Remote Otter LogoRemoteOtter

EDI Product Advisor - Evernorth - Remote

Posted Yesterday
All others
Full Time
USA
96,800 - 161,400 USD/year

Overview

This position is responsible for driving Cigna initiatives through the development of and using industry standard formats, including the suite of HIPAA EDI transactions and custom API solutions from a business perspective, partnering with IT for technical components.

In Short

  • Drive Cigna initiatives using industry standard EDI formats.
  • Participate in industry workgroups and conferences.
  • Translate technical standards into business-friendly terminology.
  • Develop relationships with industry peers for collaboration.
  • Provide recommendations for changes on industry technical guides.
  • Work with internal stakeholders to communicate with external groups.
  • Anticipate future needs of the healthcare industry.
  • Assess impacts of proposed mandates on Cigna.
  • Guide internal partners on applying technical guides.
  • Up to 25% travel may be required.

Requirements

  • Bachelor's degree or equivalent work experience required.
  • 3+ years of EDI experience required.
  • 7+ years in the healthcare industry required.
  • Experience with EDI transactions preferred.
  • Agile experience preferred.
  • Strong understanding of healthcare workflows required.
  • Basic knowledge of healthcare EDI transactions preferred.
  • Excellent problem-solving and organizational skills.
  • Strong written and verbal communication skills.
  • Ability to manage change effectively.

Benefits

  • Comprehensive health benefits starting day one.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days paid time off per year.
  • Paid holidays.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

Share This Job!

Save This Job!

Similar Jobs:

TestGorilla logo

Product Advisor - Remote

TestGorilla

25 weeks ago

Join TestGorilla as a Product Advisor to engage with prospects and promote innovative hiring solutions.

Worldwide
Full-time
Sales / Business
$28,421 - $35,789 / year
TestGorilla logo

Senior Product Advisor - Remote

TestGorilla

29 weeks ago

Join TestGorilla as a Senior Product Advisor to drive customer engagement and promote innovative hiring solutions in a fully remote role.

Worldwide
Full-time
Sales / Business
$38,947 - $49,474/year
Blu Selection Spain logo

Camera Product Advisor - Remote

Blu Selection Spain

27 weeks ago

Join an innovative company as a Camera Product Advisor, assisting customers in finding the perfect camera and accessories.

Worldwide
Full-time
Customer Service
CyberCube logo

Client Product Advisor - Remote

CyberCube

31 weeks ago

CyberCube is seeking a Client Product Advisor to enhance client success through expert guidance on cyber risk analytics.

USA
Full-time
Sales / Business
J.S. Held logo

Product Specialist / Product Advisor - Remote

J.S. Held

1 week ago

Join J.S. Held as a Product Specialist to shape the launch and growth of a new product offering in a dynamic environment.

NY, USA
Full-time
Sales / Business
$125,000 - $150,000/year