CIGNA

Business Project Senior Analyst, Proclaim Plan Automation - Evernorth - Remote

United States Work at Home Full time

POSITION SUMMARY

The Business Project Senior Analyst works with the Plan Automation team to assist with the review of various Plan Automation inventory types; internal/external remediation projects, automation enhancement testing, etc. You will help provide process-oriented support based on inquiries from the front-line analysts and/or leads, provide root cause analysis for claim reviews, Problem Resolution Form (PRF) resolutions and high-profile account service issues.

Primary Responsibilities:

  • Serve as the lead on Proclaim Plan Automation remediation projects and system reviews.
  • Support the area RMG with managing TAT on quality inspections by assisting with escalated error correction requests.
  • Assist in the development of frontline analysts through effective coaching feedback and reporting analytics.
  • Collaborate with management teams on process improvement initiatives.
  • Effectively communicates with and influence business partners and systems personnel regarding cross-functional process enhancements.
  • Foster and maintain a collaborative relationship with all matrix partners to ensure internal and external customer satisfaction and overall enterprise profitability.

Key Qualifications

  • High school diploma or GED; Bachelor’s degree preferred.
  • 2+ years of Proclaim Plan Automation experience preferred.
  • Proficient knowledge of Plan Specs, ePro, Leg tool, Proclaim Claim System required.
  • Experience with Client Operations inventory management.
  • Experience working with mid-level and senior management required.
  • Excellent communication (oral and written) listening, and organization skills.
  • Ability to work independently and meet target completion dates.
  • Proficient MS Office product knowledge required, MS Word, OneNote PowerPoint; advanced proficiency with MS Excel preferred.
  • Drive for results in a fast-paced environment.
  • Ability to develop solid working relationships and establish a high level of credibility across functions, geographies, and lines of business required.


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 64,900 - 108,100 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.

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 and paid holidays. For more details on our employee benefits programs, click here.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.