- Interface with clients to define technical requirements for client implementations and provide overall support for all client technical requirements.
- Onboard clients' transactional data files to facilitate on-going claims adjudication and continuation of care.
- Manage new clients' file and disruption analyses and reporting to facilitate clients' decisions around member communications and plan/clinical edit overrides.
- Support reporting needs for Pharmacy Implementation Managers
- Provide leadership using in-depth knowledge of platforms and experience in health care to translate custom business needs into project/systems specifications.
- Fully support all aspects of new client system implementations from initial analysis, requirements definition and design through data transfers and file loads to certification, testing, and post-implementation support
- Ensure client retention through supporting the client relationships and effectively managing customer issues.
- Obtain a positive Cigna client reference for all clients implemented on the success of the implementation deliverable.
- Support Cigna Sales strategies by becoming a trusted advisor and providing consultative services regarding operations to Sales and Pharmacy Benefits Advisory Board teams.
- Create technical solutions that support the Client Implementation team as they address client issues, risk points and customer requirements.
- Manage the gathering and interpretation of technical requirements into efficient executable artifacts and drive scalable solutions through the complete software development lifecycle.
- Partner with other stakeholders to streamline a corporate process for prioritizing and managing systems service and corrective action requests to improve first pass rate for systemic designs and implementations.
- Estimate technical process scope and costs, manage process execution, and coordinate quality assurance and ongoing service support.
- Establish economies of repetitive processes to achieve improved efficiencies and effectiveness of new client installations and support services for existing clients.
- Improve quality of new pharmacy client implementations by providing input for creating comprehensive technical implementation Standard Operating Procedures
- Create, facilitate, and report on all technical implementation metrics including, but not limited to effective date implementation, technical file load submission dates, client implementation survey scores, 100% referenceable clients, and reduction of implementation set-up Reliability tickets.
- Develop/design and pull data for dashboard and operational reporting to help answer business/client-specific questions and metrics.
- Adhere to Client Service & Operations organizational policies and procedures.
- Develop processes and streamline operations to ensure optimal productivity by team, as well as ensure client and customer centricity.
- Intermediate to advanced proficiency in Microsoft Office applications, especially Excel and Access, required.
- Intermediate to advanced data analysis and reporting skills managing data files required.
- Proficiency with SharePoint tools required.
- Ability to understand and map both standard and custom file layouts (e.g., External Claims History Load, Prior Authorization Load (PA), Open Refill File/Tape Load (ORT), Accumulators) required.
- Must be a good listener, fast learner and team player.
- Bachelor's degree or 4 years of relevant work experience required. MBA preferred.
- Pharmacy Benefit Management (PBM) or Healthcare implementation operations experience required.
- Demonstrated ability to make decisions in a production environment with the ability to gather/synthesize information quickly, assess options, and recommend/implement solutions.
- Experience within a high-volume production environment in measuring both productivity and quality are essential.
- Highly organized with demonstrated ability to manage multiple priorities and execute tasks with strict timelines. Demonstrated experience in planning, coordinating and tracking multi-functional activities.
- Excellent communication and interpersonal skills in order to work effectively with matrix business partners, clients and senior leaders, strong presentations skills to both clients and executive leadership.
- Demonstrated ability to work under pressure and take initiative while working autonomously.
- Ability to travel up to 25%
-
Advisor Support Consultant
3 weeks ago
The Hartford Wayne, United StatesSales Support Associate - 87PR7N · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our ...
-
Client Account Support Advisor
4 days ago
Cigna Bloomfield, United StatesJob Description · Please note: This hybrid role will require the incumbent candidate to come into a local Cigna office 3 full days per week. The incumbent candidate can be based out of the Bloomfield, CT, Bloomington, MN or Scottsdale, AZ office. · POSITION SUMMARY · The Client ...
-
Client Account Support Advisor
1 week ago
The Cigna Group Bloomfield, United States OTHERPlease note: This hybrid role will require the incumbent candidate to come into a local Cigna office 3 full days per week. The incumbent candidate can be based out of the Bloomfield, CT, Bloomington, MN or Scottsdale, AZ office. · POSITION SUMMARY · The Client Account Support Ad ...
-
Salesforce Sales Cloud Developer
3 weeks ago
CGI Group, Inc. Bloomfield, United StatesSalesforce Sales Cloud Developer · Position Description · The best version of us starts with You · This excellent opportunity can be performed in Bloomfield, CT (preferred), Raleigh, NC, Lafayette, LA, or Nashville, TN. · Your future duties and responsibilities · Design, develop, ...
-
Customer Advisor
3 weeks ago
Apex Ventures Bloomfield, United StatesAs a successful and modern insurance group, we offer our customers attractive products and comprehensive customer service. Our employees are our strength. Together and innovatively, we shape the future. With security. · To support our team at the Bloomfield Service Center in Augs ...
-
Proxy Solicitation Account Executive
4 days ago
Alliance Advisors Bloomfield, United StatesAlliance Advisors is inspired by hiring people to do their best work. We are looking for a talented individual to join our expanding Shareholder Advisory Group. This position seeks someone who sits at the intersection of the following areas: Corporate Proxy Solicitation & contest ...
-
Service Support Advisor
1 week ago
Rivian Plymouth, United StatesAbout Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting wh ...
-
Service Advisor
2 weeks ago
Driscoll Motor Co. Pontiac, United StatesDriscoll Motor Co., Inc. is looking for an experienced and customer-oriented Service Advisor to act as the liaison between our customers and our service technicians. · **Responsibilities**: · Greet customers promptly and warmly upon entering the service area. · Consult with mecha ...
