To seek an opportunity as a Business Analyst in the Healthcare domain which may assist in furthering the development of essential skills and knowledge
• Mission oriented professional with strong interpersonal skills and work ethic. Ability of performing as an efficient team member, leading a team project or accomplishing tasks without supervision.
• Excellent ability to understand the client’s business needs using strong interpersonal communication skills to elicit, document, analyze and validate business processes, systems, and solution requirements.
• More than 6+ years of professional experience as a Business Analyst in the field of Information Technology ensuringdetailed customer service and satisfaction. Providing the highest attention to detail and priority.
• Aptitude to consult with business management and personnel to identify, document and resolve business needs and objectives, current operational procedures, problems, input and output requirements, data scope, usage, formatting, and security requirements.
• Result oriented and ability to define timelines, set milestones and prioritize work requests based on user and management demands.
• Proficient experience in Manual and Automated Testing of GUI and functional aspects of the Client-Server and Web based Applications on multiple levels of SDLC and Testing Life Cycle (STLC)
• Detailed experience in writing automated scripts, designing Test Procedures, Manual Test cases and preparing Quality feedback to QA team & manager.
• Experience in testing several different methodologies, Test Matrices and Trace matrix.
• Performed Testing Life Cycle during the vario
I have had ENOUGH. The lack of professionalism and concern for employees is UNMATCHED. The lack of professionalism or concern for employee's equipment conditions and understanding of job
duties. Management has lack of concern for employee's needs professionally as well as personally (naturally). There is also minimal to no accurate training.
From faulty equipment to being delivered broken and damaged equipment that doesn’t work. I have had ENOUGH. I said I was going to make this into a career with this company, but the inconvenience has been far past EXCESSIVE. I have never encountered issues, in any previous occupation, like I have with this company. I literally spent a MONTH in onboarding, a MONTH in “training” and TWO WEEKS of “technical issues/difficulties.” NOW, I see why these people dog this “company” out so bad. I also feel terrible of what the customers have to go through just to get their medication.
We don’t even get paid a certain percentage for situations that are out of our control such as weather issues and technical issues. We’re informed of flexible schedules AFTER the fact that we have “graduated” out of training, etc. There’s no convenience in the schedule and points are counted against us no matter the reason.
I’ve had entirely too many technical issues. It started in training but wasn’t excessive as it is now. Why wasn’t I in the process of receiving new equipment BEFORE production/nesting? The icing on the cake was when I was delivered damaged/overhea
ConsALL (and you are lied to about health benefits)
Providing employees with there quality feedback .Coaching and providing career guidance. Making sure the agents remain on the phone available at all time, schedule time for them to work on there desk work. PeopleSoft scheduling vacation time off, keeping track late arrival, early departure and call outs. Address the employee with they are not adhering to the attendance policy or performance. Thru PeopleSoft manager self service, manage personal and medical leave such as FMLA, STD, and workman comp. Also making sure people soft is updated when an employee leaves the company or is promoted to a different department . Run special reports thru PeopleSoft. In put the employees overtime or straight, FMLA time in the PeopleSoft time and attendance. Holding employee one- on - one meeting monthly meeting to not only provide the employee with monthly feedback, but to obtain feedback to for myself. Making sure the employees has the tools and training necessary to be able perform there jobs. Providing Career path guidance to the employee based on the area of interest. Monitor calls thru Verint system is used to help train, develop and enhance call cycle training. IEX - making sure we schedule employee to work based on business needs. Making sure the employee are handing the calls within the company metrics. All calls must be answer with 30 seconds. All calls and correspondence must be track by the employee.
Human Resource Management. Making sure all established Human Resourc
An average day as a short term disability claim manager involves contacting physicians, claimants (disabled persons), and employers. A claim manager contacts physicians to obtain the documentation necessary to decide whether or not a claim can be approved and disability benefits are permissible. The claim manager then relays this information to the claimant and the employer. The process has a number of variations and secondary responsibilities but the above is the sum of it. At times, the job feels more like a call center than a claim processing position. A claim manager constantly receives calls from claimants regarding various aspects of their claim. Resources could more appropriately be managed by having these inquiries handled by an actual call center.
