Eligibility Manager - CuraScript - Remote at The Cigna Group

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Sep, 26

Salary

128900.0

Posted On

13 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Chargeback Management, Accounts Receivable, Cash Application, People Leadership, Vendor Management, Microsoft Excel, SAP, Oracle, Data Analysis, Performance Management, Process Improvement, Audit Controls, Operational Governance, Problem Solving, Cross-functional Collaboration, Financial Reporting

Industry

Hospitals and Health Care

Description

The job profile for this position is Eligibility Manager, which is a Band 4 Management 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. Role Summary The Eligibility Manager is a people leader responsible for overseeing complex chargeback, cash, and adjustment activities while ensuring operational excellence across the Chargeback Administration function. This role leads a team of 4–7 analysts, partners closely with leadership, vendors, and cross‑functional business partners, and drives efficiency, data quality, and resolution of escalated issues across chargeback and accounts receivable workflows. This role includes direct people management and is accountable for coaching, developing, and prioritizing work across the analyst team. The Chargeback Manager reports to the Senior Manager and provides regular operational readouts, performance updates, and escalation insights to the Director to support decision‑making, risk management, and strategic alignment. Key Responsibilities Operational & Analytical Responsibilities Lead day-to-day chargeback, cash application, and adjustment operations across a team of 4–7 analysts, ensuring workload balance, service levels, and quality standards are met Oversee advanced analysis and resolution of complex payment discrepancies, pricing variances, contractual issues, and aged receivable items Ensure accurate application of cash and adjustments in accordance with audit controls, contractual terms, and internal policies Prepare and review End-of-Month reporting, ad hoc analyses, and management-level summaries Monitor team performance, productivity, and operational metrics to identify risks and drive timely corrective action People Leadership, Escalation & Vendor Support Directly manage, coach, and develop a team of 4–7 analysts, including performance management, prioritization, and capability building Serve as the primary escalation point for complex chargeback and accounts receivable issues, ensuring timely resolution and clear ownership Provide guidance and subject matter expertise to support accurate and timely resolution of chargeback activity across the team Partner with the Senior Manager on workload planning, team development, and operational priorities Provide regular readouts and escalation insights to the Director, highlighting performance trends, key risks, and recommended actions Act as a key liaison between Chargeback Operations, Finance, Pricing, and external vendors to resolve disputes and systemic issues Vendor Management & Business Engagement Assist in establishing and maintaining regular business reviews / touchpoints with top vendors Prepare data, insights, and discussion materials for vendor touchpoints to drive accountability, transparency, and continuous improvement Track vendor performance trends, recurring issues, and follow‑up actions resulting from business reviews Partner with internal stakeholders to align on vendor strategies, risks, and improvement opportunities Process Improvement & Project Leadership Assist with spearheading projects focused on process efficiency, data cleanup, and operational improvements Identify gaps in current workflows, controls, or data quality and recommend sustainable solutions Partner with cross‑functional teams (Finance, Pricing, IT, Audit, Vendor Management) to implement process or system enhancements Document processes, controls, and best practices to support scalability and consistency across the team Support testing, validation, and adoption of system enhancements or process changes Governance & Controls Ensure compliance with audit requirements, internal controls, and vendor‑specific deadlines Contribute to risk identification and mitigation efforts related to chargeback processing and vendor performance Provide leadership with data‑driven insights to inform prioritization and decision‑making Skills & Qualifications 5+ years of experience in chargebacks, accounts receivable, cash application, or adjustments within a B2B manufacturing or distribution environment Strong understanding of supplier contracts, chargeback processes, audit controls, and operational governance Demonstrated experience leading or managing teams, including coaching, performance management, and workload prioritization Advanced proficiency in Microsoft Excel, including complex formulas, pivot tables, and data analysis techniques Hands-on experience with ERP systems (SAP and/or Oracle required) Strong problem-solving skills with the ability to independently resolve issues and lead escalations across cross-functional stakeholders Excellent verbal and written communication skills, including experience engaging with vendors, leadership, and cross-functional partners Proven ability to manage multiple priorities, monitor team performance, and meet vendor-specific deadlines Experience preparing management readouts and operational summaries for senior leadership preferred Education Associate’s degree or higher preferred High school diploma or equivalency required 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 77,300 - 128,900 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.

Responsibilities

Lead a team of analysts in managing complex chargeback, cash application, and adjustment activities to ensure operational excellence. Act as the primary escalation point for accounts receivable issues and manage relationships with external vendors and internal stakeholders.