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Product Management Lead Analyst – Centene Operations Management
The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.
The Regulated Markets Centene Operations Management team is responsible for ensuring the execution of key operations accountabilities associated with all regulated lines of business including Medicare, Medicaid, and Marketplace (Exchange / Health Care Reform). The team supports Pharmacy Benefit Management (PBM) delegated responsibilities associated with regulatory audit support, issue management, adjustment processing, Prescription Drug Event (PDE)/encounters reporting and regulatory communications.
The Lead Analyst will support analytics of operational data, specific to claims processing, adjustments, and PDE/Encounters for the client. The role will also support initiatives to ensure member/client satisfaction, alignment with client contractual support and client retention. When necessary the analyst will also provide functional SME support to client facing discussions.
Key Responsibilities:
Ideal Candidates will offer:
Other Essential Skills:
This is a hybrid role and will require the ability to work in person.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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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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