ACA Risk Adjustment EDGE Administrator - Cigna Healthcare - Remote

The ACA Risk Adjustment EDGE Administrator plays a critical role in ensuring compliant, efficient, and high-quality operation of Cigna’s EDGE server environment supporting ACA Risk Adjustment.

Requirements

• Manage day‐to‐day operations of the CMS EDGE server
• Coordinate execution of baseline, incremental, and command‐driven processes for Cigna’s AWS‐hosted EDGE environment
• Monitor release updates, reference data changes, and deployment timelines to keep the system in sync with CMS schedules
• Oversee troubleshooting and remediation of file processing, configuration, and validation errors within the EDGE environment
• Interpret CMS technical guidance, ICD updates, O&MM manual changes, and regulatory communications to ensure aligned EDGE operations
• Conduct quality checks, reconcile enrollment and claims data, and support risk score accuracy and regulatory compliance
• Collaborate with IT security and infrastructure teams to monitor and maintain EDGE instances in accordance with CMS requirements and Cigna policies
• Maintain documentation of procedures, system configurations, data flows, and operational controls
• Collaborate with teams to maintain and optimize data pipelines using AWS, Databricks, Python, SAS, and Oracle to support EDGE submissions and related analytics

Benefits

• Medical
• Vision
• Dental
• Well-being and Behavioral Health programs
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays