Configuration Analyst jobs in Franklin, TN

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Claims System Configuration Quality Review Senior Analyst - eviCore - Remote
  • The Cigna Group
  • Franklin, TN OTHER,FULL_TIME
  • The job profile for this position is Operations Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.

    Excited to grow your career?

    We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

    Our people make all the difference in our success.

    Do you want to Drive Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst. This role requires the review of our claims system to ensure all configurations were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject matter expert, you’ll partner with the Claims Configuration Associates, internal departments, external clients and vendors to ensure configurations have met client requirements and quality standards.

    What you’ll do to Drive Growth and Improve Lives:

    • Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes

    • Collaborate with internal and external clients to understand, and evaluate processes, procedures, job aids and identify solutions for procedural gaps

    • Analyze business and user requirements to design solutions and system configurations, specifications, create test plans/use cases perform SI testing, end to end testing and continuously improve adjudication automation and accuracy.

    • Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between business and technology to execute project initiatives, and resolve issues

    What you’ll need to succeed:

    • High School Diploma or GED required

    • 5 years of healthcare claims lifecycle; configuration design, editing, claims system requirements, and analysis required

    • 3 years of experience in Microsoft ACCESS and EXCEL required

    • 3 years of experience with SQL querying, database management systems, creating test plans/use cases, and SDLC models required

    • 3 years of experience with AS400, MC400, McNet and RC3 systems required

    • 3 years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS)


    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.

    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.

    Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

  • 7 Days Ago

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Final Configuration Technician
  • Permobil, Inc.
  • Lebanon, TN FULL_TIME
  • Final Configuration TechnicianThe Final Configuration Technician will perform final assembly configuration, and inspection of custom complex mobility products Would you like to work in an internationa...
  • 1 Day Ago

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Product Data (Configuration) Manager
  • The Executive Advertising
  • Hendersonville, TN FULL_TIME
  • Product Data (Configuration) ManagerAt Executive Advertising, Hendersonville, TN We are looking for an ecommerce product data manager for full time work and will be in charge of a small team of people...
  • 1 Day Ago

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Manager, Account Configuration Group (ACG)
  • Corpay
  • Brentwood, TN FULL_TIME
  • Manager, Account Configuration Group (ACG) What We Need Corpay is currently looking to hire a Manager of Account Configuration Group (ACG) within our Corpay division. This position falls under our Imp...
  • Just Posted

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NetworX Provider Reimbursement Configuration SME - Remote
  • UnitedHealth Group
  • Brentwood, TN FULL_TIME
  • At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people fo...
  • 17 Days Ago

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Analyst I
  • PRGX Global, Inc Career Center
  • Nashville, TN FULL_TIME
  • PRGX is looking for a Full Time Staff Auditor/Analyst to work in our Nashville, TN office (Partially Remote). This is a great opportunity for an entry level candidate who is interested retail/grocery ...
  • 19 Days Ago

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0 Configuration Analyst jobs found in Franklin, TN area

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Senior Labor Systems and Support Analyst
  • Bridgestone Corporation
  • Nashville, TN
  • Company Overview Wherever you work and whatever role you fill, when you represent the Bridgestone name you know that you...
  • 3/29/2024 12:00:00 AM

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Business Analyst
  • Comrise
  • Nashville, TN
  • Payrate: 50.00/hr Duration: 12 Months 3 days in and 2 remote · Ensures successful integration of ERP solution into an or...
  • 3/29/2024 12:00:00 AM

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QNXT Configuration Analyst - REMOTE
  • Sierra Solutions Group
  • Franklin, TN
  • Job Summary We are looking for a QNXT Configuration Analyst for our Healthcare Technology client. As a QNXT Configuratio...
  • 3/28/2024 12:00:00 AM

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Epic Interface Analyst (HIM Coding/3M CAC Application Analyst) - 100% Remote
  • Amerit Consulting
  • Nashville, TN
  • Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest...
  • 3/28/2024 12:00:00 AM

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EPIC HIM Application Analyst (100% REMOTE/NO C2C)
  • Amerit Consulting
  • Nashville, TN
  • Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health de...
  • 3/28/2024 12:00:00 AM

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Claims System Configuration Quality Review Senior Analyst - eviCore - Remote
  • Cigna
  • Franklin, TN
  • Do you want to Drive Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configur...
  • 3/27/2024 12:00:00 AM

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Epic HIM Associate Application Analyst-Remote
  • Premise Health
  • Brentwood, TN
  • Description Healthcare Without Rival Premise Health is the world's leading direct healthcare provider and one of the lar...
  • 3/27/2024 12:00:00 AM

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Technical Support Analyst (Remote)
  • Gallagher
  • Franklin, TN
  • About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
  • 3/26/2024 12:00:00 AM

Franklin is a city in, and the county seat of, Williamson County, Tennessee, United States. About 21 miles (34 km) south of Nashville, it is one of the principal cities of the Nashville metropolitan area and Middle Tennessee. As of 2017, its estimated population was 78,321, and it is the seventh-largest city in Tennessee. Williamson County was primarily rural into the late 20th century, with an economy based on traditional commodity crops and livestock. In the 19th century, part of its economy (especially the cultivation of tobacco and hemp) depended on slavery, and after the American Civil Wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Configuration Analyst jobs
$55,337 to $68,169
Franklin, Tennessee area prices
were up 1.3% from a year ago

Configuration Analyst in Huntsville, AL
Management and control of proprietary data in accordance with International Traffic in Arms Regulations, Limited rights, and/or company standards.
April 05, 2023
Configuration Analyst in Lexington Park, MD
Demonstrated experience in analyzing program/project status and providing documentation to support project/program is required.
May 01, 2023
Configuration Analyst in Marinette, WI
Implement and monitor within the Earned Value Management System (EVMS) project schedule development, schedule analysis, budget cost analysis and reporting.
February 22, 2023
Complete the functions within Configuration Management which may include the Configuration Status Accounting (CSA) and validation.
April 25, 2023