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Network Operations Lead Analyst

3 months ago

St Louis, Missouri, United States The Cigna Group Full time
The job profile for this position is Network Operations Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

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.

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

  • 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.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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.