# Compliance and Operations Specialist

**Company**: Evernorth Health Services, a division of The Cigna Group
**Location**: United States Work at Home
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: 62,200 - 103,600 USD / yearly
**Category**: Operations
**Industry**: Healthcare

**Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/United-States-Work-at-Home/Provider-Compliance-Senior-Analyst---Express-Scripts---Remote_26013151?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_1c443c3e-245

## Description

We are seeking a Compliance and Operations Specialist to join our team. You will play a critical role in protecting the integrity of Express Scripts' pharmacy networks and the experience we deliver to clients and members.

**Responsibilities**

- Partner with contracted pharmacy providers and internal teams to research and resolve complex compliance and operational matters.

- Lead or contribute to cross-functional projects that design, test, and implement business applications, technology solutions, and process improvements.

- Analyze complex issues, identify risks and opportunities, and turn findings into clear, timely recommendations and solutions.

- Improve processes by simplifying work, automating workflows, and strengthening alignment across teams and partners.

- Monitor network provider compliance with applicable state and federal requirements, internal policies, and established procedures.

- Support client, internal, and other applicable audits by preparing information, coordinating responses, and addressing operational needs.

- Create, review, and maintain standard operating procedures, policies, training materials, and other process documentation.

- Share recommendations, concerns, and operational risks with the right stakeholders while building trusted cross-functional relationships.

- Promote operational excellence through continuous improvement, effective use of technology, and consistent execution.

**Required Qualifications**

- 3+ years of experience in pharmacy benefit management, pharmacy networks, healthcare operations, compliance, or a related field.

- Strong analytical, critical-thinking, problem-solving, and decision-making skills, including the ability to translate complex research into practical recommendations.

- Ability to independently manage multiple priorities, deadlines, and deliverables in a fast-paced environment with changing or unclear needs.

- Clear written and verbal communication skills, with the ability to raise questions, recommendations, concerns, and risks across levels of the organization.

- Strong organization, time management, attention to detail, sound judgment, and the ability to know when to act independently, collaborate, or escalate.

- Advanced Microsoft Excel skills, including formulas, data analysis, and pivot tables, plus proficiency with PowerPoint, Word, Access, and related business applications.

**Preferred Qualifications**

- Bachelor’s degree.

- Experience with regulatory requirements and industry standards related to accreditation, credentialing, delegation, or oversight.

- Experience improving processes, supporting audits, developing procedures or training, or implementing technology solutions in a regulated environment.

**What We Offer**

- Annual salary of 62,200 - 103,600 USD, depending on relevant factors, including experience and geographic location.

- Eligibility to participate in an annual bonus plan.

- Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs.

- 401(k), company-paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

## Skills

### Required
- analytical skills
- critical thinking
- problem-solving
- decision-making
- Microsoft Excel
- PowerPoint
- Word
- Access

### Nice to have
- regulatory requirements
- industry standards
- process improvement
- audit support
- procedure development
- training
- technology solutions

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Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/United-States-Work-at-Home/Provider-Compliance-Senior-Analyst---Express-Scripts---Remote_26013151?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)