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Financial Analysis Advisor - Express Scripts - Hybrid image - Rise Careers
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Financial Analysis Advisor - Express Scripts - Hybrid - job 1 of 2

The job profile for this position is Financial Analysis Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!Our people make all the difference in our success.Position SummaryThis Financial Analysis Advisor position will provide support to the Centene account.Specifically, the responsibilities of the role will include:• Provides advanced professional input on DOI complaints with Centene client focus.• Reviews and provides determination of pharmacy appeals.• Communicates externally to pharmacies and clients, providing professional responses to inquires and appeals.• Responsible for conducting moderate to complex compliance analysis, projects and/or reporting.• Assist in development and QA of reports and recommend improvements in compliance reporting systems.• May conduct audits to ensure data controls are maintained.• May design, enhance and maintain system applications for processing and reporting compliance informationEssential Functions• Extract, analyze, validate, and communicate intelligence from large sets of data• Supports and develops compliance monitoring• Develop new analytic resources and views of data from in-depth analysis and understanding• Assist with internal and external audit request• Develop, help maintain, and troubleshoot complex internal MS Excel spreadsheets, SQL coding and R coding scripts• Assists with Ad-Hoc requests• Reviews and replies to pharmacy appeals, DOI requests and pharmacy emailsQualifications• Bachelor's Degree in Finance, Accounting or related field preferred, MBA a plus.• At least 4 years in a finance, accounting or highly analytical position• Experience in healthcare / insurance industry preferred• Technical knowledge of relational database concepts, querying, data warehouses and decision support tools, including but not limited to: SQL, Excel, and R• Ability to utilize independent judgment and discretion, identify variances, and recommend solutions• Experience in a highly regulated business environment• Ability to communicate results of analytics to a multitude of individuals/groups• Strong analytical and problem-solving skills• A self-motivated team player who thrives on challenges, is comfortable working in a fast-paced, dynamic environment, and is ready for development within our Company• Innovative and strong desire to learnIf 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.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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
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$30

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Cigna Healthcare is a world renowned, American multinational company dedicated to improving health and wellness. They are based in Bloomfield, Connecticut and offers Medicare and Medicaid products and health, life and accident insurance coverages.

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Full-time, hybrid
DATE POSTED
September 17, 2024

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