Claims Systems Configuration Associate Analyst- eviCore - Remote
About The Position
The job profile for this position is Operations Associate Analyst, which is a Band 2 Senior Contributor Career Track Role. EviCore, a division of The Cigna Group is hiring a Claims System Configuration Associates. For this essential fast-paced claims systems role, you'll manage simple to complex claims systems configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data integrity, data security and process optimization for eviCore claims processing. In addition, they will perform documentation and development of application functionality and data configuration.
Requirements
- High school diploma or GED required
- Minimum of two (2) years of experience working with claims or healthcare data required
- One (1) year of experience of configuring medical claims systems required
- Demonstrated ability to write and run basic queries using Microsoft SQL Server, required
- At least one (1) year of experience working with Microsoft Access database, including data manipulation, required
- Strong technical aptitude with demonstrated critical thinking abilities and excellent communication skills
Nice To Haves
- Associate degree in a computer-related field preferred
- Proficiency in Microsoft Excel, including the use of pivot tables, formulas, and charts, preferred
Responsibilities
- Complete tasks with guidance (as needed) from mentor and/or Claims Configuration Supervisor
- Work from the Enterprise Jira platform utilizing project methodologies to maintain and upkeep tickets for claim system configuration requests
- Process proprietary claim edits, industry standard claim edits, and benefit rules for all claim products and programs
- Review, coordinate, and outline claims system configuration changes to meet needed requirements
- Document configuration changes in Microsoft Excel checklist to confirm changes
- Test configuration changes to validate claims are processing based on requirements
- Utilize SQL queries to review configuration and claims data
- Make updates to configuration via Access database
- Run post-production review on claims to validate changes deployed to production are processing as expected
- Investigate claim processing to determine claim configuration root cause analysis
Benefits
- Medical
- Vision
- Dental
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
