Position Summary

The Operations Lead Analyst is a critical position supporting prior authorization processes within the Cigna Benefit and Clinical Operations organization. This position is responsible for handling daily operational issue resolution, special projects, and administrative operational support. Position requires account and operational knowledge to identify root cause, resolve issues, identify trends, and ensure client satisfaction.

Key Responsibilities

• Handle routine work stream assignments, including but not limited to member and file research, assisting with file processing, and providing advisory support.
• Provide business support to clients and account management to ensure satisfaction.
• May facilitate activities with other areas to oversee the delivery of client needs.
• Participate in process improvement activities and share ideas to enhance processes.
• With a focus on quality and timeliness, maintain ownership of the assigned work queue.
• Meet all service standards to ensure client satisfaction.
• Participate in process improvement conversations and implementation.
• Provide support for year-end and 1/1 readiness activities outside the normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Qualifications

• High School Diploma or GED required, Bachelor's Degree preferred.
• 2+ years of work experience of PBM and healthcare implementation operations.
• Strong analytical and problem-solving skills.
• Excellent communication (oral and written) and presentation skills.
• Demonstrated ability to adapt to a dynamic work environment and make decisions with minimal supervision.
• Experience managing workflows, coordinating projects, or resolving operational issues.
• 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.

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 62,600 - 104,300 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.

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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.