This role supports the Pricing & Eligibility team by helping ensure contract pricing data is accurate, customer eligibility is properly determined, and pricing and membership work is completed in line with vendor requirements and department timelines. The person in this role uses strong attention to detail, problem-solving ability, and communication skills to support pricing accuracy, audit readiness, and service for internal and external partners.
Key Responsibilities
Review and validate credit and rebill requests for completeness and accuracy.
Provide customer service related to pricing and membership for internal and external partners.
Capture and maintain required audit documentation.
Determine appropriate member access to contract pricing based on required customer criteria.
Review and complete assigned work in the queue according to department guidelines.
Research supplier and customer pricing and membership claims and take corrective action as needed within established timelines.
Escalate issues to management in a timely manner.
Work collaboratively on projects to identify solutions and process improvements.
Requirements
High school diploma or equivalent.
Minimum of 3 years of experience in a business-to-business manufacturing or distribution environment.
Strong analytical and problem-solving skills.
Experience analyzing data.
Strong data entry skills.
Experience using modern ERP software, including SAP and/or Oracle.
Excellent verbal and written communication skills.
Ability to manage timelines and meet vendor-specific deadlines.
Ability to multitask in a fast-paced environment where accuracy is critical.
Preferred Qualifications
Some college.
Pricing and membership eligibility experience.
Knowledge of Microsoft Office products, including intermediate Excel skills.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
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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