Network Operations Lead Analyst-Work from home (St.Louis, MO)-Express Scripts (Remote) at Cigna

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Remote, Work from home, St. Louis, MO area.

POSITION SUMMARY

This role will assist internal and external business partners in all aspects of Pharmacy operations including: Credentialing, re-credentialing, provider compliance, provider contracting, network support, validations and day to day pharmacy inquiries. Responsibilities include routinely completing large data analysis in Excel/SQL/R/Python to validate, update, analyze the pharmacy information, and regularly assist in improving and refining the analysis using various tools. The Lead Analyst will assist in solving complex problems with cross-functional business partners to assist in ongoing workflow enhancements for various projects. This position is expected to have a thorough understanding of the business process, and be able to work independently with minimal guidance once trained.

ESSENTIAL FUNCTIONS
  • Works closely with our Independent providers assisting with day to day operations, including but not limited to: application and credentialing support, provider communication, Network participation, Network rejects, claims research, and triage.
  • Participate in internal and cross functional meetings, assisting with development, design, and testing of our new business applications.
  • Focus on process improvement, automation, technology, and cross-functional partnerships to drive change and deliver operational excellence.
  • Design and implement various algorithms and processes to support our data analysis initiatives in the Network Operation Department.
  • Manage and maintain the provider and network information; ensure data integrity and data interoperability.
  • Perform data analysis to provide insights about providers and network using analytical tools such as Excel, R or Python.


QUALIFICATIONS
  • Bachelor's degree or higher required in Data Analysis or related field, or equivalent work experience.
  • Expert data analysis or programming skills with all MS Office applications, SQL, R or Python.
  • Excellent quantitative skills and ability to perform complex data analysis and advanced problem solving.
  • Demonstrated experience in challenging problems and driving outstanding results
  • Knowledge of PBM business model
  • Analytical, highly organized, able to work and lead projects with little supervision, motivated to successfully meet deadlines.
  • Strong verbal/written communication skills to work with various partners, including but not limited to Supply Chain, Compliance, Legal and IT.
  • Capability to prepare and present concepts and proposals to all levels of management.

This role is WAH/Flex, which allows most work to be performed at home. WAH/Flex employees must be fully vaccinated against COVID-19 if they choose to come onsite or if required to periodically come on site.

For this position, we anticipate offering an annual salary of $64,700 - $107,900, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

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.
More Information on Cigna
Cigna operates in the Healthtech industry. The company is located in Bloomfield, CT, Phoenix, AZ, Philadelphia, PA and Plano, TX. Cigna was founded in 2022. It has 74000 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 191 open jobs at Cigna, click here.
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