US - New Jersey - Morris Plains
January 3, 2025
Position Summary
The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and works to streamline processes to meet regulatory requirements and client contractual needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (e.g. Supply Chain, Knowledge Solutions and Account Teams). In addition, the lead analyst will support internal projects and process improvement initiatives, will assist in gathering data to support business process enhancements and assist in issue resolution.
Essential Functions
Responsible for working with cross functional teams to create Network Pharmacy Reporting.
Responsible for managing requirements and creation of pharmacy compliance reporting for client paper and online directory usage and network access validation.
Responsible to validate quality of report data and work to resolve data inconsistencies.
Responsible to manage delivery of Client Network Pharmacy Reporting including Command Center, Internal File Transfer and External Secure File Transfer.
Responsible for ongoing Reporting enhancements, including automation.
Responsible for ensuring client custom requests are complete and accurate.
Responsible for ensuring Open Enrollment reporting is timely and accurate.
Assist in additional projects as required.
Qualifications
Bachelor's Degree in related field or equivalent work experience
1-3 years of relevant work experience (Product Management, Analytics, Product Development) Including 1 year significant cross-functional project based experience.
Ability to work with and influence cross-functional partners to achieve success
Experience with Medicare/Medicaid and/or Pharmacy Network design preferred
Excellent communication skills, including presentations and documentation
Intellectual curiosity
Ability to work within an environment of tight deadlines and significant pressure.
Ability to handle complex analyses from issue identification to proposal of potential solutions
Proficient knowledge of Microsoft Suite of products with an emphasis on Excel and Access.
* This is a hybrid role that requires the ability to work in person three days per week. *
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 73,200 - 122,000 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 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:***for support. Do not email***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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