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Role Description

The Business Project Senior Analyst works with the Plan Automation team to assist with the review of various Plan Automation inventory types; internal/external remediation projects, automation enhancement testing, etc. You will help provide process-oriented support based on inquiries from the front-line analysts and/or leads, provide root cause analysis for claim reviews, Problem Resolution Form (PRF) resolutions and high-profile account service issues.

• Serve as the lead on Proclaim Plan Automation remediation projects and system reviews.
• Support the area RMG with managing TAT on quality inspections by assisting with escalated error correction requests.
• Assist in the development of frontline analysts through effective coaching feedback and reporting analytics.
• Collaborate with management teams on process improvement initiatives.
• Effectively communicate with and influence business partners and systems personnel regarding cross-functional process enhancements.
• Foster and maintain a collaborative relationship with all matrix partners to ensure internal and external customer satisfaction and overall enterprise profitability.

Qualifications

• High school diploma or GED; Bachelor’s degree preferred.
• 2+ years of Proclaim Plan Automation experience preferred.
• Proficient knowledge of Plan Specs, ePro, Leg tool, Proclaim Claim System required.
• Experience with Client Operations inventory management.
• Experience working with mid-level and senior management required.
• Excellent communication (oral and written), listening, and organization skills.
• Ability to work independently and meet target completion dates.
• Proficient MS Office product knowledge required, MS Word, OneNote, PowerPoint; advanced proficiency with MS Excel preferred.
• Drive for results in a fast-paced environment.
• Ability to develop solid working relationships and establish a high level of credibility across functions, geographies, and lines of business required.

Requirements

• 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.

Benefits

• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) plan.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.
• Eligible to participate in an annual bonus plan.

Company Description

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.