Eligibility Sr. Manager - Accredo - Remote

The Senior Manager of Primary Patient Access is a strategic leader responsible for driving compliant, efficient, and high‑quality patient access operations. This role partners closely with the Director to shape policies, procedures, and the operational work plan while overseeing day‑to‑day performance, service standards, and continuous improvement initiatives. You’ll serve as a trusted advisor on audit, quality, and operational risk matters while leading change that strengthens outcomes for patients, providers, and partners.

• Provide strategic leadership and oversight for Primary Patient Access operations, ensuring alignment with business goals and regulatory standards

• Own enterprise audit readiness and execution, including complex audits and regulatory inquiries

• Lead research, root‑cause analysis, and issue resolution for complex operational challenges

• Drive department‑wide change management initiatives, including process improvements and technology adoption

• Partner with the Director to develop and implement policies, procedures, and operational work plans

• Manage daily work volumes and service standards to ensure operational excellence

• Collaborate cross‑functionally with Finance, Clinical Operations, IT, Compliance, and external partners to resolve issues and optimize workflows

• Serve as a subject‑matter expert and thought leader for Quality Review and Audit initiatives

• Provide counsel to senior leadership on quality, audit findings, operational risks, and mitigation strategies

• Develop and maintain dashboards, KPIs, and reporting to support data‑driven decision‑making

• Recruit, coach, and mentor team members, fostering accountability, engagement, and professional growth

• Lead and support special projects and enterprise initiatives as needed

• High school diploma or GED required, bachelor’s degree preferred

• 5+ years of relevant experience required

• Experience in the healthcare or PBM (Pharmacy Benefits Management) industry preferred

• Strong background in quality, audit, compliance, and operational efficiency

• Proven ability to manage competing priorities and meet multiple deadlines

• Excellent written and verbal communication skills, including executive‑level presentations

• Demonstrated ability to motivate teams, manage employee relations, and build a high‑engagement culture

• Strong analytical, problem‑solving, and change‑management capabilities

Candidates who reside within 50 miles of the following office locations will be designated as hybrid:
Orlando, FL, Temple, AZ, Whitestown, IN, Memphis, TN, St. Louis, MO.

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 10

Mbps download/5

Mbps upload. For this position, we anticipate offering an annual salary of 98, 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, please contact the benefits team or refer to the company benefits resources.

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…