-
Treasury Director
2 weeks ago
Carrier Farmington, United States**Country**: · United States of America · **Location**: · CACTO: Carrier-Home Connecticut Remote Location, Remote City, CT, 06034 USA · Excellent opportunity for highly motivated individual to assume the role of Associate Director of Treasury Operations and Cash Management within ...
-
Administrative Assistant
3 days ago
UHY LLP Farmington, United StatesPosition Summary: · **THE FOCUS IS YOU**: · Perform routine clerical and administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers. · **WHAT YOU WILL DO** · Regular ...
-
Instructional Designer and Developer
1 week ago
Raytheon Technologies Corporate Headquarters Farmington, United States**Date Posted**: · **Country**: · United States of America · **Location**: · UT6: 4 Farm Springs 4 Farm Springs Road, Farmington, CT, 06032 USA · **Position Role Type**: · Remote · RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for ...
-
Horizon Dynamics Wixom, United StatesJob Description · As an experienced educational specialist, you can further qualify yourself for practical instruction tasks. And you can do so with flexible time management, as our training combines computer-based learning and in-person events. · Description · Flexible time mana ...
-
Eclipse Solutions Waterford, United States**About Dr. Kleeberg & Partner GmbH WPG StBG: ** · We are a nationally and internationally active auditing and tax consulting company based in Munich. With more than 200 employees, we serve a wide range of large and medium-sized companies and institutions in the areas of tax cons ...
-
Customer Advisor
4 days ago
Stellar Enterprises Lake Angelus, MI, United States Freelance**Customer Advisor (m/f/d) in Lake Angelus, MI** · Various awards and certificates from renowned institutions, including Great Place to Work, Audit Beruf und Familie, and the German Quality Award, attest to our workplace and service quality. · **We are looking for you as a custom ...
-
Full Time Assistant Manager
4 days ago
Gamestop Inc. Waterford, United States Full timeSUMMARY · Under general supervision, the Assistant Store Leader supports the Store Leader in all facets of store operations, which includes providing and developing a solution selling culture through creating unique and complete selling solutions for every guest. The principal bu ...
-
Assistant Registrar Hv-ntp-31324
2 weeks ago
Hudson Valley Community College Troy, United StatesFounded in 1953, Hudson Valley Community College (HVCC) located in scenic Upstate NY is a multi-campus College with locations in Troy and Malta New York. HVCC offers more than 80 degree and certificate programs in three schools: Business and Liberal Arts; Health Sciences; and Sci ...
-
Customer Advisor in Sales
4 days ago
Stellar Enterprises Northville, MI, United States Freelance**Entry-level professional** helps you find the right start in your professional life or to reorient yourself and discover the perfect position in sales Take off · As a true customer advisor, you love being around people and providing them with tailored advice With the right empl ...
-
Service Advisor-koons Sterling Ford
2 weeks ago
Asbury Sterling, United StatesAbout Asbury · Koons Automotive Group is part of Asbury Automotive Group (NYSE: ABG) is a Fortune 500 company and one of the largest franchised automotive retailers in the United States. We are redefining the traditional dealership model through innovative technologies such as Cl ...
-
Board Certified Behavior Analyst
3 weeks ago
Shawn Ekwall MBA LLC Wayne, United StatesJob Summary: · I am seeking an individual highly skilled and established in the field of ABA, who is Board Certified (BCBA) and can work / supervise in New Jersey. This is a unique opportunity to join a start up ABA program, providing critical clinical guidance and program develo ...
-
Assistant Manager
3 weeks ago
GameStop Garden City, United StatesSUMMARY Under general supervision, the Assistant Store Leader supports the Store Leader in all facets of store operations, which includes providing and developing a solution selling culture through creating unique and complete selling solutions for every guest. The principal busi ...
Client Account Support Advisor - Bloomfield, United States - The Cigna Group
Description
The job profile for this position is Client Account Support Advisor, which is a Band 4 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.
Please note: This hybrid role will require the incumbent candidate to come into a local Cigna office 3 full days per week. The incumbent candidate can be based out of the Bloomfield, CT, Scottsdale, AZ, Glendale, CA, Denver, CO, Washington, DC, Sunrise, FL, Chicago, IL, Baltimore, MD, Bloomington, MN, Morris Plains, NJ, Morristown, NJ, Philadelpha, PA, Chattanooga, TN or Plano, TX office.
Role Summary:
Serve as a member of the Enterprise Operations team who successfully implements and services new and renewing pharmacy clients. The Member of the Enterprise Operations team is a client facing department within the Pharmacy Benefit and Clinical Services organization that will clarify client intent regarding technical business requirements, execute the client specific technical strategy, manage and execute client data file onboarding operations and file analyses, facilitate reporting and communications, gather specific client technical requirements, map client specific technical requirements in standard, as well as custom file layouts, and translate client specific technical requirements into Cigna operating systems.
This position will serve as the technical liaison between the client and Cigna Enterprise Operations and Pharmacy IT and be responsible for defining client technical requirements to bridge existing client and customer utilization history as part of the new client installation process. This person will be responsible for developing relationships with external clients and customers, as well as internal matrix partners, inside and outside of Cigna Enterprise Operations. Member of the Enterprise Operations will act as the central point of contact for client technical issues and resolution across all clients for all segments of business.
Responsibilities:
Client/Customer Centricity:
Operations:
Required Technical Skills:
Qualifications:
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. For more details on our employee benefits programs, visit Life at Cigna.
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.