Position Overview :
The individual is accountable to the Business Production Support team. This role will partner with technical teams and Business Operations teams on issues related to Provider system performance and business process issues with the goal of resolving system and process issues for end users and our customers.
Key Responsibilities :
- Manage an issue through end-to-end cross-functional issue management and resolution process and be accountable for timely issue remediation and / or challenge and risk escalations to Senior Leadership
- Accountable for tracking and correction of impacted transactions
- Provide comprehensive consultation to business unit and technical management at the highest technical level possible
- Collaborate with upstream and downstream business partners to identify the key stakeholders within the process necessary to drive remediation.
- Review, analyze and appropriately disposition MIRS issues for distribution including engagement and ownership of Corrective Action Plan (CAP) related documents.
- Drive resolution by partnering with technical teams and operations. This may include coordinating and documenting sessions with Technology Teams and vendor partners to achieve definitive resolution of complex issues
- Liaise with the Compliance Medicare Business Support (MBS) team on business issues with compliance implications.
- Liaise with all technical teams to ensure swift resolution of problems within service level targets
- Produce documentation of issues impacting the business operations targeted to operations managers and leadership within established guidelines for format and timing
- Provide guidance and oversight of the manual daily process for the collection of outage ticket symptoms
- Investigate and correlate individually reported issues to large / global enterprise issues
- Establish rapport and close collaborative relationship with the Operations and technical teams and have high level familiarity with the applications and services
Required Experience / Qualifications :
- Must be able to lead calls, facilitate major incidents, and communicate effectively with stakeholders and Senior Leadership
- Excellent analytical / troubleshooting skills
- Proficient with Microsoft business applications such as Excel and Word
- Ability and desire to thrive in a proactive, fast paced environment
- Demonstrate ability to take initiative and drive process improvements
- Able to effectively communicate across teams and roles
- Strong analytic skills and the ability connect the dots quickly
Desired Experience / Qualifications :
- BA / BS degree or higher strongly preferred in Computer Science or related degree or 4+ years of job-related experience preferred
- 2+ years of technical or operations experience with Provider applications
- This position may require support beyond core business hours.
- General knowledge of or previous experience with technical support or development of one or more application or infrastructure areas strongly preferred
Medicare Provider Business Production Support Program Senior Advisor - Cigna Healthcare - Hybrid
Liaise with the Compliance Medicare Business Support (MBS) team on business issues with compliance implications. The individual is accountable to the Business Production Support team. This role will partner with technical teams and Business Operations teams on issues related to Provider system perfo...
ISS Program Information Systems and Cybersecurity Advisor Senior Program Engineer
ISS Program Information Systems and Cybersecurity Advisor Senior Program Engineer. ISS Program Information Systems and Cybersecurity Advisor Senior Program Engineer- Project Engineer- Systems Engineering. As the Senior IT and Cybersecurity advisor to the ISS Program representing Aerospace on this NA...
Medicare Provider Performance Enablement Operations Manager - Cigna Healthcare - Hybrid
Reporting to the Provider Performance Senior Manager/Operations Director/Operations Senior Director (Market President), the Provider Performance Enablement Manager ensures the effective management of the performance outcomes of the provider network. The Medicare Provider Performance Enablement Manag...
Agile Product Owner Sr. Advisor - Evernorth Accountable Care - Hybrid
Evernorth Accountable Care is a new business focused on partnering with healthcare providers to form value-based care relationships, improving care for patients and reducing total healthcare costs. The Agile Product Owner will focus on developing the claims pricing and payment capabilities to suppor...
LPN/LVN or RN Nurse Case Management Senior Analyst- Work Onsite at Providers Office - Birmingham, AL (Jefferson County)
Coordinate and manage relationships with participating provider practices. Develop and maintain a process to ensure all customers in participating provider practices meet all quality metrics. Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services...
Manager, Provider Contract Network Management - AL/MS Market - Medicare Advantage
Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Manages key provider relationships and is accountable for critical interface with providers and business staff. Provider Contracting Team and reports to ...
Business Analytics Senior Advisor - Evernorth Health Services - Remote
Reporting to the Affordability Analytics Senior Manager, the Business Analytics Senior Advisor will work in a cross-functional environment, collaborating with initiative owners, other analytics teams, and subject matter experts to move initiatives through multiple stages of the affordability lifecyc...
Medicare Client Account Support Analyst - Remote, AL, TN or TX - Cigna Healthcare
The Cigna Medicare Contracting Client Account Support Analyst will be responsible for providing internal and external agency and agent support in the areas of sales contracting service and maintenance. The Support Analyst coordinates with business partners to ensure needs are met and potential probl...
Medicare Operations Business Project Senior Advisor - Cigna Healthcare - Hybrid
A member of the Cigna Medicare Business Operational Excellence Process Engineering team. Assess the quantifiable and qualitative benefits that the business can obtain by moving from the current state business design to the future state business design. Lead, coordinate and partner with the business ...
Print Production Assistant at UPS Store5790-Bessemer
The Ups Store5790 in Bessemer, AL is looking for one print production assistant to join our 6 person strong team. ...