Remote Senior Analyst, Operations Governance

520 eviCore healthcare MSI, LLC; Franklin (TN); Hybrid; USD 65,000 - 108,000; Full time

Job summary

The Operations Governance Business Sr. Analyst at Cigna Health and Life Insurance Company will assist Agile Product Owners in delivering enterprise initiatives including eviCore Platform, UCX, and UPX, collaborating with client services, claims, implementations, clinical, non-clinical, and IT to craft scope of work and level-of-effort estimates.

You will monitor operations backlogs, identify performance improvements, and translate business rules into pathway algorithms while documenting

Qualifications

• 2+ years of experience in healthcare operations or technology function.
• Proficiency with MS Word, Excel and MS PowerPoint (Visio preferred).
• 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.
• 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

SQL

Collaboration

Communication

Requirements gathering

Logic basics

HTML

Java

Visual Basic

Agile

Education

High School diploma or GED

Bachelor’s Degree

Tools

MS Word

MS Excel

MS PowerPoint

Visio

Job description

The Operations Governance Business Sr. Analyst at Cigna Health and Life Insurance Company will assist Agile Product Owners in delivering enterprise initiatives including eviCore Platform, UCX, and UPX, collaborating with client services, claims, implementations, clinical, non-clinical, and IT to craft scope of work and level-of-effort estimates.

You will monitor operations backlogs, identify performance improvements, and translate business rules into pathway algorithms while documenting