Business Project Lead Analyst

The Cigna Group

Business Project Lead Analyst at Cigna supporting SIU operations for claim processing and payment integrity. Ensuring accurate execution of workflows while collaborating with various teams.

Posted 4/16/2026full-timeRemote • California, Connecticut • 🇺🇸 United StatesSenior💰 $75,700 - $126,100 per yearWebsite

About the role

Key responsibilities & impact

Submit, manage, and track TIN add and removal requests for prepayment edits to support appropriate claim intervention
Submit, monitor, and remove overpayment suppression requests based on defined case types and status changes
Create and submit flag requests for segments and Provider IDs (PIDs) associated with flagged TINs
Perform claims research and analysis to support protocol management, workflow validation, and issue resolution
Partner with the Protocol Manager (Fraud Manager) and Payment Accuracy teams to identify, troubleshoot, and resolve prepay edit and workflow issues
Research and coordinate provider update requests in accordance with established SIU processes
Support EFT setup and change requests, including outreach for approval/denial and submission of required documentation
Collaborate with internal partners to ensure timely execution of system updates and operational requests
Maintain ownership, accuracy, and documentation of assigned requests through completion
Support audit readiness by ensuring control execution, documentation, and request traceability within SIU workflows

Requirements

What you’ll need

Bachelor’s degree strongly preferred, or equivalent relevant work experience
3+ years of experience supporting prepay edits and claim processing
Demonstrated experience working in a highly matrixed environment
Strong analytical, research, and problem-solving skills
Ability to manage multiple priorities and respond with appropriate urgency
Proficiency in Microsoft Office (Excel, Word, PowerPoint)
Excellent written and verbal communication skills
Strong organizational and time-management skills
Familiarity with audit findings, claim quality issues, and control-based operations preferred

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims researchclaim processingprepay editsproblem-solvingworkflow validationaudit readinesscontrol executiondocumentationEFT setupcase management

Soft Skills

analytical skillsorganizational skillstime-management skillscommunication skillsability to manage multiple prioritiescollaborationtroubleshootingissue resolutionattention to detailadaptability