Cigna

Claims System Configuration Quality Review Senior Analyst - eviCore - Remote


PayCompetitive
LocationFranklin/Tennessee
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 24000625
      Employer Industry: Healthcare Services

      Why Consider this Job Opportunity:
      - Competitive salary up to $80,000
      - Opportunity for career advancement and growth within the organization
      - Remote work flexibility
      - Supportive and collaborative work environment
      - Chance to make a positive impact on healthcare and client satisfaction

      What to Expect (Job Responsibilities):
      - Resolve non-routine issues escalated from leadership, business, clients, and junior team members
      - Collaborate with internal and external clients to evaluate processes and identify solutions
      - Analyze business and user requirements to design solutions and system configurations
      - Partner with technology and analytics teams to develop new data sources for reporting
      - Act as a subject matter expert for eviCore claims product setups/processes

      What is Required (Qualifications):
      - High School Diploma or GED required
      - 5+ years of healthcare claims lifecycle experience
      - 3+ years of experience in Microsoft ACCESS and EXCEL
      - 3+ years of experience with SQL querying and database management systems
      - 3+ years of experience with AS400, MC400, McNet, and RC3 systems

      How to Stand Out (Preferred Qualifications):
      - 3+ years of experience with claims adjudication, claims data types, and editing rules

      #HealthcareServices #CareerOpportunity #CompetitivePay #RemoteWork #JobGrowth

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  • About the company

      Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.