Operations Lead Analsyt - Express Scripts - Remote

The Operations Lead Analyst leads the completion of benefit related tasks and provides support for client benefit requests. Responsibilities include training, mentoring, managing daily request tracking, researching, running reports, providing documentation related to completion of assigned tasks and identify operational or productivity enhancements. Will manage the more complex configurations, validations, and projects/environment as needed. Perform or supports new hire training as needed, and assist in continuing education for existing team. Perform continuous review of established processes and promote visibility of gaps and recommended solutions to leadership.
Scope of job:
Solves a range of complex problems using standard procedures; Analyzes possible solutions using standard procedures; primarily internal company contacts; moderate inter-organizational and outside customer contacts on routine matters.
Essential Functions :
Accurately analyzes, translates, validates and triages complex client requests related to product requirement adds and changes across all business units to ESI systems. This is accomplished by conducting a detailed analysis, capture requirements, manage and track timelines to meet client specific needs. Attends implementation meetings to share best practices and support Account Managers and Clinical Program Managers on their recommended cost-effective solutions as they relate to requirements. Point of escalation for urgent issues for Account Management, customer care and CBA. Interface with IT triage teams to collaborate on resolution of critical issues.
Identifies, influences and communicates need for customization to support client benefit requirements; ; attend validation meetings as needed; run customized and scheduled reports, management tracking and report distribution for internal/external clients as requested. Manages the communication and deployment of product requirement adds or changes to appropriate business units.
Adheres to all organizational SOPs, policy and procedures, training guides and Compliance standards; provide subject matter input as it relates to checklists and SOPs
Acts as a consultant and serve as primary contact to existing and potential clients on strategic product requirements by providing support and analysis in researching and resolution of issues. Influence and assist in development of customized requirements that suit the needs of specific strategic clients.
Provides leadership and mentor less experience team members with complex issues needing technical expertise and client specific plan interpretation by verifying and ensuring accuracy of requirements, as well as documenting errors as needed.
Supports ideation and planning by documenting existing/new processes and procedures and improving those processes by providing suggestions and recommendations based upon experience, knowledge, and expertise.
Manages and leads complex projects as assigned, multitasking effectively to ensure daily requirements requests are completed and turned around within required timeframe/SLA.
Computer or Other Skills:
Strong PC skills and knowledge of Microsoft Office Suite and SharePoint, email and Internet; Excellent verbal and
written communication and presentation skills highly desirable; Strong analytical problem solving skills. Effective leadership skills to manage others.
Knowledge & Ability:
Knowledge of the health care and PBM industry and its products and services helpful; Detailed oriented with strong analytical and problem solving skills; knowledge of change ideation and planning. Ability to manage timelines and meeting tight deadlines; Ability to adapt in a dynamic work environment and make independent decisions; Strong organizational, prioritizing skills and ability to multi-task; Strong customer service focus; Demonstrated ability to work with other departments/teams to resolve issues. ability to independently manage timelines and meet tight client deadlines
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.
For this position, we anticipate offering an annual salary of 58,100 - 96,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
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: [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.