Cigna

Cigna

Claims Systems Lead Analyst - EviCore - Remote

Franklin, TN · Senior

Sponsorship not specifiedDetected 8 days ago
SQLAzureExcelProcess ImprovementCommunicationCollaborationCritical ThinkingFiber Optics

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Fits your clock70

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About the role

  • Summary: This position is responsible for all related aspects of the claims systems processes.
  • Will ensure data integrity, data security and process optimization for EviCore Claims processing.
  • We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.

Responsibilities

  • Work from Azure Dev ops utilizing project methodologies to maintain and upkeep tickets for Claim System projects and requests
  • The Lead analyst will mentor the Sr. Analyst on complex enhancement and configuration designs
  • Provide support as a Claim Systems subject matter expert to internal departments such as but not limited to Claims Configuration, Client Engagement, Program leads, Claims IT Development team
  • Lead external client calls to support clients in all aspects of the Claim System application
  • Create test/use cases, perform SI testing, and provide support for associated UA testing in order to successfully complete EviCore claims systems client implementations, internal integration/migration efforts.
  • Create simple to complex SQL queries to review Claim system configuration and claims data
  • Run Postproduction review on claims to validate changes deployed to production are processing as expected
  • The associate will be responsible for collaboration and oral/written communication with internal and external client business operations, IT departments and QA departments to support these requirements.
  • The Lead analyst will mentor the Sr.
  • Analyst on complex enhancement and configuration designs

Requirements

  • Experience running complex queries utilizing Microsoft SQL
  • Proficient in Microsoft Access Database (including queries and data manipulation) is required
  • Proficient in Microsoft Excel (including pivot tables, charts and formulas) is required
  • Strong technical competence, proven critical thinking, and impeccable communication skills are required
  • Familiarity with database management systems (DB2, SQL Server)

Nice to have

  • Bachelor Degree in a computer related field preferred or equivalent work experience
  • External client facing experience preferred

Visa & Work Authorization

  • n, 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

This listing is sourced directly from Cigna's careers page and normalized into a canonical job model.