Individual & Family Plans (IFP) Operations Lead Analyst – Remote – Cigna Healthcare -USA-Job-ID-8074

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The Operations Lead Analyst is responsible for full ownership of business operations and change management of Medicaid audit support workflows, partnering with IT on reporting needs and delivering supporting content for regulatory agencies. This person will ensure all request for information is completed timely and accurately, and will serve as a resource to Manager and other team members.

Shift: Monday – Friday, 8pm – 5pm

What you’ll do:

  • Develop process documents to support every applicable use case
  • Ensure reporting needs are well defined for IT and available for each use case
  • Work with various SMEs and leaders to ensure request for each use case is received timely and fulfilled accurately.
  • Serve as the first line business resource for questions/issues from various partners and/or leaders
  • Effectively manages and reports any issues impacting reporting solutions, collaborating with others, communicating status and escalating as needed.
  • Assist manager in ensuring that established policies and standard operating procedures are being followed and that goals for productivity and quality are met/exceeded.
  • Other duties as assigned.

What you need to do the job:

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  • High School diploma or equivalent is required
  • 3+ years of claims operations experience & knowledge of standard concepts, practices, and procedures in this space required
  • Experience leading projects or assignments & troubleshooting problems preferred
  • General PC knowledge: Microsoft Word, Excel, PowerPoint and email skills required
  • Strong attention to detail with good organizational skills
  • Strong demonstrated verbal and written communication skills
  • Ability to adapt in a dynamic work environment, learn quickly, troubleshoot problems and make decisions

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 61,200 – 102,000 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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