Operating Effectivness Senior Analyst (Workflow Automation) - Evicore - Remote
Required skills
- healthcare operations
- technology function
- operational improvement
- MS Word
- MS Excel
- MS PowerPoint
- basic SQL queries
- requirements creation
- conditional logic
Nice to have
- Bachelor’s Degree
- Visio
- HTML
- JAVA
- visual basics for applications
- Agile Experience
Role summary
Evernorth Health Services is seeking an Operating Effectiveness Senior Analyst to join their remote team. This role will focus on workflow automation and operational improvement within healthcare services, specifically in utilization management and claims operations. The analyst will assist Agile Product Owners in delivering enterprise initiatives, provide subject matter expertise, develop scope of work and effort estimates, and monitor operational backlogs. Key responsibilities include understanding healthcare operations, developing expertise in technical and operational aspects, and translating business rules into algorithms. The role requires proficiency in MS Office, with preferred experience in Visio, SQL, HTML, Java, and Visual Basic for Applications, as well as Agile methodologies.
Are you excited about the changes that Cigna and eviCore are making using technology to streamline the UM experience for Providers, Clinicians and Clients? Have you been interested in using a more Agile framework to accomplish new initiatives? Look no further! The Operations Governance Business Sr. Analyst will assist Agile Product Owners in delivering on enterprise initiatives to include eviCore Platform, Universal Clinical Experience (UCX), and Universal Provider Experience (UPX). Additionally, this person will lead and provide subject matter expertise in collaboration with client services, claims, implementations, clinical, Non-Clinical, and IT organizations in order to develop scope of work and level of effort estimates. Finally, you'll help monitor overall operations backlogs and identify ways to improve or enhance operational performance.
RESPONSIBILITIES:
- Gain an understanding for utilization management, claims operations, IT operations, and call center operations
- Develop operational specific expertise in becoming a subject matter expert in the technical and operational aspects of the company
- Provide operational expertise to client services and client operations managers in research and resolution of issues and requests
- Work with Operations Product Owners to develop, monitor, maintain, and groom backlogs
- Build presentations and completes analyses to assist the Operations Product Owners in communications to senior management
- Translate business rules into pathway algorithms; evaluates existing pathways for operational efficiencies
- Document and maintain business workflows, pathways, requirements or supports central teams that manage these functions
- Coordinate with key leaders to execute projects
QUALIFICATIONS:
- High School diploma or GED required. Bachelor’s Degree preferred.
- 2+ years of experience in healthcare operations or technology function.
- Demonstrated success leading initiatives toward operational improvement in technology and/or the healthcare fields
- Must have proficiency with MS Word, Excel and MS PowerPoint (Visio preferred as well)
- Ability to learn basic SQL queries as needed
- Ability to collaborate with various business partners & organize effectively
- Strong verbal and written communication skills
- Understanding of requirements creation and development
- General understanding of conditional logic.
- Ability to read HTML, JAVA, and visual basics for applications preferred.
- Agile Experience a plus
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
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 need a reasonable accommodation to complete the online application process, please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Originally posted on Himalayas
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