Remote Senior Analyst: AI-Driven Operating Efficiency
cigna
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Benefits offered by this job
Job summary
The Cigna Group is seeking an Operating Effectiveness Senior Analyst to bridge clinical operations, business processes, technology, and decision support. You will design, implement, and optimize workflows, rules, and AI-enabled solutions to enable scalable and compliant utilization management programs.
You will partner with Clinical, Operations, Product, Technology, Data, and Business stakeholders to identify automation opportunities, configure algorithms, and enhance decision quality and user
Qualifications
- Experience in healthcare operations, utilization management, or clinical decision support.
- Strong analytical, problem-solving, communication, and stakeholder management skills.
- Experience translating requirements into workflows and decision logic.
- Familiarity with workflow tools and analytics platforms.
Responsibilities
- Design and optimize clinical decision-support pathways and automated workflows.
- Translate guidelines and client needs into system logic and workflows.
- Collaborate with clinical, operations, product, technology, and data teams.
- Perform testing and QA to ensure accuracy and compliance.
- Monitor performance and drive continuous improvement.
Skills
Education
Tools
Job description
The Cigna Group is seeking an Operating Effectiveness Senior Analyst to bridge clinical operations, business processes, technology, and decision support. You will design, implement, and optimize workflows, rules, and AI-enabled solutions to enable scalable and compliant utilization management programs.
You will partner with Clinical, Operations, Product, Technology, Data, and Business stakeholders to identify automation opportunities, configure algorithms, and enhance decision quality and user
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