Operations Senior Analyst - EviCore - Remote

Responsibilities

• Has proficient working knowledge of business operations Has understanding of utilization management, claims operations, IT operations, and call center operations Develops subject matter expertise in the technical and operational aspects of the company Collaborate with business and technical partners to gather, evaluate, document, and communicate business and functional requirements Provides subject matter expertise during the implementation of new clients by integrating workflows into current operations Assists with functionality and regression testing for program specific enhancements, implementations and code Provides operational expertise to client services and client operations managers in research and resolution of issues and requests Research and triage production issues, performs root cause analysis, and recommends corrective actions and process improvements Build presentations and completes analyses to assist the program lead in communications to senior management Researches, designs, develops and maintains new projects and business solutions Translates business requests into system rules
• evaluates existing functionality for operational efficiencies and maintains historical record of system development Documents and maintains business workflows and requirements, or supports central teams that manage these functions Coordinates with key leaders and cross-functional stakeholders to execute projects and implementation activities Assists in preparing internal and external training and direction for clinical and non-clinical staff Supports the development of key performance metric portfolios as it relates to projects and major company initiatives to include metric development, dashboards, and valuation support Minimum Education: Bachelor’s Degree (or equivalent) in Business, Health Services, Mathematics, Computer Science or related field of study Minimum Experience : 1+ years, demonstrated leadership potential and aptitude for working in technology, operations, project management and/or healthcare environments Required Skills: Experience gathering, documenting, and communicating business and functional requirements Ability to effectively communicate with both technical and business stakeholders Strong analytical, critical thinking, and problem-solving skills with the ability to evaluate business needs and recommend solutions Must have proficiency with MS Word, Excel and MS PowerPoint Basic experience writing and modifying SQL queries for troubleshooting, research, and analysis Ability to manage multiple priorities independently in a fast-paced environment Ability to learn new systems and technologies quickly Strong organization and prioritization skills Experience identifying process improvement opportunities and documenting workflow enhancements Preferred Skills: Familiarity with Jira, Azure DevOps, ServiceNow, or similar work management tools Experience supporting client implementations or large operational initiatives Experience with User Acceptance Testing (UAT) and regression testing Experience supporting operational platforms, application enhancements, system implementations, and technology-enabled business processes Knowledge of Lean, Six Sigma, or continuous improvement methodologies Familiarity with Microsoft Visio This role is not eligible to be performed in the state of Colorado.
• 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 54,100 - 90,100 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, paid holidays, and leaves of absence.
• For more details on our employee benefits programs, click here .
• About Evernorth Health Services 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 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.
• If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.
• Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
• The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
• Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
• These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
• Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.