Job Description

POSITION SUMMARY

Responsible for the delivery of specific delegated tasks by a Financial Operations Supervisor; completes day-to-day financial operations tasks without immediate supervision, but has ready access to advice from more experienced team members. Creates reports in accordance with any applicable laws and regulations. May gather results and prepare reporting for distribution to clients. May assist in business processing, service levels and reporting. Responsible for processing business transaction including the identification of system issues, enhancements and required testing of financial system. Task involves a degree of forward planning and anticipation of needs/issues; resolves non-routine issues escalated from more junior team members.

ESSENTIAL FUNCTIONS

Ensures all Regulated Market adjustments are reviewed and processed within CMS guidelines to ensure CMS and Contractual Guidelines in terms of turnaround times are met. This includes a financial analysis review of adjustment extract criteria, review of the impact report results, and financial reconciliation of adjustment processing to the closure of the adjustment request.

Responsible for the delivery of specific delegated tasks by a Financial Operations Manager; Completes day-to-day financial operations tasks independently.

Creates reports in accordance with any applicable laws and regulations as well as in accordance with financial auditing controls.

May gather results and prepare reporting for distribution to clients/internal teams. Must have knowledge of excel tools to create pivot reports and filters for required financial analysis.

May assist with Triage, High dollar Reviews, and Daily File Uploads, as needed.

Ensures all adjustments are accrued in the system timely and properly for direct assignments.

Resolves non-routine issues escalated from internal cross-functional partners and communicates directly with the requestors of adjustments, including client service delivery, product and account management.

COMPETENCIES

Ability to multi task and be creative.

Collaborates & Problem Solves.

Resourcefulness and strong communication skills.

Strong Excel skills.

QUALIFICATIONS

Bachelor\'s degree in Finance, Accounting, or other related field.

1+ years of extensive experience in Finance, Claims adjudication, or project management.

Superior 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.

ABOUT THE DEPARTMENT

If your niche is in financial reporting and analysis, underwriting, cash management, audit, or investor relations, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure our spending stays on track, and that we remain a profitable industry leader. We\xe2\x80\x99re always on the lookout for innovative people who think outside the box to join our team.

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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we\xe2\x80\x99re 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.

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.

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.

Cigna