Operations Lead Analyst – Express Scripts

Remote Full-time
The responsibilities of an Operations Lead Analyst include monitoring daily request execution, reporting, and issue triaging for one or more owned client(s) upon request. Identifying operational or productivity enhancements, barriers, and opportunities for configuration and workflows. The Operations Lead Analyst will provide project and administrative support to leadership teams or Operations Advisors through escalation of issues, risks, and concerns as needed. Provides support to assigned projects by responding to inquiries or resolving complex issues using independent judgment, discretion, and general client knowledge. Routine communication of risk and status of owned clients and processes to leadership teams.Functions: Execution of client’s requests and inquiries in aligned to SLAs and other contractual terms.Monitoring and triaging of client issues aligned to SLAs and other contractual terms.Routine communication directly with clientAdherence to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPsAssist with operation input related to new process development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources.Comply with ESI document and retention requirements.Scope of Job:Provide exceptional service to clients.Cross-functional collaboration & communication with necessary internal partnersClear and timely communication of issues and status to leadership teamsWorking RelationshipsAccount Management – As needed – Requirements intake and resolution of issuesClients – As needed – Requirements intake and resolution of issuesIT – As needed – Systems issues, setup, and testingProduct Teams – As needed – Coordinate set-up, resolution of issuesQuality Teams – As needed – Issue resolution and documentationLeadership Team – As needed – Initiative engagements and client health updatesMinimum Qualifications:High School Diploma required Bachelor’s degree preferred. Years of Experience:3 or more years of experience preferred in pharmacy benefits management industry with benefits set up knowledge.Computer Skills:Microsoft Excel/PowerPoint/Word requiredOutlook requiredExcellent verbal and written communication and presentation skills highly desirableStrong analytical problem solving skills preferredKnowledge and Abilities:Knowledge of the health care and PBM industry and its products and servicesDetailed oriented with strong analytical and problem solving skillsAbility to manage timelines and meeting tight deadlinesAbility to adapt in a dynamic work environment and make independent decisionsGood organizational, prioritizing skills and ability to multi-taskStrong customer service focusDemonstrated ability to work with other departments/teams to resolve issuesExperience with use of ERP systemsExperience with data input and reconciliationIf 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 ServicesEvernorth 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: [email protected] for support. Do not email [email protected] 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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