Operations Advisor - Express Scripts - Remote
Location
United States
Posted
72 days ago
Salary
$82.4K - $137K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Operations Advisor - Express Scripts - Remote
The Cigna Group
The job profile for this position is Operations Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The Operations Advisor is responsible for providing operational management of work requests to drive satisfactory results for the Client Service Team (CST), Sales and Account Management Operations (SAMO) leadership, Sales and clients. Position requires strong client account and PBM operational knowledge. Position is accountable for assigned work with a focus on client satisfaction, quality, timeliness, performance guarantees and the effective use of cross-functional partnerships. Position requires strong analytical skills to drive resolution of complex issues. Role may be client facing, requiring strong communication, presentation and business relationship skills. Role is empowered to identify and drive solutions and improvements for client and ESI processes. Role participates in peer mentoring and special projects as assigned. Position requires proactive approach to ensure workload remains at full capacity based on accomplished cross-training. Responsibilities - Manages assigned service and operational deliverables, including but not limited to: analysis, capture of client intent, cross-functional project management, management of complex and escalated assignments, and handling of member service and client operational initiatives. Assignments may fall across various SAMO work streams. Supports designated clients as assigned. Meets all defined service standards to ensure CST and client satisfaction - Independently determines direction for resolution of any service or escalated issue. Appropriately escalates as needed. - Participates on cross-functional teams to identify opportunities to address global client issues, presenting recommendations to leadership. - Leads special projects as assigned. Shares best practices and knowledge of the business with peers to improve service levels. Assists with peer training and support. Qualifications - Bachelors degree preferred - 3+ years of professional experience - Experience in healthcare or PBM industry preferred - Strong focus on quality, effective communication, and customer service - Demonstrated ability managing projects utilizing proven project management processes - Ability to work and build partnerships cross- functionally to proactively communicate and to resolve issues with the highest sense of urgency - Ability to handle analysis from issue identification to solution delivery - Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines - Client facing experience preferred 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. For this position, we anticipate offering an annual salary of 82,400 - 137,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. 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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Related Guides
Related Categories
Related Job Pages
More Operations Jobs
Cloud Operations Specialist
Blue Cross Life / Croix Bleue VieBlue Cross Life Insurance Company of Canada (Blue Cross Life) takes great pride in being the most trusted brand by Canadian consumers, offering exceptional coverage tailored to protect them and their families. Federally licensed with operations across Canada, Blue Cross Life provides a full suite of top-tier Individual and Group Life and Disability insurance options. This comprehensive range of products is backed by an insurer with decades of experience protecting Canadians. Our employees are the key component in enabling us to deliver competitive life and disability products nationally; we value their knowledge and integrity and are dedicated to their professional development by providing an environment of continuous learning and growth. We seek creative problem solvers who care about the work they do while helping to drive responsiveness and insight throughout our organization. If you are looking for an opportunity in a challenging, fast-paced, and collaborative work environment, the career you have been looking for may be waiting for you at Blue Cross Life.
Position Type: Permanent As one of Canada’s leading life insurers, Blue Cross Life Insurance Company of Canada (Blue Cross Life) takes great pride in being the most trusted brand by Canadian consumers, offering exceptional coverage tailored to protect them and their families. Federally licensed with operations across Canada, Blue Cross Life provides a full suite of top-tier Individual and Group Life and Disability insurance options. This comprehensive range of products is backed by an insurer with decades of experience protecting Canadians. Our employees are the key component in enabling us to deliver competitive life and disability products nationally; we value their knowledge and integrity and are dedicated to their professional development by providing an environment of continuous learning and growth. We seek creative problem solvers who care about the work they do while helping to drive responsiveness and insight throughout our organization. If you are looking for an opportunity in a challenging, fast-paced, and collaborative work environment, the career you have been looking for may be waiting for you at Blue Cross Life. Blue Cross Life Insurance Company of Canada is a federally licensed company that distributes its products through a network of Blue Cross Plans. Blue Cross Life specializes in life insurance, living benefits and disability income protection products to supplement and enhance the portfolio of health and dental products distributed by the Blue Cross Plans. Our employees are the key component in