The position has allowed for utilization and growth of multitasking skills. Effective verbal communication is an essential component of the position; this skill has been exercised but I cannot say that it has markedly improved.
The management puts forth a fair amount of effort motivating their individual teams. At the end of the day it is a numbers game and it is transparent that the primary focus of the managers is to improve their team's numbers by having more claims processed faster. Quality of work is the other focus due to internal and national audits. In addition, my team also has a number for reports that are generated to identify when someone is behind on their work. Unfortunately, this push for improved numbe
Proshealthcare, PTO, flexible schedule
ConsFeels like a call center, impersonal, poor utilization of resources
Cigna is a stable company as long as you are performing well and doing what is expected of you. However, the pay is not commiserate with the industry and the positions that they have there. The company is the fifth largest health insurance carrier in the United States, yet the pay does not reflect that. If I wanted to process medical claims again I could do it with a higher pay scale. I could also advance to management and possibly go to another team from what I have learned from others I know at these other companies. With Cigna you are working in several different roles at the same time, and of course, only paid for one. You have managers who are in a different state from you. Therefore, they have no real rapport with you. My last manager had no claim experience and was horrible at managing us, and was not in the state with us. The manager prior to that one, only saw us once, because that manager was two time zones away. If something big happened with the computer system we could not contact that manager right away.
The computer system would fail at least once a day at one point for about five years...I am not exaggerating. I would take screenshots every time something happened and attach them to tickets with our I.T. I would also send that to my manager. At one point I had about 30 open I.T. Tickets for various things that could not be immediately resolved. It got to the point that we just knew that the system was going to go down, and that the problem would affect eve
ProsAutonomy, Great Online Library, Colleague Resource Groups (CRGs), Environmental committee
ConsLow Pay, Double Job Positions worked, No Work/Life Balance, No True Advancement, Expected Lateral Moves
Healthspring was an amazing, warm, caring, compassionate company.
I started with Healthspring almost 8 years ago. I moved back to Tennessee to care for my mother, who was ill and passed away. I Love Healthspring. This company was such a warm, caring, loving organization! I can't say enough nice things about it. The year of 2010, when we flooded and made history, my husband also died that same week. members and staff were flooded out. Our head powers that be waded in chest high water to help members and staff. They worked tirelessly to assist everyone in need. They were always appreciative of the hard work of the employees. And we all worked hard because we loved and believed in our company and its mission. I have been an Ambassador for Healthspring everywhere I went and all I met. I loved the company so! Since being bought by Cigna, there have been major changes, as obviously happens in a major acquisition. I think sometimes when you become so big, the little things that mean so much tend to disappear just because that is the nature of a giant corporation. Change is hard for everybody. I need to feel like I make a difference in the community and the world through my work as well as personal life. There are many ways Cigna does this very thing. But they are global.
My typical day at Healthspring was started with my rounding at my onsite facilities, meeting with facility case managers and social workers to discuss members, needs, transition of care, and how we could work together to facilitate this. I met with physicians, medical directors,
Leading technical aspects of the delivery of SAP BI solutions & related components
Involved in 4 full BW Life Cycle project implementation from gathering requirements, designing/modeling of SAP BW objects, loading data, Debugging, working with end users, production support to troubleshooting production issues.
Involved in the upgrading BW from 3.1 to BI 7.0
Worked on SAP Net Weaver Technologies like Enterprise Portal.
Responsible for Pre-sales in maintaining RFPs RFIs for US SALES support.
Have good communication skills and had extensively involved in communication with clients.
Have knowledge on ECC ABAP in enhancing the data sources for BI and also generating reports on standard tables.
Extensively worked on loading data from various source systems like R/3 systems, Non R/3 systems and Legacy systems.
Extensively worked on various R/3 extraction methods (LO Cockpit, Generic extraction, Business Content and Custom Extractions). Involved in Data Source enhancements using User Exits.
Experience in Transfer of Data upstream from BI using APDs.
