The Cigna Group
Financial Services
FinancialOperationsAnalyst
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Financial Operations Analyst at The Cigna Group. Skills: Financial operations, Claims processing. Process mass adjustment requests. Analyze adjustment requests”
Industry & Context.
Problem solving; Analytical decision making
Driving distance to Morris Plains, NJ office
What They're Looking For.
Must Have
Bachelor's degree in Finance, Accounting, Statistics, Business or other related field or equivalent work experience, 1+ years relevant experience in finance, claims adjudication, or project management
Nice to Have
Experience in Healthcare, Insurance, Pharmacy, or PBM industry
What You'll Do.
Process mass adjustment requests
Analyze adjustment requests
Audit adjustment requests
Conduct detailed audit
Prepare adjustment report
Ensure requirements are accurate
Follow up with business unit
Participate in conference calls
Communicate in meetings
Maintain documentation for audit
Coordinate financial upload files
Conduct special projects
How You'll Work.
Team & Collaboration
Internal partners; Account management team; Cross functionally
Communication Scope
Communicate effectively; Internal communication; Cross functional communication
Process & Methodology
Project management
Full Job Description
**This is a hybrid role that requires on-site presence 3 days/week in the Morris Plains, NJ office.** **POSITION SUMMARY** The Financial Operations Analyst supports the processing and review of financial adjustments for an assigned business unit, such as Account Management. Working under general supervision, this individual assists with routine financial and business processes, helps ensure requests are completed accurately and on time, and collaborates with internal partners to support the day-to-day operations of the team. **ESSENTIAL FUNCTIONS** * Process mass adjustment requests from clients, account teams and/or functional areas. * Analyze and audit adjustment requests due to claims processing issues, conduct detailed audit of system set up to ensure accuracy of the client’s claims adjustment requests and ‘before and after’ analysis of the claims re-price files. * Prepare and produce an adjustment report to assigned business unit. * Extract claims based on the requirements provided by the assigned business unit. * Ensure requirements received in mass adjustment requests are accurate. * Follow up with assigned business unit (i.e., Account Management) as needed. * Participate and communicate in daily account management team conference calls/meetings to discuss adjustment requests and ensure issues are addressed in a timely manner. * Ensure all documentation is maintained for audit purposes. * Coordinate all financial upload files on a daily basis. * Conducts special projects as assigned. **QUALIFICATIONS** * Must be within driving distance to the Morris Plains, NJ office * Bachelor's degree in Finance, Accounting, Statistics, Business or other related field or equivalent work experience * 1+ years relevant experience in finance, claims adjudication, or project management preferred * Experience in Healthcare, Insurance, Pharmacy, or PBM industry highly preferred * Proficiency with Microsoft Word, Office, Excel, including experience with large data sets, pivot tabl
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