enabling us to deliver competitive life and disability products nationally; we value their knowledge and integrity and are dedicated to their professional development by providing an environment of continuous learning and growth. We seek creative problem solvers who care about the work they do while helping to drive responsiveness and insight throughout our organization. If you are looking for an opportunity in a challenging, fast-paced, and collaborative work environment, the career you have been looking for may be waiting for you at Blue Cross Life. The Opportunity As a Cloud Operations Specialist at Blue Cross Life, you will contribute to the continuous improvement of our cloud infrastructure, automation processes, and evolving DevOps practices. In this role, you will support cloud-based projects, applications, and system integrations while helping improve operational efficiency, scalability, and reliability across the organization. You will work across infrastructure, automation, and operational support activities to help modernize technology practices and strengthen our cloud operations environment. This role offers the opportunity to broaden your cloud and infrastructure experience, deepen your technical expertise, and contribute to the evolution of operational excellence across Blue Cross Life. Your every day with us consists of: - Managing and maintaining cloud services across AWS, M365, data and AI platforms. - Supporting cloud migration initiatives and infrastructure improvement efforts. - Automating routine operational tasks (e.g., instance management, monitoring, reporting) - Supporting cloud-based environments to improve scalability, performance, and reliability. - Contributing to secure and efficient system and network operations. - Supporting the management and optimization of database and data platform technologies. - Collaborating with internal teams, leadership, external service providers, and distributor partners to support operational priorities and continuous improvement. - Creating and maintaining clear technical and operational documentation. - Providing on-call support as required. What you need to succeed: - Knowledge of DevOps best practices, CI/CD pipelines, SDLC, industry trends, and technical solutions. - Strong understanding of technical infrastructure and the software development lifecycle. - Excellent documentation skills. - A proactive, solution-oriented mindset with strong problem-solving capability. - Strong communication and problem-solving skills. - Ability to work independently with minimal supervision in a busy technical environment. - High attention to detail and strong organizational skills. - Strong interpersonal, communication, and sound judgment skills. Qualifications Education: University degree in Computer Science or similar program preferred, or equivalent work experience Work Experience: - Minimum of 5 years of IT experience in service operations and/or development projects. - 2–3 years of experience working with AWS. - Strong understanding of network protocols, security, and best practices. - Strong experience with Bash, Shell, and Python; experience with containerization (Docker) and Java would be an asset. - Experience with data platforms such as Snowflake or Databricks; familiarity with AI/ML workflows and services would be an asset. - Experience with AWS Lambda. - Experience with GitHub, GitLab, or similar platforms. - Experience with M365, including Microsoft Power Platform development. - Experience managing and deploying web platforms and CMS solutions (e.g., WordPress, Webflow), including hosting, integrations, and performance optimization. - Experience with MySQL, PostgreSQL, or MSSQL - Experience with CRM platforms such as Salesforce would be an asset Work Status: You will need to have Permanent Residency or Citizenship of Canada Certifications: - Security clearance - CompTIA, ITIL, AWS, or similar technology certifications are considered an asset - Cisco CCNA is considered an asset Language: English Pay Range: $73,464 - 91,830 (CAD) The Base Pay range may vary depending on the successful candidate or other relevant job-related factors such as knowledge, skills, qualifications, experience and education/training. In addition to Base Pay, eligible Medavie employees may participate in various performance-based incentive programs. Payments under these programs are discretionary and subject to both individual and organizational results. #CBM2 This posting is for an existing vacancy within our organization / Ce poste est actuellement vacant au sein de notre organisation. The Base Pay range may vary depending on the successful candidate or other relevant job-related factors such as knowledge, skills, qualifications, experience and education/training. In addition to Base Pay, eligible Blue Cross Life employees may participate in various performance-based incentive programs. Payments under these programs are discretionary and subject to both individual and organizational results. Blue Cross Life is an equal opportunity employer. We strive to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI). Accessibility is a top priority. For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. Our recruitment process may involve automated tools, including AI, to assist in screening applications. We would like to thank all candidates for expressing interest. Please note that only those selected for interviews will be contacted. If you experience any technical issues throughout the application process, please email: Medavie.Recruitment@medavie.ca. ® Registered trademark of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross Plans and Licensees. Used under license by Blue Cross Life Insurance Company of Canada, an independent licensee of the Canadian Association of Blue Cross Plans.
