Job Description

The Business Process Owner Associate Advisor is responsible for managing the maintenance, upgrades and support of the PBM Claims Adjustments workflow toolset as well as working with users and technology, to support the end-to-end success of Evernorth Revenue Cycle Management technology business activities and implementations

& Responsibilities

The role is responsible for providing data, technology and business workflow support for revenue cycle management activities across the PBM Billing, Pharma A/R and Specialty Pharmacy platforms. Role includes identifying business process gaps and creating automated solutions using in-house applications. Role also provides data and maintenance support for several existing workflow tools

The ideal candidate will be a strategic thinker with operational and technical experience, capable of working with, creating and manipulating large data sets to perform research and data analytics and providing recommendations for improvement to processes and platforms

• Analysis & interpretation of data to support identification of trends and quality issues.
• Respond to ad hoc financial and matrix partner inquiries and requests, and recommend process improvements including internal control enhancements
• Support development of dashboards, reports, and other mechanisms to manage consumption and visibility of allocation data
• Collaborate with stakeholders and IT developers on enhancement requests. Support development process through coordination of business requirements, testing, implementation and change management.
• Actively seek opportunities for improvement through process changes or identification of system enhancements.
• Maintain documentation, including updates to Standard Operating Procedures (SOPs)
• Other special projects as assigned

Competencies / Skills:

• Ability to review deliverables for completeness, quality, and compliance with established project standards.
• Exceptional ability to work productively in a matrix management environment across geography, departments and position level
• Ability to resolve conflict (striving for win-win outcomes); ability to execute with limited information and ambiguity
• Analytical skills, highly focused, team player, versatile, resourceful
• Effective under pressure, time management skills
• Precise communication skills, including an ability to project clarity and precision in verbal and written communication and strong presentation skills.
• Strong problem-solving and critical thinking skills exceptional attention to detail
• Ability to be flexible with job responsibilities and workflow changes.
• Ability to identify process improvements and implement changes
• Ability to understand and become proficient with the expense allocation process
• Ability to analyze and review financial output for reasonability and trends
• Ability to provide insights into what the data is saying, not just the numbers
• Analytical mind with outstanding ability to collect and analyze data; experience working with large data sets for research and analytics

Experience Required:

Qualified candidates will typically have 8- 11 years of progressive experience in financial and technical analysis, and system support. Successful candidates will be high energy, self-starters with a focus on quality output and project delivery success. Candidates must be excellent problem solvers and creative thinkers.

Experience Desired:

• Bachelor’s degree in software development, finance, or a related field preferred
• Desired Tool Experience: Microsoft Office Suite, Access, Agile, Jira, Confluence, Alteryx, Business Objects, Tableau, SQL proficiency.
• Ability to read and write multiple coding languages (Visual Basic to Python)
• Demonstrated experience establishing and delivering complex projects/initiatives within agreed upon parameters while achieving the benefits and/or value-added results.
• Production system support experience

About Evernorth Health Services