retail Pharmacy contract, including communicating with escalated providers, tracking the status, progress and balances of pharmacy recoupment cases, and performing process steps in partnership with other members of the team.

Must have experience in customer service & problem solving, be able to multi task working several tasks/projects at one time, and be able to meet hard deliverable dates. Must be very strong in Microsoft Excel and proficient in other components in Office, including Access and Word. Data analysis experience would be very helpful.

ESSENTIAL FUNCTIONS

• Execute the fortnightly pharmacy remittance by migrating and processing financial data from standard reports and databases to generate recoupment letters to pharmacies.
• Maintain the case and claim records for pharmacy remittance and recoupment within Excel workbooks, an Access database, SQL-accessible mainframe, and a web-based user interface.
• Receiving inbound and making outbound phone calls to providers, including those with escalated cases; and responding to moderately complex administrative review requests.
• Open the ticket, assemble, and review collection cases for transfer to the government, including urgent submissions of provider bankruptcy cases.
• Evaluate, enter, and validate pharmacy payments for deposit and offset of debt balances.
• Update and maintain work instructions semi-annually.

QUALIFICATIONS

• Bachelor's degree in Business, Finance or related field or equivalent work experience.
• 1+ years experience in data analysis or a related field.
• Customer service, technical, analytical and communication skills required. Strong business and organizational skills. Microsoft Office, Access, Word and Excel, including descriptive statistics, lookups, and pivot tables.
• Demonstrate initiative with commitment and ability to work under pressure and meet tight deadlines.
• This position is a flex role, in the office at least 1 - 2 days weekly.

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.

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 Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.

Cigna 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.