Data Modeling experience from Entity Relationship Model (ERM) to Multi Dimensional Modeling (MDM) star schema-Extended star schema (Info Cube/ODS).
Designed and maintained various Info Objects, Info Sources, Info Packages, ODS Objects, Info Cubes, Multi providers and transfer/update rules. Implemented Hierarchies as per the requirements.
Worked extensively on Aggregates, Compression, Partitioning, Navigational Attributes to i
When you are doing your job correctly, you are still wrong in Cigna's eyes.
Unless you are a brown noser; even when you do your job correctly with timely assistance you would still be criticized for anything for either being on the phone to long. Or saying something although professional or calming the customer down it is still not correct. Many supervisors there and managers for sure have little to no experience and are very disrespectful. With my years of Call Center and Customer Service experience I was doubled trained for no reason at all. If I was so bad then why was I not fired within my first 90 days of being on the job? Cigna has fired many of people over the last few years for idiotic things. But will promote brown nose folks and some people who have no conduct for customers and /or the job rules and regulations. Many have quit for better jobs especially when the people who preach leadership are being hypocrites themselves. If you need technical assistance because of a computer problem you are being accused of working to slow and blaming technology which one supervisor told me which is so stupid. Then this same supervisor told to be a leader you must handle many thing. But the supervisor themselves could not handle this pressure if they were put under it. Also another but new supervisor from another department tells me that they are here to help you succeed but for sure are lying on that. They hide behind your stat score numbers of quality, time on phone with customer etc;, Then will alter those stats to make many customer service representa
Cigna Creates A Culture of Dissension; No Quality of Life
Started my career at Cigna arriving with no manager onsite, only to learn that no one - after recent down-sizing - was apprised that I was hired or arriving that day, which as you can imagine was an incredible springboard for good will with fellow employees! For four years, the politics, continuous shifting of employees from one role to another "in hopes of becoming more efficient" and inability to do my role first rate made me realize that the man's wax poetic at the helm (and one of the reasons I sought employment with Cigna), David Cordani, a visionary, will never be realized. You have multiple regional changes with no forethought to the impact on clients, system changes leaving employees struggling to find responses to customers while relying on matrix partners in another State and no Manager on site. Employees are overly burdened and those that are exceptional secure a reputation for ineptitude, through no fault of their own due to "realignment". After giving THREE weeks notice and fielding questions to the very last minute to make sure my brokers and clients transitioned perfectly, my Manager called and berated me for causing "chaos" and arriving late to return my laptop when I was onsite at 5:10pm - stated "I thought you were leaving on good terms?' Not to mention I WAS there at 5:10pm, inferring I was dishonest, from another State of course. This is how you treat an employee that didn't just walk out the door on you or take a vacation, while being paid, for three
ProsDavid Cordani and his Vision, Salary, Flexibility
ConsNo Quality of Life, Culture Creates Dissension
• Interacting with the stakeholders to get a better understanding of client business processes and gather requirements.
• Managed Requirement Scoping, RFP documenting and analyzing high priority requirement for implementation; Created BRD, functional Requirement documentation and use case documents
• Getting resources / budget approved from executive sponsor and being the primary contact in project execution
• Proven methodology to conduct JAD sessions and design review for successful implementation of project.
• Responsible to capture and submit report and dashboard of profit and revenue related data to senior management.
• Experience in project planning, business analysis, process management, contingency planning, change control and root cause analysis.
• Worked on EDI transactions: 270, 271, 835, and 837 (P.I.D) to identify key data set elements for designated record set.
• Developed and maintained EDI data maps using TLE.
• Responsible for claims payment, generate EOB and send remittance advice thought EDI 835 both in HIPAA 4010 and 5010.
• Interacted with business owners, project stakeholders and cross-functional teams in defining project charter, providing estimates, scope management, resource management, change management, vendor management and risk management.
• Interaction with the business users in understanding the current application and process
• Used rational Requisite Pro to manage the requirement and keep the Traceability Matrix.
• Worked as a spe
Questions And Answers about Cigna
What is the best part of working at Cigna?
