Authorization Coordinator - Evernorth - Remote

The Cigna Group
$62,600 - $104,300Remote

About The Position

The Operations Lead Analyst is a critical position supporting prior authorization processes within the Cigna Benefit and Clinical Operations organization. This position is responsible for handling daily operational issue resolution, special projects, and administrative operational support. Position requires account and operational knowledge to identify root cause, resolve issues, identify trends, and ensure client satisfaction.

Requirements

  • High School Diploma or GED required, Bachelor’s Degree preferred.
  • 2+ years of work experience of PBM and healthcare implementation operations.
  • Strong analytical and problem-solving skills.
  • Excellent communication (oral and written) and presentation skills.
  • Demonstrated ability to adapt to a dynamic work environment and make decisions with minimal supervision.
  • Experience managing workflows, coordinating projects, or resolving operational issues.
  • Ability to manage timelines and deadlines.
  • Detail-oriented, ability to multitask in a fast-paced environment.
  • Ability to work collaboratively with other departments to resolve issues with innovative solutions.
  • 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.

Responsibilities

  • Handle routine work stream assignments, including but not limited to member and file research, assisting with file processing, and providing advisory support.
  • Provide business support to clients and account management to ensure satisfaction.
  • May facilitate activities with other areas to oversee the delivery of client needs.
  • Participate in process improvement activities and share ideas to enhance processes.
  • With a focus on quality and timeliness, maintain ownership of the assigned work queue.
  • Meet all service standards to ensure client satisfaction.
  • Participate in process improvement conversations and implementation.
  • Provide support for year-end and 1/1 readiness activities outside the normal schedule.
  • Participate in team meetings as required.
  • Maintain performance metrics as required.

Benefits

  • medical
  • vision
  • dental
  • well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays
  • leaves of absence
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