Hybrid Senior Product Management Advisor, Claims Transactions and Adjustments

at The Cigna Group

• Job title: Senior Product Management Advisor, Claims Transactions and Adjustments
• Job type: Full Time
• Experience level: Senior
• Salary: $110,700 - $184,500 per year
• Degree requirement: Bachelor's Degree
• Tech skills: SQL
• Location requirements: Hybrid, St Louis, United States

About the role

• Product Management Senior Advisor responsible for Claim and Adjustment data management at Cigna. Educating clients and supporting stakeholders as a subject matter expert in data processes.

Responsibilities

• Support Claim and Adjustment data provided to clients
• Educate clients on methods of delivery and best practices
• Serve as the Regulated Markets business owner for Claim and Adjustment data
• Meet with account teams and clients to educate on data claims
• Understand project changes and their impact on data
• Gather business requirements and define alignment on functional requirements
• Analyze trends and data to develop recommendations
• Ensure policies and procedures are documented and followed
• Research and resolve issues using system tools
• Support other team initiatives as needed
• Exhibit problem solving capabilities in complex environments
• Communicate information about expertise to clients

Requirements

• College degree or equivalent experience preferred
• 5 or more years work experience, preferably in business analysis
• Regulated Markets experience preferred
• Familiarity with pharmacy adjudication and other PBM operations
• Proficient in collecting and analyzing large data sets
• Strong strategic, analytical, problem solving, and project management skills required
• High attention to detail and proven ability to manage multiple, competing priorities simultaneously
• Internal and External Customer focused in all activities
• Excels working cross functionally, at all levels of the organization to own, drive, manage and continuously improve the processes
• Knowledge of PBM/healthcare industry or specialized business area
• Ability to execute tactics under a strategic vision
• SQL skills are highly desirable

Benefits

• Health insurance
• Vision insurance
• Dental insurance
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays