CASY-MSCCN Jobs

POSITION SUMMARY

The Clinical Analyst assists and supports Sales and Account Management with the delivery of clinical products and services to Commercial clients. Under general supervision, performs the primary functions of clinical data analysis, clinical modeling, trend evaluation, and participation in project management. This position develops skill sets necessary for clinical strategy planning, development, consultation, presentation, implementation, and ongoing management of clinical programs and services.

ESSENTIAL FUNCTIONS

• Analyze clinical data to identify trends, patterns, and anomalies

• Utilize advanced Excel functions and macros to manipulate and analyze large datasets

• Develop and maintain custom reports and dashboards to support clinical operations

• Creation of Standard and Custom Clinical Addendums

• Prepare Clinical Modeling to assist with New Solution Sales Upsells

• Manage Prior Authorization Cycle Loads

• Perform monthly Clinical Addendum updates

• Works with clinical program management operations and product teams to implement clinical products and services

• Supports Ad-hoc Clinical projects

QUALIFICATIONS

• Bachelor’s degree in related field or 3 - 8 years of experience.

• Proficiency in Microsoft Excel

• Detail oriented with strong time management and organizational skills

• Excellent verbal and written communication skills

• Ability to adapt in a dynamic work environment

• Learns quickly, solve problems and make decisions

• Knowledge of healthcare is preferred

• Able to work under pressure and meet tight deadlines

ABOUT THE DEPARTMENT

As a member of the Sales and Account Management team, you’re the face of Express Scripts for our clients. Your team is responsible for relationship building, winning new business and retaining clients. You’ll educate clients on how our benefit offerings can help them achieve their business goals and make recommendations on products and services to best serve their members.

This position is not eligible to be performed in Colorado.

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.

If 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.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

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.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.