Financial Operations Analyst - Hybrid - Morris Plains, NJ

The job profile for this position is Financial Operations Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.

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This is a hybrid role that requires on-site presence 3 days/week in the Morris Plains, NJ office.

POSITION SUMMARY

The Financial Operations Analyst supports the processing and review of financial adjustments for an assigned business unit, such as Account Management. Working under general supervision, this individual assists with routine financial and business processes, helps ensure requests are completed accurately and on time, and collaborates with internal partners to support the day-to-day operations of the team.

ESSENTIAL FUNCTIONS

• Process mass adjustment requests from clients, account teams and/or functional areas. 

• Analyze and audit adjustment requests due to claims processing issues, conduct detailed audit of system set up to ensure accuracy of the client’s claims adjustment requests and ‘before and after’ analysis of the claims re-price files.

• Prepare and produce an adjustment report to assigned business unit. 

• Extract claims based on the requirements provided by the assigned business unit.

• Ensure requirements received in mass adjustment requests are accurate.

• Follow up with assigned business unit (i.e., Account Management) as needed.

• Participate and communicate in daily account management team conference calls/meetings to discuss adjustment requests and ensure issues are addressed in a timely manner.

• Ensure all documentation is maintained for audit purposes.

• Coordinate all financial upload files on a daily basis.

• Conducts special projects as assigned.

QUALIFICATIONS

• Must be within driving distance to the Morris Plains, NJ office

• Bachelor's degree in Finance, Accounting, Statistics, Business or other related field or equivalent work experience

• 1 years relevant experience in finance, claims adjudication, or project management preferred

• Experience in Healthcare, Insurance, Pharmacy, or PBM industry highly preferred

• Proficiency with Microsoft Word, Office, Excel, including experience with large data sets, pivot tables, VLookup, and macros

• Experience with Power BI and Tableau a plus

• Excellent problem solving skills and attention to detail

• Ability to communicate effectively internally and cross functionally on both technical and non-technical aspects of the business

• Excellent judgment, communication, interpersonal and organizational abilities

• Ability to be flexible, agile, and manage complex processes

• Ability to handle analysis from issue identification to providing adjustment report

• Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines

• Strong analytical, independent decision making and time management skills

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 hourly rate of 24 - 40 USD / hourly, depending on relevant factors, including experience and geographic location.

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 and paid holidays. 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.