Program Management Senior Analyst, Medical Oncology - eviCore - Remote

EviCore by Evernorth; Philadelphia (Philadelphia County); On-site; USD 85,000 - 120,000; Full time

Job summary

eviCore by Evernorth is hiring a Program Management Senior Analyst to support delegated tasks within Product Management, develop analyses for product direction, and assist with projects. The role involves planning, problem-solving, and coordinating with clients and senior leadership.

The candidate will translate clinical criteria into pathway algorithms, document workflows, and prepare staff training. Strong SQL, Excel, and Visio skills are valued for operational efficiency and program success.

Qualifications

• HS Diploma or GED; Bachelor's degree preferred.
• SQL skills preferred.
• Microsoft Excel experience.
• Microsoft Visio experience.

Responsibilities

• Analyzes current processes to determine program performance and opportunity for efficiencies.
• Builds presentations and completes analyses to assist the program director in communications to the client and senior management.
• Translates clinical criteria into pathway algorithms using visual programing tool; evaluates existing pathways for operational efficiencies.
• Documents and maintains program workflows, pathways, Business tools, CPT codes, and criteria.
• Prepares training and direction for interdepartmental staff interacting with the program.
• Develops client facing skill set and coordinates client activities as directed by either the Director or Associate Program Director.

Skills

SQL

Education

HS Diploma or GED

Bachelor's degree preferred

Tools

Microsoft Excel

Microsoft Visio

Job description

Position Summary

eviCore is currently hiring a Program Management Senior Analyst. The Senior Analyst delivers on delegated tasks assigned by a supervisor in the Product Management job family. Contributes to analyses supporting product direction, advertising, pricing, budgets, profit and future development plans. Identifies opportunities to maximize product/brand exposure and sales. May assist, coordinate or lead portions of projects. Completes day-to-day Product Management tasks without immediate supervision, but open to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

Job Responsibilities

• Analyzes current processes to determine program performance and opportunity for efficiencies.


• Builds presentations and completes analyses to assist the program director in communications to the client and senior management.


• Translates clinical criteria into pathway algorithms using visual programing tool; evaluates existing pathways for operational efficiencies.


• Documents and maintains program workflows, pathways, Business tools, CPT codes, and criteria.


• Prepares training and direction for interdepartmental staff interacting with the program.


• Develops client facing skill set and coordinates client activities as directed by either the Director or Associate Program Director.

Qualifications

• HS Diploma or GED. Bachelor's degree preferred.


• SQL skills preferred


• Microsoft Excel experience


• Microsoft Visio experience

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.

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.

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.

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, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.