Job Information
The Cigna Group Operations Advisor in Bloomfield, Connecticut
The job profile for this position is Operations Advisor, which is a Band 4 Individual Contributor Career Track Role.
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Role Details
As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the Dedicated Medicare Operating Model (DMOM) program will drive a competitive administrative cost structure while delivering consistent, compliant operational performance. This will be accomplished through the implementation of a new operating model – transformation across people, process, and technology.
The Operations Advisor is responsible for developing and executing testing to ensure results align to expectations. Responsibility will include the development of test automation, a new functionality to be leveraged within the program and post-program operations to ensure a high quality of system performance.
This individual will work with business, technology, and solution teams to develop and execute Service Readiness Validation (SRV) strategy for core business capabilities. This individual must possess strong understanding of business processes and capabilities, both functional and end-to-end, and prioritize testing of critical business processes and capabilities. This individual will be responsible for directing the work of User Acceptance Testers and providing coaching as needed.
PRIMARY RESPONSIBILITIES
Coordinate with Business Operations leaders & IT Development teams to understand all aspects of business requirement
Coordinate with QA/QE team on the capability test plans, scope for releases and provide frequent feedback, including recommendations for improvements, evaluation of problems and potential solutions
Work with Test data and Test environment teams on all technical aspects of deployment for Service Readiness Validation (SRV) environment readiness for testing
Provide leadership and guidance and coordinate necessary access for the team on tools/platforms to enable SRV testing
Gain a deep working knowledge of Medicare business, IT landscape including environments, and coordinate collaboration of the SRV team
Create SRV execution projections
Drive automation first approach for all SRV testing in collaboration with SRV Automation Engineers
Review and Contribute to the development and maintenance of a library of test cases that are designed to ensure that software, data, content and configurations meets business requirements.
Lead SRV Defect triage meeting
Develop and execute test scripts, test conditions, input test data, and expected results for Service Readiness Validation
Prepare Production checkout plan, data and scenarios working with business SME and end users
Identify and document defects, issues, risks and dependencies
Work with product owners to define acceptance criteria
Coordinate with Product Owner, Technical Leads, Product Managers and QA on readiness for release and timeline
Measure and report test coverage across all applicable coverage dimensions
Ensure appropriate testing tasks are scheduled during release, iteration planning
Actively collaborate with developers and business stakeholders to clarify requirements, especially in terms of testability, consistency, and completeness
Participate proactively in daily standup meetings, story grooming sessions, team retrospectives and suggest improvements
Coordinate production checkouts and engage end users and training team for production checkouts.
Deliver internal SRV results to ensure high quality before releasing a solution and collaborate with end user for exploratory SRV cycles
Establish standard processes for managing end user feedback, triaging issues and routing to and from product and engineering.
Provide recommendations for Go/ No Go release decisions based on sound SRV testing inclusive of functional and regression testing
MINIMUM QUALIFICATIONS
Bachelor’s degree preferred or equivalent experience.
Five+ Years of experience in Testing and Quality Engineering
Two+ Year of experience of related business or healthcare experience.
Candidate should have strong claim processing understanding, and advanced knowledge of health care coding, fee schedules and reimbursement methodologies.
Knowledgeable with high complexity, high volume transaction healthcare claim environment
Experience in Quality Engineering and/or Service Readiness Validation testing
Knowledge of data model/database design concepts and working knowledge of SQL is a plus.
Experience in QNXT & Facets is preferred.
Ability to work with shifting priorities to meet project requirements; self-motivated.
Attention to detail, with strong analytical and problem-solving skills.
Excellent written and oral communication skills
Experience working with multiple groups, both internally and externally – clients, engineering and product management teams
Knowledge of the tools like Jira, Zephyr is preferred
This position is not eligible to be performed in Colorado.
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.
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: 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.
Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.
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.
The Cigna Group
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