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

Cigna Healthcare•Tennessee Work at Home, TN
•$63,400 - $105,600•Remote

About The Position

The Operating Effectiveness Senior Analyst will support Agile Product Owners in delivering enterprise initiatives, including eviCore Platform, Universal Clinical Experience (UCX), and Universal Provider Experience (UPX). The role provides subject-matter expertise across client services, claims, implementations, clinical, non-clinical, and IT organizations to help develop scopes of work and level-of-effort estimates. It also monitors operations backlogs and identifies opportunities to improve operational performance. The analyst will build expertise in utilization management, claims, IT, and call center operations; assist in researching and resolving issues; and support the development and maintenance of operational backlogs, workflows, and pathways. The position is remote. Candidates working from home must have cable broadband or fiber internet with speeds of at least 10 Mbps download and 5 Mbps upload.

Requirements

  • High school diploma or GED required.
  • At least 2 years of experience in healthcare operations or a technology function.
  • Demonstrated success leading initiatives toward operational improvement in technology and/or healthcare.
  • Proficiency with Microsoft Word, Excel, and PowerPoint.
  • Ability to learn basic SQL queries as needed.
  • Ability to collaborate with business partners and organize effectively.
  • Strong verbal and written communication skills.
  • Understanding of requirements creation and development.
  • General understanding of conditional logic.

Nice To Haves

  • Bachelor’s degree preferred.
  • Visio proficiency preferred.
  • Ability to read HTML, Java, and Visual Basic for Applications preferred.
  • Agile experience is a plus.

Responsibilities

  • Gain an understanding of utilization management, claims operations, IT operations, and call center operations.
  • Develop subject-matter expertise in the company’s technical and operational functions.
  • Provide operational expertise to client services and client operations managers to research and resolve issues and requests.
  • Work with Operations Product Owners to develop, monitor, maintain, and groom backlogs.
  • Build presentations and complete analyses to support Operations Product Owners’ communications to senior management.
  • Translate business rules into pathway algorithms and evaluate existing pathways for operational efficiencies.
  • Document and maintain business workflows, pathways, and requirements, or support central teams that manage these functions.
  • Coordinate with key leaders to execute projects.

Benefits

  • Annual bonus plan eligibility.
  • Medical insurance.
  • Vision insurance.
  • Dental insurance.
  • Well-being and behavioral health programs.
  • 401(k).
  • Company-paid life insurance.
  • Tuition reimbursement.
  • At least 18 days of paid time off per year.
  • Paid holidays.
  • Leaves of absence.
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