Claims Systems Configuration Associate - Remote, United States - The Cigna Group

    The Cigna Group
    The Cigna Group Remote, United States

    1 month ago

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

    Excited to grow your career?

    We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

    Our people make all the difference in our success.

    Do you want to Drive Growth and Improve Lives? 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.

    What you'll do to Drive Growth and Improve Lives:

    • Work from ticket system to correct Claims System configuration errors / issues
    • Claims system configuration requests will include but are not limited to claim billing and benefit rules for all claim products and programs.
    • You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
    • Assists in documentation upkeep in cooperation with Configuration Supervisor and Quality Assurance Associates
    • You'll work claims systems configuration tasks independently with configuration design assistance from Configuration Analysts, Lead Configuration analyst and Configuration Supervisor.

    What you'll need to succeed:

    • High School Diploma or GED
    • 2+ years of claims and health care experience required
    • 1+ years of experience in medical Claims Systems Configuration required
    • 1+ years of Microsoft Access experience is required
    • Intermediate skills in Excel is required
    • Strong technical competence, proven critical thinking, and impeccable communication skills are required
    • Ability to multitask and work independently in a fast -paced environment required
    • knowledge of SQL, creating SQL queries is strongly preferred

    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 hourly rate of USD / hourly, depending on relevant factors, including experience and geographic location.

    This role is also anticipated to be eligible to participate in an annual bonus plan.

    We want you to be healthy, balanced, and feel secure. That's why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

    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.

    Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.