Financial Operations Lead Analyst - Evernorth - HYBRID

Hybrid Invoicing Analyst

The Analyst will own the operational invoicing and reconciliation activities for the IRA MTF program. The Analyst should develop an in-depth knowledge of the program and serve as the primary point of contact regarding Pharmacy reimbursement invoicing to CMS.

Essential Functions :

• Support the end-to-end IRA MTF invoicing process : setup, invoicing, payment application, variance resolution
• Perform a validation review to confirm setup changes were implemented accurately by other team members
• Apply a subject matter expert knowledge base under minimal supervision to ensure appropriate assessment and action steps taken to ensure successful outcome of identified variances
• Stay current on regulatory and industry changes related to IRA MTF, CMS guidelines, and pharmaceutical requirements
• Collaborate with internal teams to support current and future business initiative
• Manage day-to-day prioritization, workload distribution, and issue escalation
• Special projects and process improvements
• Ongoing review of policies and procedures
• Other duties as deemed essential by business to support current and future projects

Qualifications :

About The Cigna Group :

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.