Business Analyst (NA/ONPT) - Cigna Healthcare

WORK LOCATION: HYBRID / REMOTE

The National Ancillary and Out of Network Protection Team (NA/ONPT) plays a significant role in Cigna's Enterprise Affordability strategy.

Our team manages over 400 national contracts across US Commercial and US Government lines of business and roughly $9B in annual medical spend across National Ancillary, Direct Provider and Non-Par Cost Containment partnerships.

The Business Analyst is a key role working closely with project management, contracting, vendor partners, and enterprise wide stakeholder SME's to develop, improve, monitor, and maintain delegated UM programs for Cigna HealthCare.

The work will be a mix of project and production support including program configuration, compliance, performance management, root cause analysis, data stewardship, business requirements definition, testing support and validation.

This role will report to the BA/OPS Senior Manager focusing primarily on broadening Cigna's network, revenue and affordability opportunities for Cigna clients and customers.

This role has visibility to and regular interactions with our Senior Leadership team and other key internal and external stakeholders.

Work can range in content including (but not limited to) Root cause analysis of systemic issues that impact prior the prior authorization process.

scope and assess analysis, organizational realignment, medical cost initiatives, program implementations, performance management, or process improvement.

Job Components and Deliverables

PROGRAM MANAGEMENT:


* Production Support of program configuration and - Monitor controls and Identify issues, root cause analysis, solutioning, document and maintain log of issues, propose fixes, test fixes (including use case definition, expected results, defect logging, validation and governance of process)


* Project Support - Develop and manage detailed business requirements using a combination of stakeholder input and subject matter expertise, test requirements (including use case definition, expected results, defect logging, validation and governance of process)

DRIVING SOLUTIONS:


* Root Cause Analysis - dive into data, system workflows, requirements and feeds to determine issue cause and appropriate solutioning suggestions


* Facilitation - lead and document idea sessions around problem resolution to address business needs


* Prioritization - evaluate business-specific requirements


* Process - follow portfolio and production processes to resolve issues and project needs.

Including but not limited to Intake creation, project request forms and collaterals, business case support, status reporting updates, communications surrounding issues and fixes, and governance support (logs, materials, decision support)

RISK MANAGEMENT:


* Risk Identification - Clearly quantify / qualify risks and engage with impact partners to prioritize related to cost, timing and features


* Mitigation - Eliminate barriers to success or develop alterna...