Network Operations Lead Analyst - Express Scripts - Remote (cigna)

Job Description

Position Summary

The Network Operations Lead Analyst will drive business results for the team by collaborating with both internal and external partners to support network setup activities for providers. As a Network Operations Lead Analyst, you will be responsible for outlining small projects, network requirements, deliverables, milestones, timelines, decisions, status updates and the overall success of their assignments, from beginning to end.  The Network Operations Lead Analyst is responsible for ensuring the project is delivered timely, within scope. Additionally, the Network Operations Lead Analyst will implement day-to-day retail changes and maintain production, work quality, and performance metrics. Lastly, the Network Operations Lead Analyst is responsible for identifying improvement opportunities, supporting organizational values, and implementing waste reduction process improvements.

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Essential Functions

• Day-to-day implementation of network and provider configurations, while ensuring Quality Control standards are met.
• Successfully analyze and implement provider, contract, and client requirements with a strong focus on operationalizing and maintaining solutions with system functionality.
• Support business direction and project management for small, strategic, and tactical network or contract related projects and implementations. 
• Gather and analyze data, document business requirements, track action items, test validation, and provide status reports for projects.
• Analysis of situations, triage issues into options, and drive appropriate conclusions.  Define scope of small projects/implementations, including deliverables, milestones, and timelines. 
• Manage workload for multiple competing priorities with the ability to solution for in a timely manner.
• Seek training or mentoring opportunities to reinforce specific concepts and processes regarding client and provider implementations.  Work with individuals on personal development with recognizing process improvement opportunities, implementing project deliverables, and improving upon logical thinking skills. 
• Develop and maintain training materials, reference guides, work instructions, and/or policies and procedures to ensure successful knowledge transfer and mastery of concepts and processes.
• Represent Retail Network Operations, serving as a subject-matter expert (SME) internally and externally, as needed, for small projects, specific processes, issue resolution, and status updates on requests. 
• Provide high-level project and/or process presentations, reports, and timelines to share with various interested parties.

Qualifications

• High School Diploma required
• Bachelor’s in Business Administration, Project Management, or Health Care Management with 2 - 4 years relative work experience OR 6 - 8 years PBM/Healthcare experience without Degree.
• 1+ year Project Management experience preferred.
• Intermediate to Advanced skills with Microsoft Excel, Word, SharePoint and Outlook required. 
• 1-2 years experience with ESI/Cigna systems preferred. 
• Training and/or presentation experience preferred.  
• Must be able to create work plans and/or work forecasting tools. 
• Experience in process development, process documentation, and support preferred.
• Ability to adapt in a dynamic work environment and indirectly motivate teams through changes positively. 
• Excellent interpersonal skills with demonstrated ability to work cross-functionally with other departments.
• Excellent written/oral communication and organizational skills. 
• Customer Service focus and be detail oriented with strong analytical and problem solving skills. 
• Ability to manage multiple projects and prioritize work to make independent decisions. 
• Must be willing to work a flexible schedule during peak volume times.

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.

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: 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.