Application Development Advisor - EDI - Remote
Job Description
Responsible for working on a production support team in an Application Development Advisor role supporting inbound/outbound claims/encounters/enrollment data using a variety of data sources in a dynamic and fast paced environment with high customer support level expectations. Works closely with business users and IT groups to identify application development solutions, new or modified programs, re-use of existing code through the use of program development software alternatives, or integration of purchased solutions or a combination of the available alternatives. Provides analysis of business and user needs, environmental health, documentation of requirements, and translation into proper system requirement specifications. Devises, modifies procedures/processes, and/or consults with delivery teams to solve complex problems considering computer equipment capacity and limitations, operation time, and form of desired results. Not only possesses full technical knowledge of most phases of systems analysis, but also considers the business implications of the application of technology to the current and future business environment. The advisor role has added expectations in regard to leadership, mentoring, and overall skill levels.
Roles and Responsibilities:
- Superior customer service skills.
- Works in an environment with rapidly changing business requirements and priorities.
- Ensure that SLA's for scheduled jobs are adhered to by team and vendor resources.
- Assist in support during hours of operation and possible after-hours production emergencies.
- Monitoring, ticket triaging and completion, issue/root cause analysis and resolution.
- Gather requirements, designs, constructs and delivers solutions.
- Designs/develops/unit tests code updates to fix reported defects/problems.
- Exceptionally strong analytical skills.
- Manages escalated outages owning them from end to end as a technical lead independently with little to no support from a Manager.
- Coaches team on existing system structure, constraints and deficiencies with supported applications.
- Can manage all aspects of application support within scope including software upgrades, integrations maintenance, database maintenance, end user support, trouble shooting, auditing systems and problem solving.
- Can manage workload of production support "shift left" activities where possible to save time and lessen response time for customers. Utilizes automation where possible.
- Removes obstacles and barriers to allow team members to do their jobs and escalate appropriately.
- Able to include technical debt remediation work into current workload without having to be directed from management.
- Able to participate in portfolio project work from production support perspective while maintaining current workload/meeting current deadlines.
- Able to identify potential/future issues, present a variety of solutions, and implement them in order to resolve these issues prior to them occurring/escalating.
- Able to prepare and coordinate communications to stakeholders.
- Can step in and act as a team lead in the absence of the manager.
- Recognized internally as "the go-to person" for the most complex assignments.
Qualifications:
- Bachelor's degree in Engineering or a related discipline, 5+ years of solid, diverse work experience in IT.
- Above all else - great attitude, passion, collaborative, great communicator (spoken & written).
- Process-oriented mindset and ability to change/adapt quickly.
- Creative problem solving - following an issue through to its logical conclusion and escalating where necessary.
- Knowledge of Health Care (Medicare/Medicaid, Members, Providers, Claims, etc.) - 5+ years of experience
- Technologies:
- Microsoft Office (Word, Excel, Visio) - 5+ years of experience
- Microsoft SQL Server (SQL Server Management Studio, Integration Services (SSIS)) - 5+ years of experience
- Edifecs - 5+ years of experience
- EDI Healthcare - 5+ years of experience
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 93,300 - 155,500 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 The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: [email protected] for support. Do not email [email protected] 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.
Date Posted
10/11/2023
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