Lead Healthcare Ops Effectiveness Analyst

EviCore by Evernorth; United States; Remote; USD 63,000 - 106,000; Full time

Benefits offered by this job

Annual bonus plan

Comprehensive benefits including medis

Flexible work options

Job summary

The Cigna Group, via Evernorth Health Services, seeks an Operations Governance Business Sr. Analyst to support Agile Product Owners on enterprise initiatives such as eviCore Platform, UCX, and UPX.

The role collaborates with client services, claims, implementations, clinical, and IT to develop scope and effort estimates and monitor backlogs. You will translate business rules into pathways, document workflows, and help improve operational performance across teams in a fast-paced healthcare

Qualifications

• High School diploma or GED required. Bachelor’s Degree preferred.
• 2+ years of experience in healthcare operations or technology function.
• Demonstrated success leading initiatives toward operational improvement in technology and/or the healthcare fields
• Must have proficiency with MS Word, Excel and MS PowerPoint (Visio preferred as well)
• Ability to learn basic SQL queries as needed
• Ability to collaborate with various business partners & organize effectively
• Strong verbal and written communication skills
• Understanding of requirements creation and development
• General understanding of conditional logic.
• Ability to read HTML, JAVA, and visual basics for applications preferred.
• Agile Experience a plus

Responsibilities

• Gain an understanding for utilization management, claims operations, IT operations, and call center operations
• Develop operational specific expertise in becoming a subject matter expert in the technical and operational aspects of the company
• Provide operational expertise to client services and client operations managers in research and resolution of issues and requests
• Work with Operations Product Owners to develop, monitor, maintain, and groom backlogs
• Build presentations and completes analyses to assist the Operations Product Owners in communications to senior management
• Translate business rules into pathway algorithms; evaluates existing pathways for operational efficiencies
• Document and maintain business workflows, pathways, requirements or supports central teams that manage these functions
• Coordinate with key leaders to execute projects

Skills

Communication skills

Collaboration

Agile experience

SQL basics

MS Office proficiency

Education

High school diploma or GED

Bachelor’s degree preferred

Tools

MS Word

MS Excel

MS PowerPoint

Visio

SQL

HTML/Java/Visual Basic (reading)

Job description

The Cigna Group, via Evernorth Health Services, seeks an Operations Governance Business Sr. Analyst to support Agile Product Owners on enterprise initiatives such as eviCore Platform, UCX, and UPX.

The role collaborates with client services, claims, implementations, clinical, and IT to develop scope and effort estimates and monitor backlogs. You will translate business rules into pathways, document workflows, and help improve operational performance across teams in a fast-paced healthcare