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.

Senior Analyst, Provider Contracting

AnalystAnalystFull TimeRemoteTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

5 days ago

Salary

$59.9K - $99.8K / year

3 yrs expEnglish

Job Description

• Manage the assigned caseload of pricing intakes within the established turnaround times for each pricing request • Research and return pricing requests for State and Federal arbitration requests • Maintain ongoing published pricing related to ground ambulance regulatory requirements by monitoring and updating published rates from state websites • Improve provider experience by providing accurate results of intake requests and ground ambulance pricing • Exhibit quick, decisive, and informed actions on issues or problems deemed critical • Research problems to resolve complex and/or escalated and sensitive issues • Demonstrate passion for self-motivation, initiative-taking, learning, and knowledge sharing • Define and provide information and analysis to internal partners requesting pricing, guidelines, and analysis • Participate in additional projects related to ONPT as requested

Job Requirements

  • 3+ years of experience in healthcare analytics or provider pricing
  • Demonstrated knowledge of MRC, FairHealth pricing, and Medicare base pricing
  • Knowledge of provider claim payments
  • Experience and knowledge of claim pricing platforms, including Proclaim, PMHS, Facets, PEGA and SANP
  • Excellent communication, organization, and leadership skills
  • Must be initiative-taking and possess the competencies required to work in a fast-paced entrepreneurial organization with critical turnaround time and compliance deadlines
  • Exhibit strong organizational and critical thinking skills necessary to accomplish identified tasks within a specified time limit
  • Ability to work independently and manage multiple priorities in a production-driven environment
  • Proficient with Microsoft Office Suite (SharePoint, PowerPoint, Word, Excel)

Benefits

  • medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays

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