Financial Analyst, Senior Analyst - Evernorth Health Services - Remote

Summary: The Financial Analysis Senior Analyst provides professional input to complex data sets and compliance assignments/projects. Utilizing independent judgment and discretion, the Financial Analysis Senior Analyst communicates externally to pharmacies and clients, providing professional responses to inquiries and appeals. As a Financial Analysis Senior Analyst, you will be responsible for conducting appeal reviews, department of insurance complaints, and external communications. In addition, you will assist with ad hoc automation testing. May conduct audits to ensure data controls are maintained. Works autonomously, only requiring minimal technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to communicate internally and externally, analyzes datasets, and meet strict deadlines. This role supports the Strategic Optimization Program.

Responsibilities:

• Review, analyze, and response to pharmacy pricing appeals
• Review and respond to department of insurance complaints
• Monitor external facing email, providing guidance and answering questions
• Communicate externally to pharmacies and state Departments of Insurance
• Assists with Ad-Hoc data outputs relating to claims, pharmacy appeals and DOI complaints

Qualifications:

• Bachelor's Degree in Finance, Accounting or related field preferred
• 1 + years in a finance, accounting or highly analytical position
• Experience in healthcare / insurance industry preferred
• Strong communication skills
• Experience in a highly regulated business environment
• Ability to communicate results of analytics to a multitude of individuals/groups
• Strong analytical and problem-solving skills
• A self-motivated team player who thrives on challenges, is comfortable working in a fast-paced, dynamic environment, and is ready for development within our Company
• Innovative and strong desire to learn. 

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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.