Cigna is looking for a role to drive initiatives through the development of industry standard formats, including HIPAA EDI transactions and custom API solutions from a business perspective, partnering with IT for technical components.
Requirements
- 3+ years of EDI experience required
- 7+ years working in the healthcare industry is required
- EDI transactions experience or working knowledge of EDI systems highly preferred
- Agile experience preferred
- Demonstrated understanding of healthcare and provider office workflows, specifically practice management and electronic health records, is required.
- Basic understanding of healthcare EDI transactions is highly preferred
- Able to collaborate with others in the industry on the development of new standards
Responsibilities
- Develop working relationships with individuals in similar roles at other payers, provider and vendor organizations that you can collaborate with on industry standards questions.
- Read, understand and provide recommendation for changes on industry technical guides.
- Provide awareness on Industry Initiatives to key matrix partners and obtain input on how those initiatives align with enterprise strategies and priorities
- Develop and maintain awareness of industry trends, and gather industry expert opinion and quantitative market data for different market segments
- Work collaboratively with internal cross enterprise stakeholders to communicate information with external industry groups
- Maneuver through and transition from strategic organization view to complex process, policy, people and technology impacts
- Understand and translate technical standards and requirements to be applied toward business scenarios and needs
Other
- Candidates who reside within 50 miles of the following locations may be asked to work in person on a hybrid schedule (three days per week): Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.
- Bachelor's degree or higher strongly preferred or equivalent work experience required
- Computer skills required: MS Office (Outlook, Excel, Word, PowerPoint, Access)
- Demonstrated problem solving skills including the ability to systematically analyze complex problems
- Ability to multi-task, shifting effectively among multiple activities
