Network Operations Lead Analyst - Express Scripts - Remote

Cigna - St. Louis, MO

Full-time

Hybrid - St. Louis, MO

Insurance Carriers and Related Activities

About the position

The Network Operations Lead Analyst will drive business results for the team by collaborating with both internal and external partners to support network setup activities for providers. As a Network Operations Lead Analyst, you will be responsible for outlining small projects, network requirements, deliverables, milestones, timelines, decisions, status updates, and the overall success of their assignments, from beginning to end. The Network Operations Lead Analyst is responsible for ensuring the project is delivered timely, within scope. Additionally, the Network Operations Lead Analyst will implement day-to-day retail changes and maintain production, work quality, and performance metrics. Lastly, the Network Operations Lead Analyst is responsible for identifying improvement opportunities, supporting organizational values, and implementing waste reduction process improvements. In this role, you will engage in the day-to-day implementation of network and provider configurations, ensuring that Quality Control standards are met. You will successfully analyze and implement provider, contract, and client requirements with a strong focus on operationalizing and maintaining solutions with system functionality. Supporting business direction and project management for small, strategic, and tactical network or contract-related projects and implementations will be a key part of your responsibilities. You will gather and analyze data, document business requirements, track action items, test validation, and provide status reports for projects. Your ability to analyze situations, triage issues into options, and drive appropriate conclusions will be essential. You will define the scope of small projects/implementations, including deliverables, milestones, and timelines, while managing workload for multiple competing priorities. Additionally, you will seek training or mentoring opportunities to reinforce specific concepts and processes regarding client and provider implementations. Working with individuals on personal development will be crucial, as you will recognize process improvement opportunities, implement project deliverables, and improve upon logical thinking skills. You will also develop and maintain training materials, reference guides, work instructions, and/or policies and procedures to ensure successful knowledge transfer and mastery of concepts and processes. Representing Retail Network Operations, you will serve as a subject-matter expert (SME) internally and externally, as needed, for small projects, specific processes, issue resolution, and status updates on requests. Finally, you will provide high-level project and/or process presentations, reports, and timelines to share with various interested parties.

Responsibilities

• Implement day-to-day network and provider configurations while ensuring Quality Control standards are met.
• Analyze and implement provider, contract, and client requirements with a focus on operationalizing solutions.
• Support business direction and project management for small, strategic, and tactical network or contract-related projects.
• Gather and analyze data, document business requirements, track action items, test validation, and provide status reports for projects.
• Analyze situations, triage issues, and drive appropriate conclusions.
• Define the scope of small projects/implementations, including deliverables, milestones, and timelines.
• Manage workload for multiple competing priorities and provide timely solutions.
• Seek training or mentoring opportunities to reinforce specific concepts and processes.
• Develop and maintain training materials, reference guides, work instructions, and policies and procedures.
• Represent Retail Network Operations as a subject-matter expert (SME) for small projects and processes.
• Provide high-level project and/or process presentations, reports, and timelines.

Requirements

• Bachelor's in Business Administration, Project Management, or Health Care Management with 2 - 4 years relative work experience OR 6 - 8 years PBM/Healthcare experience without Degree.
• 1+ year Project Management experience preferred.
• Intermediate to Advanced skills with Microsoft Excel, Word, SharePoint, and Outlook required.
• 1-2 years experience with ESI/Cigna systems preferred.
• Training and/or presentation experience preferred.
• Ability to create work plans and/or work forecasting tools.
• Experience in process development, process documentation, and support preferred.
• Ability to adapt in a dynamic work environment and motivate teams positively.
• Excellent interpersonal skills with the ability to work cross-functionally.
• Excellent written/oral communication and organizational skills.
• Customer Service focus and detail-oriented with strong analytical and problem-solving skills.
• Ability to manage multiple projects and prioritize work.

Nice-to-haves

• Experience in process development and documentation.
• Training and/or presentation experience preferred.