Senior Business Project Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $64,900 - $108,100 per year
Job Level
About the role
- 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 Cigna's 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
- 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
- Experience coaching peers preferred
- Demonstrated ability to positively embrace and adapt to change.
Benefits
- medical
- vision
- dental
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare expertisecoordination of benefitsclaim processingProclaimFacetsCigna applicationsdata analysisMicrosoft Excelreportingproblem-solving
Soft Skills
analytical skillscollaborationtime managementbusiness acumenmultitaskingcommunication skillsorganizational skillsrelationship-buildingadaptabilitycoaching
Certifications
Bachelor’s degree