Operation Governance Sr. Business Analyst - EviCore - Remote

EviCore is currently hiring for an Operations Senior Analyst. The Operations Senior Analyst leads and provides subject matter expertise in collaboration with client services, claims, implementations, clinical, non-clinical, and IT organizations to manage new and existing workflows. Monitors overall operations including review of internal reports and ad-hoc data analysis associated with operational workflows. Identifies ways to improve or enhance operational performance.

Responsibilities:

• Has proficient working knowledge of business operations

• Has understanding of utilization management, claims operations, IT operations, and call center operations

• Develops subject matter expertise in the technical and operational aspects of the company

• Provides subject matter expertise during the implementation of new clients by integrating workflows into current operations

• Assists with functionality and regression testing for program specific enhancements, implementations and code

• Provides operational expertise to client services and client operations managers in research and resolution of issues and requests

• Builds presentations and completes analyses to assist the program lead in communications to senior management

• Researches, designs, develops and maintains new projects and business solutions

• Translates business requests into system rules; evaluates existing functionality for operational efficiencies and maintains historical record of system development

• Documents and maintains business workflows and requirements, or supports central teams that manage these functions

• Coordinates with key leaders to execute projects

• Assists in preparing internal and external training and direction for clinical and non-clinical staff

Minimum Education: Bachelor’s Degree (or equivalent experience) in Business, Health Services, Mathematics, Computer Science or related field of study

Minimum Experience: 1-4 years, demonstrated leadership potential and aptitude for working in the technology and/or the healthcare fields

Required Skills:

• Must have proficiency with MS Word, Excel and MS PowerPoint (Visio preferred as well)

• Ability to manage multiple priorities and ad-hoc requests independently

• 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

• Strong critical thinking and problem-solving skills

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 52,900 - 88,100 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.

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 re