Eligibility Senior Analyst - Express Scripts - Hybrid

Eligibility Senior Analyst

The Eligibility Senior Analyst is responsible for handling daily operational issue resolution, special projects and administrative operational support for the Client Service Team and Account Management Operations. Position requires account and operational knowledge in order to identify route cause, resolve issues, identify trends and ensure client satisfaction.

Essential Functions

• Provide business support to clients and account management to ensure satisfaction with issue resolution.
• Consults with Account Management, leadership and other ESI areas to provide analysis and direction on prioritizing and resolving client issues, with minimal client interaction.
• Responsible for handling daily routine issue analysis, work assignments and other administrative support.
• May facilitate activities with other areas to oversee delivery of client's needs.
• Participate in process improvement activates and share ideas for enhancing processes.
• With a focus on quality and timeliness, maintain ownership for assigned work queue.
• Meet all service standards to ensure client satisfaction.
• Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account mgmt.
• Resolve issues and provide escalation as needed.
• Participate in process improvement conversations and implementation.
• Provide support for year end and 1 / 1 readiness activities outside of normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Qualifications

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 50,700 - 84,500 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.

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.

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.