drjobs Project Manager Advisor Claims Systems Business Solutions - eviCore - Hybrid

Project Manager Advisor Claims Systems Business Solutions - eviCore - Hybrid

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1 Vacancy
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Job Location drjobs

Colorado Springs, CO - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Ready to take the next step on your career journey EviCore a line of business within The Cigna Group is hiring a Project Manager Advisor for the Claim Systems Business Solutions Team. Youll manage the endtoend project delivery of claims business implementation/change requests product roadmap strategy fulfillment and improvement initiatives. Youll define clear project scope and objectives produce project schedules manage issues and risks organize tasks and resources report regularly on progress and ultimately ensure timely delivery across various projects. Youll ensure that projects are delivered on time while continuously aligning to our core claims operations strategy of supporting our members providers and clients through efficiency and quality.

What Youll Do:

  • Oversee the direction coordination implementation and completion of projects while remaining aligned with strategy commitments and goals of the organization
  • Provide input for ongoing identification and of continuous improvement opportunities to improve quality service cost to process productivity and throughput capacity for claims systems supporting claim products and services
  • Lead planning sessions with crossfunctional teams to build project schedules for projects
  • Track project performance to ensure tasks are completed on time create strategies for risk mitigation and contingency planning when delays occur
  • Establish project governance communication to ensure stakeholders SMEs and other impacted resources are updated on project goals and expectations
  • Consolidate monthly reports identify trends and create status updates and present to various audiences
  • Execute project structures within the Operating Effectiveness team to lead the change requests with detailed work plans schedules project estimates and status reports
  • Ensure proficiency in application of continuous improvement and change request facilitation using project management tools and methodologies suited for the project
  • Collaborate with external and internal clients seeking changes within our product processes or programs that will affect claim operations and claim systems ensuring quality and timely
  • Provide input and feedback to the Manager to ensure participation and buyin from all levels of leadership to enable successful implementation of improved or newly developed processes

Requirements:

  • High school diploma or GED required bachelors Degree preferred
  • PMI Certification or Six Sigma training preferred
  • Experience with agile methodology project management and documentation of business processes and software/business requirements
  • 5 years of Project Management experience (with SDLC preferred)
  • Experience in Claims Adjudication System migration/implementation or Claims Adjudication Engine enhancement
  • Advanced technology skills including proficiency in Microsoft Office Project Visio Confluence and Smartsheet required
  • Proficient in planning organization time management with proven ability to balance multiple deadlines in a fastpaced environment
  • Demonstrated ability to collaborate across functions fostering strong relationships in ambiguous situations to effectively resolve complex problems
  • Experience in Azure DevOps and agile work management tool
  • Excellent communication (oral and written) skills with the ability to communicate a clear vision to senior leaders
  • Ability to travel to client sites as needed

***This role has a hybrid designation. If hired near a location where there is no eviCore office your designation will be remote on an interim basis Office Aligned No Seat Assigned***


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 annual salary ofUSD / yearly 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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing 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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobaccofree 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.


Required Experience:

IC

Employment Type

Full-Time

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