Lead Operations Systems Analyst – eviCore – Remote

The Lead Operations Systems Analyst is responsible for gathering data requirements across several disparate systems and compiling them into a comprehensive functional set of requirements for presentation to internal and external stakeholders. This role will serve as a bridge between business and IT and therefore will require strong communication skills. This position will work with business and IT counterparts to manage multiple, concurrent client implementation and enhancement projects. This position will collaborate with project management team to keep track of data deliverables, issues, risks and dependencies for any assigned projects. The Lead Analyst will also be responsible for identifying and leading data process improvement initiatives. This position will ultimately be a technical role – requiring system analysis, technical requirements writing, data validation and both internal and external cross-departmental interfacing.

RESPONSIBILITIES:

• Manages multiple, concurrent implementation/enhancement projects with high degrees of complexity and system analysis at any given time
• Leads implementation/enhancement activities such as requirements gathering, technical writing, system analysis, data design, data validation, application testing, monitoring of deliverables/tasks, post launch warranty
• Owns client interactions/communications in implementation/enhancement projects
• Guides clients to the best solutions and data architecture/design in high complexity implementation/enhancement projects
• Leads high value data COE process improvement projects
• Trains and leads lesser experienced data analysts
• Prioritizes and manages tasks effectively using time management skills
• Demonstrates critical thinking skills and understanding of conditional logic
• Communicates effectively; across multiple departments and to leadership as necessary
• Demonstrates general understanding of Agile Methodology
• Demonstrates knowledge of end-to-end member, provider, authorization and other ancillary data exchanges

QUALIFICATIONS:

• Bachelor’s degree required
• 3+ years of system/data analysis experience required
• Competent level of understanding of SQL, PL/SQL, and API’s of assigned modules
• Solid understanding of conditional logic
• Demonstrated advanced proficiency in MS Office applications
• Strong communication skills (interfacing between external and internal stakeholders)
• Strong organizational, time management skills with ability to prioritize tasks effectively
• Knowledge of healthcare industry data standards and formats – X12, HL7, FHIR, etc. JSON, XML, Custom Delimited, etc.is a plus

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 Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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: [email protected] for support. Do not email [email protected] 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.