Financial Operations Analyst - Hybrid - Morris Plains, NJ

The Cigna Group•Parsippany-Troy Hills, NJ

5h•$24 - $40•Hybrid

About The Position

The Financial Operations Analyst works with the Senior Leadership to provide financial adjustment support to an assigned business unit (i.e., Account Management). Under general supervision, this individual plans, coordinates and implements financial and business processes to support and enhance the financial management of the assigned business group.

Requirements

Must be within driving distance to the Morris Plains, NJ office
Bachelor's degree in Finance, Accounting, Statistics, Business or other related field or equivalent work experience
Proficiency with Microsoft Word, Office, Excel, including experience with large data sets, pivot tables, VLookup, and macros
Excellent problem solving skills and attention to detail
Ability to communicate effectively internally and cross functionally on both technical and non-technical aspects of the business
Excellent judgment, communication, interpersonal and organizational abilities
Ability to be flexible, agile, and manage complex processes
Ability to handle analysis from issue identification to providing adjustment report
Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines
Strong analytical, independent decision making and time management skills
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

2+ years relevant experience in finance, claims adjudication, or project management preferred
Experience in Healthcare, Insurance, Pharmacy, or PBM industry highly preferred
Experience with Power BI and Tableau a plus

Responsibilities

Process mass adjustment requests from clients, account teams and/or functional areas.
Analyze and audit adjustment requests due to claims processing issues, conduct detailed audit of system set up to ensure accuracy of the client’s claims adjustment requests and ‘before and after’ analysis of the claims re-price files.
Prepare and produce an adjustment report to assigned business unit.
Extract claims based on the requirements provided by the assigned business unit.
Ensure requirements received in mass adjustment requests are accurate.
Follow up with assigned business unit (i.e., Account Management) as needed.
Participate and communicate in daily account management team conference calls/meetings to discuss adjustment requests and ensure issues are addressed in a timely manner.
Ensure all documentation is maintained for audit purposes.
Coordinate of all financial upload files on a daily basis.
Conducts special projects as assigned.