Compliance Data Mapping – Systems Analysis Sr Advisor

Role Summary

The Systems Analysis Senior Advisor is a member of the Agile Team and a conduit between the Agile Team and the business. This individual is responsible for defining the vision, scope, and priority of the detailed requirements to be delivered by the Team and owns the user story prioritization in accordance with the Manager’s priority requests. The Systems Analysis Senior Advisor also reviews the quality of the product that the Team produces.

This individual will work with business, compliance, technology, and solution teams to define/refine Features and User Stories and prioritize the team backlog. This individual must possess strong understanding of CMS Interoperability, and data management specific to Medicare along with focuses on respective components of the data ecosystem – data mapping, ingestion/downstream integration, proper use/consumption, governance, quality, and stewardship. This individual will be responsible for guiding the team on Story estimates and sequencing.

Job Responsibilities:

This team member will be responsible for the following:

Work with FHIR SME to understand Interoperability data mapping specification requirements

Complete FHIR mapping documents in collaboration with data SMEs

Document data mapping specifications from MA sources to standard target profiles (STTM)

Attend FHIR Forums to review data mapping specification to ensure alignment

Conduct walk-through of data mapping specifications with engineering team

Support engineering team for issues, clarification, and execution

Create, manage, and execute the Interoperability UAT Strategy

Facilitate source business owner review sessions and plan/execute E2E, integration, and data quality validations

Collaborate with the business, compliance, and cross functional IT stake holders to define a roadmap that clearly defines the priorities and business value for government business segment

Serves as product owner as part of an Agile team

Understands compliance and business priorities and converts them to Features, User Stories and Technical Designs to build and prioritize the product backlog for sprint teams

Works with Sprint or Kanban teams on a daily basis in providing inputs on user stories and removing road blocks

Provides leadership for scrum meetings, backlog grooming, sprint planning and sprint demos

Provides timely communication of progress and blockers

Provides linkage and continuity to business units, development, operations and technical support groups in the testing and implementation of recommendations

Acts as an expert resource to client and development management and staff in all phases of the development and implementation process

Performs data related investigations, track lineage and quality issues, reviews data layout and structures

Provide support in Production issue/defect resolution

Qualifications:

Experience implementing CMS Interoperability compliance requirements

Knowledge of CMS Interoperability solutions and FHIR Implementation Guides and Standards

Experience implementing Compliance requirements within Healthcare

Extensive experience with data management, data governance and data quality

Understand the source to target mapping of each mapped element as defined by the Structure Definition.

Familiarity with Healthcare industry domains

Self-driven and able to function with minimal direction from Manager

Has the ability to engage business and data stakeholders to resolve questions or issues

Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment

Must be a quick learner and a team player

Expert in Agile Methodology and previous experience as a product owner for Agile teams

Preferred Qualifications:

5 years of the following experience: data analysis, business and technical requirements gathering, product owner, backlog management, process documentation, user facing, and excellent written and verbal communication skills.

Ability to be innovative and creative with solutions that frequently involve multiple platforms, software, hardware, technologies and tools

Ability to learn the entire end-to-end process, including any handoffs, in order to make solution recommendation to business partners.

Logical reasoning and attention to detail skills

Experience with Medicare including Medicare Advantage and Medicare supplemental benefits

Experience with payer solutions in the healthcare industry

Familiarity with the following technology: Cloud platforms such as AWS

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.

For this position, we anticipate offering an annual salary of 113,100 – 188,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.