Claims Systems Configuration Coordinator - Evicore - Remote

Do you want to Drive Growth and Improve Lives? EviCore a division of The Cigna Group is hiring a Claims System Configuration Coordinator. For this essential Claims Systems role, you'll manage simple to complex Claims Systems configuration within the claim adjudication engine. The Configuration Coordinator 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.
RESPONSIBILITIES:

• You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
• You'll work claims systems configuration tasks independently with configuration design assistance from Configuration Specialist and Configuration Supervisor.
• Claims system configuration requests will include but are not limited to claim billing and benefit rules for all claim products and programs.
• Assists in documentation upkeep in cooperation with Configuration Supervisor and Quality Assurance associates.

QUALIFICATIONS:

• 2+ years of claims and health care experience required
• 1+ years of experience in Claims Systems Configuration required
• Strong technical competence, proven critical thinking, and impeccable communication skills are required
• High School Diploma or GED
• Intermediate skills in MS Office Excel is required
• Knowledge of SQL queries within SQL server is a strongly preferred
• Ability to multitask and work independently in a fast -paced environment required
• 1+ years of Microsoft Access experience is 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 hourly rate of 20 - 30 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.