[Hiring] Claims Systems Configuration Associate Analyst @The Cigna Group

Role Description

The job profile for this position is Operations Associate Analyst, which is a Band 2 Senior Contributor Career Track Role.

Ready to improve the health and vitality of those we serve? EviCore, a division of The Cigna Group is hiring a Claims System Configuration Associate. For this essential fast-paced claims systems role, you'll manage simple to complex claims systems configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data integrity, data security, and process optimization for eviCore claims processing. In addition, they will perform documentation and development of application functionality and data configuration.

Responsibilities:

• Complete tasks with guidance (as needed) from mentor and/or Claims Configuration Supervisor.
• Work from the Enterprise Jira platform utilizing project methodologies to maintain and upkeep tickets for claim system configuration requests.
• Claims system configuration requests will include but are not limited to proprietary claim edits, industry standard claim edits, and benefit rules for all claim products and programs.
• Review, coordinate, and outline claims system configuration changes to meet needed requirements.
• Document configuration changes in Microsoft Excel checklist to confirm changes.
• Test configuration changes to validate claims are processing based on requirements.
• Utilize SQL queries to review configuration and claims data.
• Make updates to configuration via Access database.
• Run post-production review on claims to validate changes deployed to production are processing as expected.
• Investigate claim processing to determine claim configuration root cause analysis.

Qualifications

• High school diploma or GED required; associate degree in a computer-related field preferred.
• Minimum of two (2) years of experience working with claims or healthcare data required.
• One (1) year of experience of configuring medical claims systems required.
• Demonstrated ability to write and run basic queries using Microsoft SQL Server required.
• At least one (1) year of experience working with Microsoft Access database, including data manipulation required.
• Proficiency in Microsoft Excel, including the use of pivot tables, formulas, and charts preferred.
• Strong technical aptitude with demonstrated critical thinking abilities and excellent communication skills.

Requirements

• 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.

Benefits

• Hourly rate of 22 - 33 USD / hourly, depending on relevant factors, including experience and geographic location.
• Eligible to participate in an annual bonus plan.
• Comprehensive range of benefits with a focus on supporting your whole health, starting on day one of your employment.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) and company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.