Ready to improve the health and vitality of those we serve? EviCore, a division of The Cigna Group is hiring a Claims Systems Testing Associate. For this essential fast-paced claims systems role, you'll manage simple to complex claims systems testing within the claims adjudication engine. The Claims Systems Testing Associate will ensure data integrity, data security and test claims processing.  

Responsibilities:

• Claims System Testing Associate will complete tasks with guidance (as needed) from mentor and/or Claims Systems Quality Review Supervisor
• Work from the Jira system utilizing project methodologies to maintain and upkeep tickets for claims systems testing requests.
• Claims system testing requests will include but are not limited to proprietary claim edits, industry standard claim edits, and benefit rules for all claim products and programs
• You'll review, coordinate, and outline claims system testing for the claims configuration specialist to ensure their configuration is set up correctly
• Document testing in a Microsoft Excel tracker
• Test configuration changes to validate claims are processing based on requirements
• Utilize SQL queries to review configuration, testing and claims data
• Investigate claim processing to determine claim configuration root cause analysis
• Requirements:

• High school diploma or GED required, associate degree in a computer related field preferred
• 2+ years of claims and health care data experience, required
• 1+ years of experience in medical claims systems configuration, preferred
• Experience running simple queries utilizing Microsoft SQL
• Experience in Microsoft Access database (including queries and data manipulation) preferred
• Proficient in Microsoft Excel (including pivot tables, charts and formulas) required
• Strong technical competence, proven critical thinking, and impeccable communication skills, 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 22 - 33 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.