Job description

Role Summary:
Formulates and defines systems scope and objectives based on both user needs utilizing a good understanding of applicable business systems and industry requirements. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Includes analysis of business and user needs, documentation of requirements, and translation into proper system requirement specifications. Guides and advises less experienced Data Analysts. Highly skilled. Competent to work at the highest technical level of most phases of systems analysis while considering the business implications of the application of technology to the current and future business environment.

Responsibilities:

• Primary technical support for Proactive Claim Intervention projects and daily tasks.
• Assist with the development, execution and maintenance of edits and related technical tasks.
• Develop queries on regular and ad-hoc basis (primarily using SAS, Microsoft SQL Server and internally developed ARM application).
• Responsible for data mining activities and technology integration of Prepay Correction Program.
• Evaluates and appropriately utilizes various approaches to data mining to narrow in on trends and drivers that directly impact outcomes.
• Makes well-thought-out decisions on complex or ambiguous IT architecture issues.
• Ensures that system improvements are successfully implemented and monitored to increase efficiency.
• Works closely with matrix business partners to define data needs, opportunities for improvement and effectively communicates results of analysis and solutions.
• Acts as a resource for direction, training and guidance for less experienced staff.
• Performs technical duties as assigned for Proactive Intervention team.

Qualifications :

• Proficient ability to write, read and interpret code using SAS and Microsoft SQL Server
• At least two, typically four years of solid, diverse work experience in IT environment is preferred
• Experience with Healthcare Claim Data preferred
• Experience with data mining tools, approaches, applications to define areas of focus and highly correlated variables, key drivers of errors and rework.
• Demonstrated ability to work independently and drive to objectives
• Exceptional verbal and written communication skills with demonstrated ability to research, problem solve, trouble shoot, influence and partner across the organization to a ‘win-win’ solution for the client, provider and CIGNA.
• Strong presentation skills. Able to prepare, deliver, and ensure understanding of information regarding any customer-related or process improvement topic across audiences.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 70,800 - 118,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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