Eligibility Sr. Manager - Accredo - Remote

Cigna Healthcare

1d • Remote

About The Position

The Senior Manager of Primary Patient Access is a strategic leader responsible for driving compliant, efficient, and high‑quality patient access operations. This role partners closely with the Director to shape policies, procedures, and the operational work plan while overseeing day‑to‑day performance, service standards, and continuous improvement initiatives. You’ll serve as a trusted advisor on audit, quality, and operational risk matters while leading change that strengthens outcomes for patients, providers, and partners. What you’ll do to make a difference: Provide strategic leadership and oversight for Primary Patient Access operations, ensuring alignment with business goals and regulatory standards Own enterprise audit readiness and execution, including complex audits and regulatory inquiries Lead research, root‑cause analysis, and issue resolution for complex operational challenges Drive department‑wide change management initiatives, including process improvements and technology adoption Partner with the Director to develop and implement policies, procedures, and operational work plans Manage daily work volumes and service standards to ensure operational excellence Collaborate cross-functionally with Finance, Clinical Operations, IT, Compliance, and external partners to resolve issues and optimize workflows Serve as a subject-matter expert and thought leader for Quality Review and Audit initiatives Provide counsel to senior leadership on quality, audit findings, operational risks, and mitigation strategies Develop and maintain dashboards, KPIs, and reporting to support data-driven decision-making Recruit, coach, and mentor team members, fostering accountability, engagement, and professional growth Lead and support special projects and enterprise initiatives as needed What you’ll need to succeed: High school diploma or GED required, bachelor’s degree preferred 5+ years of relevant experience required Experience in the healthcare or PBM (Pharmacy Benefits Management) industry preferred Strong background in quality, audit, compliance, and operational efficiency Proven ability to manage competing priorities and meet multiple deadlines Excellent written and verbal communication skills, including executive‑level presentations Demonstrated ability to motivate teams, manage employee relations, and build a high‑engagement culture Strong analytical, problem‑solving, and change‑management capabilities Candidates who reside within 50 miles of the following office locations will be designated as hybrid: Orlando, FL, Temple, AZ, Whitestown, IN, Memphis, TN, St. Louis, MO. 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. For this position, we anticipate offering an annual salary of 98,500 - 164,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, 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), 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, click here. 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: [email protected] for support. Do not email [email protected] 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Requirements

• High school diploma or GED required, bachelor’s degree preferred
• 5+ years of relevant experience required
• Strong background in quality, audit, compliance, and operational efficiency
• Proven ability to manage competing priorities and meet multiple deadlines
• Excellent written and verbal communication skills, including executive‑level presentations
• Demonstrated ability to motivate teams, manage employee relations, and build a high‑engagement culture
• Strong analytical, problem‑solving, and change‑management capabilities
• internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

Nice To Haves

• Experience in the healthcare or PBM (Pharmacy Benefits Management) industry preferred

Responsibilities

• Provide strategic leadership and oversight for Primary Patient Access operations, ensuring alignment with business goals and regulatory standards
• Own enterprise audit readiness and execution, including complex audits and regulatory inquiries
• Lead research, root‑cause analysis, and issue resolution for complex operational challenges
• Drive department‑wide change management initiatives, including process improvements and technology adoption
• Partner with the Director to develop and implement policies, procedures, and operational work plans
• Manage daily work volumes and service standards to ensure operational excellence
• Collaborate cross-functionally with Finance, Clinical Operations, IT, Compliance, and external partners to resolve issues and optimize workflows
• Serve as a subject-matter expert and thought leader for Quality Review and Audit initiatives
• Provide counsel to senior leadership on quality, audit findings, operational risks, and mitigation strategies
• Develop and maintain dashboards, KPIs, and reporting to support data-driven decision-making
• Recruit, coach, and mentor team members, fostering accountability, engagement, and professional growth
• Lead and support special projects and enterprise initiatives as needed

Benefits

• health-related benefits including medical, vision, dental, and 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 and paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED