This is a HYBRID role which requires on-site presence in St. Louis, MO
POSITION SUMMARY
This position is responsible for interpreting client contracts to identify and record Pharmacy Management Fund contractual allowances and process/record reimbursements against those allowances. This position maintains overall responsibility for monthly, quarterly, and annual reporting and reconciliation of allowances and related activity, including gathering proper data and documentation. This position requires regular communication and partnering with cross functional areas including Client Pricing, Account Teams, Accounting, Accounts Payable and Billing, among others. The ability to communicate requests, results and issues effectively with team members, management and cross functional areas while meeting deadlines is essential. The successful candidate will also proactively contribute to driving and developing best practices across the Financial Client Operations team.
This position supports over 3,000 active clients in the establishment of, and reimbursement against, Pharmacy Management Funds by ensuring client balances are correctly calculated and recorded, policy requirements for reimbursement are met, and payments are properly processed and recorded.
ESSENTIAL FUNCTIONS
Works independently or under minimal supervision, through established procedures, to ensure appropriate processing, recording and analysis of the Pharmacy Management Fund.
Identifies and recommends resolution for issues identified during the reconciliation and analysis process and on-going process improvements.
Possesses excellent communication skills and ability to work cross-functionally with business partners at all levels.
QUALIFICATIONS
Bachelor’s Degree in Accounting/Business/Finance or related field.
1+ years relevant experience.
Related work experience in PBM, Pharmaceutical, or Healthcare industry preferred.
Excellent PC skills including Microsoft Office (Excel and Access).
Experience with PostgreSQL, SQL Servers, Excel VBA and accounting systems helpful.
Strong analytical, planning and problem solving skills required.
Demonstrated personal initiative and commitment to quality.
Ability to work under pressure, while meeting performance goals under tight deadlines.
Ability to work independently as well as plan for and integrate multiple tasks concurrently.
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.
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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.
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.
#J-18808-Ljbffr
