Claims Systems, Business Solutions Lead Analyst - eviCore - Remote

Ready to work with a team that improves our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a Claim Systems, Business Solutions Lead Analyst to provide focused support on implementations, expansions, and client support requests.

The Lead Analyst will be responsible for gathering business requirements from internal clients across several disparate systems and external clients, compiling them into a comprehensive set of requirements for presentation to internal and external stakeholders.

This role will work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and claims development teams on feature/user story development to ensure projects are delivered on time and within scope.

What You'll do:


* Manage multiple, concurrent implementation/enhancement projects with high degree of complexity at any given time


* Lead implementation/enhancement activities such as requirements gathering, training, testing, monitoring of deliverables/tasks, post launch warranty support


* Support client interactions and execute communications


* Guide clients and internal stakeholders toward the best process and provide answers to ensure their understanding of impacts of requested changes


* Support feature/user story development


* Prioritize and manage tasks effectively using time management skills


* Ensure requirements are captured correctly with the most precise detail, preventing significant issues in system implementation


* Use your technical proficiency to provide support to our technical data analysts for system analysis, technical requirements writing, and data validation


* Collaborate with external clients, internal stakeholders, project managers, claims systems, claims product and planning and claims development teams on feature/user-story development to ensure projects are delivered on time and within scope

Requirements :


* High School diploma or GED required, bachelor's degree in information technology, or computer science highly preferred


* 5+ years of Claims Adjudication System implementation/migration and/or claim adjudication engine enhancement experience


* Knowledge of healthcare industry data standards and formats - X12, JSON, XML, Delimited, etc.


* Strong knowledge of end-to-end claims adjudication processes


* Advanced experience with SQL


* Proficient technology skills; Microsoft Office, Excel, Visio, Confluence, and Smartsheet


* Understanding of Agile Methodology


* Strong communication skills (interfacing between external and internal stakeholders)


* Strong organizational, time management skills with ability to prioritize tasks effectively


* Ability to travel to client sites as required

If you will be working at home occasionally or permanently, the internet connection must be obtained through...