Claims System Configuration Senior Analyst

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The Cigna Group

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10,000+

Description

• Review claims processing system configurations • Partner with internal departments, clients, and vendors • Resolve non-routine issues and act as subject matter expert (SME) • Analyze and design solutions for processes and procedures • Collaborate with technology and analytics teams on data sources for reporting

Requirements

• High School Diploma or GED required, bachelor’s degree preferred • 5+ years of healthcare claims lifecycle; configuration design, editing, claims system requirements, and analysis - REQUIRED • 3+ years of experience in MS ACCESS - REQUIRED • 3+ years of advanced experience with MS EXCEL - REQUIRED • 3+ years of experience with SQL and SQL querying, REQUIRED • 3+ years of experience with database management systems, creating test plans/use cases, and SDLC models, required • 3+ years of experience with MC400, McNet and RC3 systems Preferred • 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS)

Benefits

• Comprehensive range of health-related benefits including medical, vision, dental, and well-being • 401(k) with company match • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays