What are the responsibilities and job description for the Operations Associate Analyst - HIH - Evernorth position at The Cigna Group?
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ABOUT EVERNORTH:
INTRODUCTION TO EVERNORTH:
Evernorth Health Services India, established in Hyderabad in 2024, is an innovation hub for Evernorth Health Services, the pharmacy, care and benefits division of The Cigna Group. The innovation hub will support innovation-focused areas, such as generative AI, product development, process improvement, analytics, and software engineering across The Cigna Group and its businesses. Evernorth Health Services India builds on The Cigna Group’s existing presence in India.
About Evernorth Health Services:
Evernorth Health Services (Evernorth) is the pharmacy, care and benefits solution division of The Cigna Group - a Fortune 16 global health company with 75,000 employees, 186 million customers in more than 30 countries and jurisdictions around the world. Evernorth exists to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people. We do this by creating and connecting premier health services offerings, such as benefits management, pharmacy, care solutions, insights and intelligence.
About Cigna:
The Cigna Group is a global health company committed to improving the health and vitality of individuals and communities around the world and includes products and services marketed under its Cigna Healthcare and Evernorth Health Services subsidiaries. Cigna Healthcare is the health benefits provider of The Cigna Group, serving customers and clients through its U.S. Employer, U.S. Government, and International Health business. Evernorth Health Services is the pharmacy, care and benefits solution division of The Cigna Group.
Position Overview
The Eligibility Senior Analyst is responsible for handling daily operational issue resolution, special projects and administrative operational support for the Client Service Team and Account Management Operations. Position requires account and operational knowledge in order to identify route cause, resolve issues, identify trends, and ensure client satisfaction.
Essential Functions
- Provide business support to clients and account management to ensure satisfaction with issue resolution.
- Consults with Account Management, leadership, and other ESI areas to provide analysis and direction on prioritizing and resolving client issues, with minimal client interaction.
- Responsible for handling daily routine issue analysis, work assignments, and other administrative support.
- May facilitate activities with other areas to oversee delivery of client’s needs.
- Participate in process improvement activates and share ideas for enhancing processes.
- With a focus on quality and timeliness, maintain ownership for assigned work queue.
- Meet all service standards to ensure client satisfaction.
- Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account mgmt.
- Resolve issues and provide escalation as needed.
- Participate in process improvement conversations and implementation.
- Provide support for year end and 1/1 readiness activities outside of normal schedule.
- Participate in team meetings as required.
- Maintain performance metrics as required.
Qualifications
- High School Diploma or equivalent required
- Strong analytical and problem-solving skills
- Excellent communication (oral and written) and presentation skills
- Demonstrated ability to adapt in a dynamic work environment and make decisions with minimal supervision
- Ability to manage timelines and deadlines
- Detail oriented, ability to multitask in a fast-paced environment
- Ability to work collaboratively with other departments to resolve issues with innovative solutions
- Proficiency using MS Office software
Equal Opportunity Statement
Evernorth is an Equal Opportunity Employer actively encouraging and supporting organization-wide involvement of staff in diversity, equity, and inclusion efforts to educate, inform and advance both internal practices and external work with diverse client populations
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.