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MHK Lead Analyst at Cigna in Memphis, Tennessee

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

Job Summary:

This position is responsible for day-to-day operations related to system support such as: user provisioning support, issue tracking and resolution, change request and release management, configuration, testing, deployment planning and support, reconciliation, vendor program integration support, and drafting project plans. Leads special projects and acts as a business liaison to ensure service standards are met.

To ensure success, Technical Support Leads must understand the business operation and decision-making processes with a keen interest in producing targeted and tangible results by creating an effective and efficient workforce.

Core Responsibilities:


  • Work as a business liaison to identify and assess system needs of the organization in alignment with business processes and compliance requirements

  • Ability to gather and document system requirements, create test scenarios for new and/or existing applications

  • Develop test plans and execute testing application configuration and product functionality to ensure accuracy with specifications with each release.

  • Support the project team with configuration, efficient release/base-lining management, and provide recommendations for improving change management

  • Serve as a point of escalation for requests requiring a higher degree of expertise or discretion to resolve issues and ensure timely resolution.

  • Leads projects as assigned

Minimum Qualifications


  • One or more years of experience utilizing independent judgment and discretion, testing, debugging and implementing moderately complex operating systems components, and utilities required for the operation, maintenance, and control of computer systems.

  • Experience in Medical House of Knowledge (MHK) as a business project liaison or technical support is preferred.

  • Knowledge of Medicare Operations related to Utilization Management, Pre-service Organization Determinations, Care Management, Part C Appeals, Grievances, CTM, Quality of Care complaints and MTM/OMS is required.

  • Knowledge of Part C Medicare CMS guidance and NCQA standards is required.

  • History of managing modifications to existing software to fit specialized needs and configurations, and maintaining program libraries and technical documentation

  • Ability to work with geographically dispersed teams

  • Fundamental understanding of operating systems

  • Strong understanding of testing and debugging procedures

  • Ability to speak and communicate with the technical team and the business team in their own vernacular and translate concepts between both teams

  • Ability to organize requirements and resources to assist with project needs

  • Must be proactive and innovative in research and analysis efforts

  • Proficient in Microsoft Office Suite, specifically Excel, PowerPoint and Visio

  • Up to 25% travel depending on project scope and deliverables

  • Ability to work non-standard hours during release windows

  • Mentor other Technical Support Analysts

  • Drive mentality of quality being owned by the entire team

  • Passion for finding bottlenecks and thresholds in existing team; passion for improving configuration quality

  • Excellent verbal and written communication skills

  • Excellent troubleshooting skills to root cause complex issues

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.





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