This position is open within the Select Segment’s Business Solutions and Implementation (BSI) team. The BSI team represents the Select Segment in all application development projects touching the Facets system and related applications.

The person filling this position would support the Business Production Fallout for the NRT (Near Real Time) accumulation application for the sharing of member accumulations between medical and pharmacy, as well supporting Production support requests from our business partners.

• Responsible for production support for the daily accumulation fallout of NRT production support based on Business requests.

• Analyze and triage accumulation fallout for resolution.

• Coordinate and monitor configuration corrections with Business partners for resolution to accums fallout.

• Open Tickets to IT partners for resolution to Accum Fallout due to System (IT) process. Responsibilities will include managing open tickets to IT and coordinating resolution to the fallout. 

• Work with management team to remedy any concerns that may arise with the accumulation process. Compile and analyze results of service for identification of improvement opportunities.

• Provide weekly status and performance metrics to the NRT Lead and Senior Management team.

• Responsible for production support requests from Business partners.

• Responsible for Individual Stop Loss inquiries/Audits.

• Analyze and recommend adjustments for ISL to UW and Billing.

• Coordinate and monitor adjustments for ISL.

• Provide monthly status reports to Senior Management team.

Participate in Project work for small enhancements to the NRT Systems.

• Serve as a liaison between business and technical teams to define and interpret how Facets data populates the appropriate data stores to support downstream applications and processes.

• Serve as a liaison between business and technical teams to support benefits returned in the data stores.

• Serve as a SME for business and end users on information stored in the data stores

• Audit of information supplied to and returned by the data stores

• Gather and Document business rules for display/return of data to support end user requirements.

  • Define and maintain requirements and desired outcome associated with the data stores for Facets implementations.

  • Analyze, design, build, test and document business rules to support use and display of data by downstream systems and meet business requirements.

  • Provide testing support as needed so that testers understand requirements and to review test cases and results. Troubleshooting of issues may also be necessary.

Qualifications:

• Superb analysis and critical thinking skills

• Strong Organization skills

• Strong verbal and written communications skills with demonstrated ability to research, problem solve, trouble shoot, influence, present and partner across the organization

• Results driven

• Must be able to meet specified turnaround timelines and production metric goals.

• Demonstrate leadership skills

• Demonstrate ability to manage multiple timelines and priorities for self and team

• Key Competencies required: Decision quality, Priority Setting, Business Acumen, Analytical Skills and Conflict management.

Preferred Qualifications

• Familiarity with data mining and management

• Experience with benefits, plan coverage and projects.

• Technical knowledge of systems used by area

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 of 61,400 - 102,400 USD / 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. That’s why 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) 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 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.