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The Regulatory Lead Analyst is primarily responsible for providing high quality support needed to intake and triage regulations that enable our partners to respond and implement state commercial regulations impacting several plan types: Commercial, Health Insurance Marketplace and EGWP. Success in this role would be dependent on providing timely regulatory assessments across the PBM and managing day to day regulatory processes.
Job Responsibilities
Intake, review and triage state commercial regulations to appropriate internal partners for the business /product to solution.
Provide collaboration opportunities with internal partners and cross-functional teams.
Manage and monitor the commercial state regulatory processes for timeliness and completeness.
Own and manage some regulatory requirement categories.
Support the field (account and implementation teams primarily) by responding to inquiries within the required turn-around timeframe.
Create and run reports for the support of regulatory requirements.
Lead and work on special projects as assigned.
Work to identify opportunities for process improvement within the regulatory process.
Qualifications
Bachelor’s degree and/or 1-2 years of experience within a PBM setting.
Knowledge of commercial state regulations preferred (but not required).
Strong problem-solving skills.
Able to develop good working relationships and with internal business partners to resolve issues and implement solutions.
Able to communicate effectively with account teams and other internal partners.
Excellent documentation skills with use of project plans, detailed notes and tracking of key deliverables.
Demonstrated ability to prioritize and manage workload and meet project deadlines in complex situations.
Proficient in Microsoft Office products.
* * * This is a hybrid role that will require the ability to work in office three days per week. * * *
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.
Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.
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.