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Financial Operation Analyst
3 months ago
POSITION SUMMARY
This position will be responsible for interpreting client contracts to identify and set up Pharmacy Management Funds. In addition, this position will assist in reconciliation, reporting, and processing reimbursement requests, which includes gathering proper documentation and preparing payment files for accounts payable processing. The position requires regular communication with cross-functional areas in order to meet deadlines, including Client Pricing, Account Teams, IT, Audit, etc. The ability to communicate requests, results, and issues effectively with team members, management and cross-functional areas is essential. The successful candidate will also be expected to proactively contribute to driving and developing best practices across the Financial Client Operations team.
SCOPE OF JOB
Position will support over 3,000 active clients, establishing their Pharmacy Management Funds, gathering and analyzing documentation to ensure requirements for reimbursement are met, tracking client's balances, and preparing payment files.
ESSENTIAL FUNCTIONS
- Works under minimal supervision, through established procedures, to ensure appropriate assessment of the Pharmacy Management Fund.
- Recommends resolution of identified issues during assessment as well as efficient process improvements.
- Work cross-functionally with business partners to research and analyze the Pharmacy Management Fund.
QUALIFICATIONS
- Bachelor's Degree in Accounting/Business/Finance or related field.
- 1+ years of relevant experience.
- Related work experience in PBM, Pharmaceutical, or Healthcare industry preferred.
- Excellent PC skills including Microsoft Office (Excel and Access).
- Experience with PostgreSQL, SQL Servers, Excel VBA and accounting systems helpful.
- Strong analytical, planning, problem identification and resolution skills required.
- Effective communication with internal and external individuals in various functional areas and at all levels of management.
- Demonstrate initiative with commitment and ability to work under pressure, with high quality and meet tight deadlines.
- Proven ability to plan for, and integrate, multiple tasks concurrently, as well as work independently.
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: 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.