Asked Jan 5, 2020
Great team. Management valued employees
Answered Jul 4, 2022
You get all your pyo at once so you can plan properly.
Answered Jun 29, 2022
How are the working hours at Cigna?
Asked Feb 25, 2016
Depends on your manager sometimes it can be flexible.
Answered Oct 3, 2019
Was excellent until you get a new person in the dept and tracks every second of the day
Answered May 15, 2019
What advice would you give the CEO of Cigna about how to improve it?
Asked Nov 24, 2016
I had a family member who was employed by them for 25 years. During the last half of my family member's employment, she had one terrible manager after another. Most were completely lacking in management skills and never should have been placed in those positions. 7 or so years ago, they paid millions of dollars to bring a consulting company in which resulted in a total changeover to a new ludicrous system to manage their claims that did not work at all. Hundreds of experienced people who knew what they were doing were terminated yet they hired a whole slew of new employees, likely at cheaper salaries, who had no idea what they were doing and who were not only complete unskilled and but were also untrained since they had no one left who knew anything. The managers who were put in place were friends of those in management who were responsible for this complete disaster. What happened? They scratched the whole new system, went back to the old system and they tried to rehire quite a bunch of those who knew the old system.
Answered Feb 3, 2020
My best advice to the CEO of Cigna can be summarized into 3 words only: 'be more ethical.' It is categorically NEVER okay for any company to put profits before people. Yet that is unfortunately exactly what Cigna does. I worked for this insurance company long enough to see all of the dirty tricks they use to deny, deflect, and defend against covering valid procedures which almost any other doctor (besides Cigna's own) would deem as "medically necessary." During my employment at Cigna, I witnessed countless of instances, probably in the thousands of Cigna as an insurance company denying valid insurance claims which they claimed weren't "medically necessary." These were often for procedures and services for very serious and even sometimes potentially life threatening medical conditions. There are 3 examples of this unethical Cigna behavior which stand out in my mind the most, although HIPPA laws obviously prevent me from elaborating on specific details. But still nonetheless, those 3 serious cases whereby Cigna just automatically denied very necessary and lifesaving types of treatment, along with countless other examples of this behavior, was what had finally motivated me to quit. I'd worked for Cigna for a pretty long time, 10+ years, and during that time, I grew more and more disconnected - maybe even just a tad bit sickened (for lack of better words) at all of the deny, deflect and defend tactics which the company had routinely used to avoid covering valid procedures that would've greatly enhanced their members' lives. Over the years, Cigna just became increasingly greedy in their goals of putting corporate profits before people. I honestly wouldn't be able to generalize that corporate culture of greed and lack of concern for members' health to the entire insurance industry either. There are other insurance companies which I've worked for, both before and after Cigna who in my humble opinion, seem to focus lot more on their members' health and well-being than Cigna apparently does. Other insurers who I've worked for do seem to be much more in tune with genuinely caring about their members' health than Cigna ever had, during the time that I'd worked there. So honestly, that would probably be my best advice to the current CEO of Cigna: don't always put profits before people, and don't always deny valid insurance claims or procedures/services, simply because it might seem to be more cost-effective in the short-term in helping your company to remain profitable by avoiding payment of those claims. Those same kinds of slimey and sleazy (no other words come to mind) "delay, deflect, and defend" tactics are actually a lot more damaging to your company's long-term reputation as an ethical insurer..... even if you do technically save a few dollars in the short-term by denying your members' valid insurance claims.
Answered Oct 27, 2019
Does Cigna offer work from home options?
Asked Oct 7, 2016
Yes, but just beware that it’s a big change, and if technical issues arise there’s no one there to help you, and you may experience payroll issues and your manager will more than likely be in a different state so your pretty much on your own and some managers are not very intelligent.
Answered Oct 3, 2019
Yes but it depends on your department. my manager---unless you have "true" medical issue then NO they need to know every second of your day
Answered May 15, 2019
What is a typical day like for you at Cigna?
Asked Apr 3, 2020
On the phones all day long
Answered Jul 6, 2022
Can be calm or somewhat busy but, my team provided substantial support to one another and management was understanding for the most part.