Operating Effectivness Senior Analyst (Workflow Automation) - Evicore - Remote

Cigna; United States; Hybrid; USD 63,000 - 106,000; Full time

Benefits offered by this job

Health benefits start day one

401(k) plan

Life insurance

Tuition reimbursement

Paid time off 18 days

Job summary

The Cigna Group seeks an Operations Analyst to gain expertise across utilization management, claims, IT, and call center operations. You will help develop backlogs with Operations Product Owners and translate business rules into actionable pathways.

You’ll build presentations for senior management and collaborate with partners to drive process improvements. A background in healthcare operations or technology, with MS Word/Excel/PowerPoint skills and basic SQL, is preferred.

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

Collaboration

Requirements gathering

Analytical thinking

SQL basics

HTML/Java reading

JavaScript basics

Agile experience

Problem solving

Education

High School diploma or GED

Bachelor's degree preferred

Tools

MS Word

MS Excel

MS PowerPoint

Visio

HTML

JAVA

Visual Basic

Job description

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

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

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.

SALARY

For this position, we anticipate offering an annual salary of 63,400 - 105,600 USD / yearly, depending on relevant factors, including experience and geographic location.

BENEFITS

• 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

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.

If you need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

ABOUT EVERNORTH HEALTH SERVICES

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida