Business Project Senior Analyst - Cigna Healthcare - Remote

The Cigna Group is a healthcare company that advocates for better health through every stage of life. They are seeking a Business Project Senior Analyst to contribute to Payment Integrity operations, ensuring accurate and timely benefit determinations and collaborating with various partners and vendors.

Responsibilities:

• Utilizes Medicare and Commercial Health Insurance expertise in conjunction with strong analytical and collaboration skills to partner with matrix partners and vendors ensuring accurate and timely benefit primacy determination in complex scenarios
• Communicates effectively with Cignas vendor partners to assist them in maximizing post payment recovery efforts
• Responds timely to complex share point inquiries (Intake application)
• Analyzes weekly/monthly vendor management reporting for accuracy and assists with Cigna’s determination as primary or secondary payer in complex situations
• Partners effectively with claim, call and client technical coaches to address primacy determination quality trends and efficiency improvement opportunities
• Responds to requests for access to COB Smart portal and trouble shoots access issues within portal
• Participates in projects to support business initiatives

Requirements:

• Bachelor's degree or higher strongly preferred work experience required
• 2 years of work experience with Medicare and coordination of benefits primacy rules
• 2 years claim system and claim processing knowledge (Proclaim and Facets) preferred
• 2 years experience using Cigna applications (iview, CED, Oneview, etc.)
• Ability to work collaboratively within team as well as with matrix partners and outside vendors
• Ability to recognize and respond to issues with the appropriate sense of urgency, escalating problems as appropriate
• Strong time management skills
• Strong business acumen with the ability to multitask in a fast-paced environment
• Strong proficiency in Microsoft Office products, including Microsoft Excel, with the ability to create and generate spreadsheets
• Strong analytical skills with the ability to analyze data, identify potential problems or opportunities, and recommend and implement solutions
• Excellent verbal and written communication skills, including the ability to explain complex or technical topics clearly, communicate effectively with individuals and groups, and actively listen
• Detail-oriented with strong organizational and relationship-building skills
• Demonstrated ability to positively embrace and adapt to change
• Experience coaching peers preferred