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
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.