Job Description
WORK LOCATION: HYBRID / REMOTE The National Ancillary and Out of Network Protection Team (NA/ONPT) plays a significant role in Cigna's Enterprise Affordability strategy. Our team manages over 400 national contracts across US Commercial and US Government lines of business and roughly $9B in annual medical spend across National Ancillary, Direct Provider and Non-Par Cost Containment partnerships.
The
Business Analyst is a key role working closely with project management, contracting, vendor partners, and enterprise wide stakeholder SME's to develop, improve, monitor, and maintain delegated UM programs for Cigna HealthCare. The work will be a mix of project and production support including program configuration, compliance, performance management, root cause analysis, data stewardship, business requirements definition, testing support and validation. This role will report to the BA/OPS Senior Manager focusing primarily on broadening Cigna's network, revenue and affordability opportunities for Cigna clients and customers.
This role has visibility to and regular interactions with our Senior Leadership team and other key internal and external stakeholders. Work can range in content including (but not limited to) Root cause analysis of systemic issues that impact prior the prior authorization process. scope and assess analysis, organizational realignment, medical cost initiatives, program implementations, performance management, or process improvement.
Job Components and Deliverables PROGRAM MANAGEMENT: - Production Support of program configuration and - Monitor controls and Identify issues, root cause analysis, solutioning, document and maintain log of issues, propose fixes, test fixes (including use case definition, expected results, defect logging, validation and governance of process)
- Project Support - Develop and manage detailed business requirements using a combination of stakeholder input and subject matter expertise, test requirements (including use case definition, expected results, defect logging, validation and governance of process)
DRIVING SOLUTIONS: - Root Cause Analysis - dive into data, system workflows, requirements and feeds to determine issue cause and appropriate solutioning suggestions
- Facilitation - lead and document idea sessions around problem resolution to address business needs
- Prioritization - evaluate business-specific requirements
- Process - follow portfolio and production processes to resolve issues and project needs. Including but not limited to Intake creation, project request forms and collaterals, business case support, status reporting updates, communications surrounding issues and fixes, and governance support (logs, materials, decision support)
RISK MANAGEMENT: - Risk Identification - Clearly quantify / qualify risks and engage with impact partners to prioritize related to cost, timing and features
- Mitigation - Eliminate barriers to success or develop alternate solutions
- Communication - Early/Frequent communication with leadership and key partners for governance, risk/issue management, and status reporting.
COMMUNICATION: - Sponsorship / Senior Level - Concise, effective communication around progress, risks, timing and decisions needed at the senior level
- Team - Detailed plans and activities to identify timing and ownership.
- Organizational - Clear, effective communication to matrix partners on timing / impact of implementations on their departments.
Cigna Core Competencies ALIGN: - Manages Complexity - Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems
- Manages Conflict - Handling conflict situations effectively, with a minimum of noise - applying knowledge of business and the marketplace to advance the organization's goals
- Collaborates - Building partnerships and working collaboratively with others to meet shared objectives.
INSPIRE: - Communicates Effectively - developing and delivering multi-modal communications that deliver a clear understanding of the unique needs to different audiences
- Persuades - Use compelling arguments to gain the support and commitment of others
DEVELOP: - Nimble Learning - Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
- Situational Adaptability - Adapting approach and demeanor in real time to match the shifting demands of different situations
- Tech Savvy - Anticipating and adoptinginnovationsinbusiness-buildingdigitalandtechnologyapplications.
DELIVER: - Drives Results - holding self accountable to meet commitments
- Action-Oriented - consistently achieving results, even under tough circumstances
- Optimizes Work Processes - Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement.
BASIC QUALIFICATIONS: - 5+ years of Business Analysis, Agile product support, or applicable experience, required
- Agile / Traditional requirements development / delivery methodology awareness
- Demonstrated experience and mastery in skills listed above
- Working knowledge of Cigna operations, systems, markets and contracts
- Up to 15% travel expected for role, as needed
MANAGEMENT TOOLS EXPERIENCE, Preferred: - RAID LOG
- Business Requirements templates / EPIC, theme, user story creation
- Use case templates, test strategy/test plan, defect log
- Excel/PowerPoint
- Communications plan awareness
- Status reporting
- Pathfinder
- JIRA
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.
About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: 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.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Job Tags
Permanent employment, Local area, Remote job, Work from home, Shift work,