Pharmacy Operations Coordinator II
Centene CorporationTransforming the health of the communities we serve, one person at a time.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This is a remote role. Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. This role is also responsible for supporting team members by answering their questions and providing support as needed. - Pharmacy operations experience focused on the implementation of quality process improvement efforts and with documenting requirements, creating training materials and working directly with end users - Review benefit/formulary setup and testing (new and year over year) - Conduct data analysis to support operations - Performs other duties as assigned - Complies with all policies and standards Education/Experience: High School Diploma or GED, 3+ years of pharmacy experience, preferably in managed care environment License/Certification: Current state’s Pharmacy Technician license preferred Preferred Qualifications: Experience supporting pharmacy compliance initiatives Familiarity with state and federal pharmacy regulations Comfortable working a fixed schedule: 7:00 AM – 4:00 PM PST or 8:00 AM – 5:00 PM PST Pay Range: $23.23 - $39.61 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Mortgage Operations Specialist
Haventree BankHaventree Bank is a private Canadian Schedule 1 bank specializing in alternative mortgage programs and insured GIC deposits. We help hardworking Canadians from coast-to-coast achieve homeownership by offering flexible mortgage solutions. Our insured GIC deposits offer competitive rates and are available through a variety of wealth management platforms. Headquartered in Toronto, Ontario, Haventree Bank (Haventree) is a mission driven alternative mortgage lender. The name Haventree is representative of the bank’s mission to help its customers find a place of refuge and to lay down new roots for the future. Haventree exists to be a catalyst of financial security and upward mobility for Canadians who are underserved by the traditional financial system.
Haventree Bank is a private Canadian Schedule 1 bank specializing in alternative mortgage programs and insured GIC deposits. We help hardworking Canadians from coast-to-coast achieve homeownership by offering flexible mortgage solutions. Our insured GIC deposits offer competitive rates and are available through a variety of wealth management platforms. About Haventree Bank Headquartered in Toronto, Ontario, Haventree Bank (Haventree) is a mission driven alternative mortgage lender. The name Haventree is representative of the bank’s mission to help its customers find a place of refuge and to lay down new roots for the future. Haventree exists to be a catalyst of financial security and upward mobility for Canadians who are underserved by the traditional financial system. Position Summary: Reporting to the Manager Mortgage Operations, the Mortgage Operations Specialist is responsible for supporting Originations by providing customer service for processing documents, ensuring accurate data input, collaborating with internal/external stakeholders and prioritizing efficiencies. This role demands attention to detail, strong communication skills, and a customer-centric problem-solving approach to ensure a smooth mortgage fulfillment process. Major Duties & Responsibilities: • Communicates effectively both verbally and written to internal and external stakeholders (including appraisers, employers, and mortgage brokers) when documents are incomplete, or additional information is required, to ensure timely accurate results. • Maintains and utilizes salesforce dashboards to track and manage deals in pipeline, be responsible for meeting document review timelines (SLAs.) • Handles and maintains condition management. • Updates the CRR/AML Score Card on a regular, timely basis. • Adheres to all Bank, business area and AML/ATF policies and procedures. • Reviews and approves supporting documents according to HTB’s risk appetite and policies. • Ensures that Quality Assurance requirements, Compliance and Risk review queries are dealt with in a timely and accurate manner. • Conducts income document analysis and calculations to ensure the applicant’s income can be confirmed, including submitting income to Equifax for review. • Conducts appraisal report analysis to validate property valuation and compliance with internal policies and external regulations. • Maintains operational excellence, using all available resources, escalating, when necessary, to maximize efficiencies and provide quick turnaround times. Qualifications & Experience: Degrees, Diplomas & Certifications: • A college diploma or equivalent is required. Years and Range of Experience Required to Perform the Job: • The position requires at least 2 years experience in a Mortgage Administration, Operations, or a similar financial services role. • Values learning and are looking to expand your knowledge and skills. • Strong professional communication skills, both written and verbal (over the phone.) • Organized, detail oriented and able to manage your time appropriately. • French & English is Mandatory While we thank everyone for their interest in Haventree Bank, please note that only candidates selected for an interview will be contacted. Haventree Bank is committed to providing accommodation when needed. If you require an accommodation, we will work with you to meet your needs. - As a job candidate, our recruitment process includes collecting personal information. Please click the link here to review our Privacy Policy. Privacy Statement | Haventree Bank - Stay in touch with us, if this position is not the right one for you – please click on this link for other roles at Careers | Haventree Bank or follow us on LinkedIn at www.linkedin.com/company/haventree-bank/ - Haventree Bank embraces equal opportunity, diversity, and inclusion. Please let us know if you require any accommodations during the recruitment and selection process by contacting accessibility@haventreebank.com #LI-Remote #LI-TA1
Travel Product & Operations Specialist
Ventura TRAVELCreating Niche Market Leaders in Authentic & Responsible Tourism.
• Coordinate all logistics: accommodations, local guides, transport, and activities • Build and manage partner relationships: ensuring reliable service and long-term collaboration • Negotiate contracts: securing high-quality services at competitive rates • Recruit and manage Tour Captains: finding, onboarding, and supporting TCs • Develop travel products: researching destinations and improving itineraries • Provide real-time support: acting as the main contact during tours and solving issues quickly • Drive regional ownership: proactively identifying improvements and taking responsibility for the region


