Claims Systems Configuration Associate – I – eviCore – Remote

  • Entry Level
  • Full Time
  • Remote
  • 21 - $32 USD / Hour
  • Telecommute: TELECOMMUTE
  • Company Address: 140 E 45th St, New York, NY 10017

Cigna

Do you want to Drive Growth and Improve Lives? EviCore, a division of The Cigna Group is hiring a Claims System Configuration Associate. For this essential fast-paced Claims Systems role, you’ll manage simple to complex Claims Systems configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data integrity, data security and process optimization for eviCore Claims processing. In addition, they will perform documentation and development of application functionality and data configuration.

What you’ll do to Drive Growth and Improve Lives:

  • Work from ticket system to correct Claims System configuration errors / issues
  • Claims system configuration requests will include but are not limited to claim billing and benefit rules for all claim products and programs.
  • You’ll coordinate, define, and review claims system configuration to meet change requirements as approved.
  • Assists in documentation upkeep in cooperation with Configuration Supervisor and Quality Assurance Associates
  • You’ll work claims systems configuration tasks independently with configuration design assistance from Configuration Analysts, Lead Configuration analyst and Configuration Supervisor.

What you’ll need to succeed:

  • High School Diploma or GED
  • 2+ years of claims and health care experience required
  • 1+ years of experience in medical Claims Systems Configuration required
  • 1+ years of Microsoft Access experience is required
  • Intermediate skills in Excel is required
  • Strong technical competence, proven critical thinking, and impeccable communication skills are required
  • Ability to multitask and work independently in a fast -paced environment required
  • knowledge of SQL, creating SQL queries is strongly preferred

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 hourly rate of 21 – 32 USD / hourly, 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.

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