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Claims Systems Configuration I - Work from home - eviCore at Cigna in BLUFFTON, South Carolina

Posted in General Business 30+ days ago.

Type: Full-Time

Job Description:

US Remote, Work from home

Configuration Coordinator I is responsible for simple to complex configuration within the claim adjudication engine. Configuration requests will include, but are not limited to:

  • Claim billing and benefit rules for all claim products and programs.

  • Coordinate, define, and review configuration to meet change requirements as approved.

  • Assists in documentation upkeep in cooperation with Configuration Supervisor and QA associates.

  • Work configuration task independently with configuration design assistance from Configuration Specialist and Configuration Supervisor.

  • Complete related work as requested.

Required Skills :

  • Proven critical thinking skills.

  • Intermediate skills in MS Office Excel and Access is essential.

  • Strong technical skills, strong communication skills, and the ability to multitask and work independently in a fast -paced environment are essential skills for this position.

  • A thorough understanding of claims and health care is essential.

  • Experience with MC400 claims adjudication engine configuration is a plus. Knowledge of Azure DevOps, Six Sigma, and Agile.

  • Preferred skills in simple SQL queries within SQL server and/or DB2 SQL.

Minimum Education, Licensure and Professional Certification requirement:

  • 2+ year degree preferred

Minimum Experience required:

  • 2+ years of healthcare claim rules and benefits configuration or quality testing oversight

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.