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Lead Analyst
3 weeks ago
Cigna Health and Life Insurance Company St. Louis, United StatesLead Analyst - Regulated Markets Issue Management - Express Scripts - Hybrid page is loaded · Lead Analyst - Regulated Markets Issue Management - Express Scripts - Hybrid · Apply · remote type · Hybrid · locations · MO, St. Louis, One Express Way · TN, Franklin, 730 Cool S ...
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Lead Analyst
1 week ago
The Cigna Group St Louis, United StatesSummary · Partners with the Senior Manager to establish strategies to manage issue management pipeline impacting Regulated Markets. Interfaces with multiple departments (e.g., Product, Account Team, Compliance, etc.) to develop relationships to resolve issues involving regulator ...
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Lead Business Analyst
12 hours ago
Iterum St. Louis, United States Full timeResponsibilities: · Drive company-wide excellence by working with business stakeholders to analyze operations and recommend solutions that align business functions with organizational goals · Improve existing operations by recommending solutions for general business processes and ...
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Lead Programmer Analyst
1 week ago
Chameleon Integrated Services Saint Louis, United StatesJob Description · Job Description We are a growing information technology company that offers its employees a culture of success, diversity in the workplace and the ability to work with leading edge technology that is revolutionizing federal IT infrastructure. We are seeking for ...
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Lead Finance Analyst, 2023
3 weeks ago
Saint Louis Public Schools St. Louis, United States Full timeJob Description · Position Title: Lead Finance Analyst · Payroll/Personnel Type: 12 Month · Job #: 8987 · Reports to : Manager, Budget and Grants · Shift Length: 8 Hour Day · Union Eligibility: Not Eligible · Position Summary: · The Lead Financial Analyst performs assigne ...
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Lead Analyst
2 weeks ago
Cigna Saint Louis, United StatesJob Description · Summary · Partners with the Senior Manager to establish strategies to manage issue management pipeline impacting Regulated Markets. Interfaces with multiple departments (e.g., Product, Account Team, Compliance, etc.) to develop relationships to resolve issues in ...
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Proposal Support Lead Analyst
4 weeks ago
The Cigna Group St Louis, United StatesJob Summary · The Proposal Support Lead Analyst is responsible for managing the proposal development process for less complex, custom bids, from receipt of the RFP through proposal submission. This individual will have specialized knowledge of their primary business segment, with ...
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Lead Analyst
3 weeks ago
The Cigna Group St. Louis, United States OTHERThe job profile for this position is Product Management 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 recru ...
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Lead Incentive Compensation Analyst
3 weeks ago
Core and Main St Louis, United StatesCompany Overview: · About Core & Main · Based in St. Louis, Core & Main is a leading distributor of water, sewer, storm drain and fire protection products in the United States. Operating approximately 320 branches nationwide, the company combines local expertise with a national ...
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Lead Conflicts Analyst
1 week ago
Husch Blackwell St Louis, United StatesHusch Blackwell LLPis a full-service litigation and business law firm with multiple locations across the United States, serving clients with domestic and international operations. · At Husch Blackwell we believe that diverse, equitable and inclusive teams lead to better outcomes ...
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Operations Lead Analyst
3 weeks ago
Hire Talent St Louis, United StatesProvides advanced professional input to complex Operations Management / Finance Operations assignments/projects. Supports and provides direction to more junior professionals. Works autonomously, only requiring expert level technical support from others. Exercises judgment in the ...
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Product Management Lead Analyst
2 weeks ago
Cigna Saint Louis, United StatesJob Description · Product Management Lead Analyst – Centene Operations Management · This is a hybrid role and will require the ability to work in person. · The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role ...
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The Cigna Group Saint Louis, United States OTHER**Pharma Rebate Analytics Lead Analyst supporting the BDRO-Benefit Driven Rebate Optimization team** · **OVERVIEW** · This position may be responsible for review and interpretation of current clinical rules impacting rebate eligible drugs. Review and interpret client benefit stru ...
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Lead Incentive Compensation Analyst
1 week ago
The Ladders St Louis, United StatesJob Summary · Responsible for the accounting and administration of company incentive compensation programs, which involves gathering disparate data from various data sources, analyzing and normalizing to ensure data integrity for analysis. Provide consistent, relevant, and accur ...
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Lead Health Equity Analyst
3 weeks ago
Ascension St Louis, United StatesDetails · Department: Ascension Data Science Institute · Schedule: Full-time, 8 hour day shift, Monday - Friday · Location: Remote · Benefits · Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer match plans · L ...
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Lead Incentive Compensation Analyst
3 weeks ago
Core & Main St Louis, United StatesJob Description · Job Summary · Responsible for the accounting and administration of company incentive compensation programs, which involves gathering disparate data from various data sources, analyzing and normalizing to ensure data integrity for analysis. Provide consistent, r ...
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Quality Control Analyst Team Lead
3 weeks ago
Elemental Enzymes Inc St Louis, United StatesJob Description · Job Description Salary: · Quality Control Analyst Team Lead · Responsibilities: · Lead QC team in the laboratory for routine questions and direction with support and direction of QC Manager · Oversee and schedule analytical tests, enzyme quantification assays, ...
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Identity Governance Management Lead Analyst
1 month ago
The Cigna Group St. Louis, United States OTHERThe job profile for this position is Information Protection 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 r ...
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Evernorth Sales Strategy Lead Analyst
1 month ago
The Cigna Group St. Louis, United States OTHERThe job profile for this position is Sales Effectiveness 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 recr ...
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The Cigna Group St Louis, United StatesPOSITION SUMMARY · Responsible for managing all aspects of pharmacy contractual guarantees. Analyst will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees. · Responsible for coordinating, co ...
Quality Review and Audit Lead Analyst - St Louis, United States - Hire Talent
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Description
Service Reliability:
Quality Review and Audit Lead Analyst - PBM (High Band 3)
POSITION SUMMARY
The Quality Review and Audit Lead Analyst is responsible for facilitating the analysis, research, and risk assessment of claims/system processing issues.
The lead analyst will use an in depth understanding of technical principles, theories, and concepts in the field of quality to perform a thorough root cause and corrective action analysis.
In addition to supporting tickets for root cause analysis, the lead analyst will be engaged in strategic initiatives to drive continuous improvement in the process to support our enterprise business.
Required Qualifications3-5 years experience in Root Cause and Corrective/Preventive Action
Excellent verbal and written business communication skills
Knowledge including Microsoft Office; Outlook, Word, Excel, PowerPoint and SharePoint
Knowledge of Client platforms preferred: Service Now, RSAM, Polaris
Adapt to a dynamic work environment, learn quickly, solve problems and make decisions with minimal oversight
Demonstrate initiative, commitment, and ability to work under pressure and meet tight deadlines
Demonstrated ability to work collaboratively with other departments to resolve complex issues with strategic & innovative solutions
Preferred Qualifications
BA/BS degree
Healthcare acumen
Corrective Action/Preventive Action Management
Responsibilities
Review, analyze, and appropriately disposition tickets for RC/CA Analysis
Collaborate with Business Partners to ensure correct root cause is established and a solid corrective action/preventive action is in place
Utilize system platform to manage tickets and accurately capture/categorize all necessary trend information
Review submitted data for quality and accuracy
Support projects and initiatives which drive department strategy
Assist in training, documentation, and other duties required to sustain and improve process performance
Partner with Service Operations & PBM Customer Services to execute on action plan deliverables
Share and communicate pertinent information with internal partners