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Operations Governance Sr Business Analyst - eviCore

Cigna Healthcare•Franklin, TN
•$64,600 - $107,600

About The Position

The Operations Governance Sr Business Analyst will assist 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 in collaboration with client services, claims, implementations, clinical, non-clinical, and IT organizations to develop scopes of work and level-of-effort estimates. The analyst also monitors operations backlogs and identifies opportunities to improve or enhance operational performance. The position develops expertise across utilization management, claims operations, IT operations, and call center operations; supports research and resolution of client services and operations issues; and works with Operations Product Owners to manage and groom backlogs. It also produces presentations and analyses for senior-management communications, translates business rules into pathway algorithms, evaluates pathways for operational efficiency, documents business workflows and requirements, and coordinates project execution with key leaders.

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 fields.
  • Proficiency with Microsoft Word, Excel, and PowerPoint.
  • Ability to learn basic SQL queries as needed.
  • Ability to collaborate with various 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 technical and operational aspects of the company.
  • 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.
  • Collaborate with client services, claims, implementations, clinical, non-clinical, and IT organizations to develop scopes of work and level-of-effort estimates.
  • Monitor overall operations backlogs and identify ways to improve or enhance operational performance.

Benefits

  • Annual bonus plan eligibility.
  • Medical, vision, and dental benefits.
  • 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.
  • Leaves of absence.

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