The Cigna Group

Financial Services

FinancialOperationsAnalyst

$70–95k ~AI est. Morris Plains, New Jersey, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Financial Operations Analyst at The Cigna Group. Skills: Financial operations, Claims processing. Process mass adjustment requests. Analyze adjustment requests”

Industry & Context.

Financial Services
Problems you'll solve

Problem solving; Analytical decision making

Eligibility Requirements

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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