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Lead Analyst, Enterprise Print & Distribution
The Cigna Group. Lead and manage resolution of complex issues involving multiple clients and customers reported to the Pharmacy Reliability team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Pharmacy Benefit Management, with strong analytical and financial acumen to assess complex client issues and impacts. Proficient in issue management and communication, ensuring effective collaboration across multiple stakeholders and organizational areas.
Highest-signal resume keywords
Pharmacy Benefit Management ExperienceFinancial AcumenAnalytical SkillsMS Excel ProficiencyIssue Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pharmacy Operations KnowledgeClaim Processing KnowledgeProblem-Solving MethodologiesData AnalysisImpact Calculation
Soft Skills
Decision-Making SkillsCritical ThinkingNegotiating SkillsOrganizational SkillsDetail-Oriented
Tools & Technologies
EProBPLCITSharePoint
Industry Keywords
Pharmacy Benefit ManagementClient Service IssuesFinancial RemediationStakeholder CommunicationProcess Improvement
About the role
Key responsibilities & impact- Lead and manage resolution of complex issues involving multiple clients and customers reported to the Pharmacy Reliability team
- Triage, research, and resolve single-member issues requiring escalation support from business partners
- Assess complex client issues using Pharmacy benefit design knowledge, including cost, contractual, and legal implications
- Summarize issues and impacts, identify stakeholders, and communicate results
- Partner with Customer Service, Claims, Client Implementation & Service, and PBM vendors to ensure timely and accurate reimbursement
- Identify barriers and escalate issues to engage appropriate business units and stakeholders
- Improve processes, products, and services using best practices
- Identify root causes and determine preventive measures for Client Service Issues
- Develop partnerships across Pharmacy Operations and coordinate efforts to achieve goals
- Calculate impacts to clients, customers, and pharmacies using internal and external claims reports
- Submit impact documentation to matrix partners for financial remediation
- Maintain and update issue-tracking tickets in SharePoint
- Manage and coordinate remediation funding, including DMRs, P&L, and E&O
- Provide executive-level communications for escalated issues
- Analyze complex inquiries and determine the appropriate technical area or vendor for resolution
Requirements
What you’ll need- High School Degree or GED required
- Bachelor’s degree preferred
- 3+ years’ relevant experience in a Pharmacy Benefit Management (PBM) related role required
- Working knowledge of internal Cigna systems, including ePro, BPL, and CIT preferred
- Expert level understanding of Pharmacy operations
- Financial acumen and claim processing knowledge required
- Strong analytical skills to assess and understand financial impacts
- Strong decision-making skills
- Ability to facilitate issue/impact analysis discussions and explain complex topics simply
- Proficient technical skills with MS Excel, including formulas and pivots
- Strong critical thinking, resolving, and negotiating skills
- Experience applying logical problem-solving methodologies such as Six Sigma or Total Quality
- Ability to navigate ambiguous scenarios involving multiple organizational areas
- Demonstrated issue management and organizational skills
- Ability to plan for both long- and short-term priorities
- Detail-oriented ability to prioritize multiple tasks and adjust work to meet service standards
- Ability to work independently with little supervision
- For home working, cable broadband or fiber optic internet service with at least 10 Mbps download and 5 Mbps upload required
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work arrangement