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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.
Claims Systems Project Lead Analyst
Location
United States
Posted
74 days ago
Salary
$75.7K - $126.1K / year
Seniority
Senior
Job Description
Claims Systems Project Lead Analyst
The Cigna Group
• Create and test ClaimsXten (CXT) scripts using medical claim systems such as Proclaim, Facets, PMHS, and PPN. • Partner with Quality Engineering (QE) teams to support testing, retesting, and issue resolution. • Document workflows, test results, and system changes clearly and accurately. • Work with business leaders and change teams to support readiness, training, and implementation. • Provide clear project updates, reporting, and post‑implementation monitoring. • Identify opportunities to automate processes, improve service quality, and reduce operating costs. • Support or lead small projects or components of larger initiatives. • Coordinate with business SMEs and IT partners to meet scope, cost, and timeline goals. • Ensure project plans are documented, approved, and executed as designed.
Job Requirements
- High School Diploma or GED required
- 3+ years of experience with one or more of the following medical claim systems (Proclaim, Facets, PMHS, or PPN) required
- Experience creating or testing ClaimsXten (CXT) edits strongly preferred
- Coding or system configuration experience preferred
- Experience supporting project readiness activities such as training, procedures, and implementation
- Ability to work independently in a fast‑changing environment
- Strong skills in documenting business requirements and process changes
- Ability to manage multiple priorities and meet deadlines
- Strong problem‑solving, decision‑making, and communication skills
- Proficient in Microsoft Office, SharePoint, and project tools; advanced Excel skills preferred.
- Proven ability to work well with cross‑functional teams and stakeholders at all levels.
Benefits
- health-related benefits including medical, vision, dental, and well-being and behavioral health programs
- 401(k) plan
- company paid life insurance
- tuition reimbursement
- minimum of 18 days of paid time off per year
- paid holidays
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