Provider Services Lead Analyst

The Cigna Group

Provider Services Lead Analyst managing account receivable activity for Provider Book of Business at Cigna Healthcare. Supporting strategic planning to improve provider experience with timely and accurate claims administration.

Posted 5/12/2026full-timeRemote • Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Missouri, New York, Ohio, Pennsylvania, Texas, Utah, Vermont, Washington • 🇺🇸 United StatesSenior💰 $66,600 - $111,000 per yearWebsite

About the role

Key responsibilities & impact

Responsible for account receivable activity for a specific Provider Book of Business tied to account management team
Key partner to Provider Relations Executives (PRE) and Managers (PRM) supporting strategic planning to improve provider experience
Ensure timely and accurate claims administration, proactively monitor results, and leverage resources and tools to assist Health Care Providers in managing their accounts receivables
Provide direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs
Regularly meet with assigned Health Care Providers to discuss results, review issue trends, and develop action plans for improvement
Engage matrix partners to achieve service improvements and minimize contract interpretation issues
Communicate and educate internally regarding issues/trends to minimize errors and improve claim accuracy
Monitor contractual performance guarantees and late payment interest to minimize financial impacts

Requirements

What you’ll need

Bachelor's degree or higher strongly preferred or equivalent work experience required
3+ years of experience in benefits and claims administration and/or relationship or project management experience
Advanced knowledge of Cigna claim/supporting systems (Proclaim required, Facets highly preferred and PMHS preferred)
Proficient in Excel and PowerPoint
Access knowledge helpful
Experience with provider contracting or loading preferred
Demonstrated ability to successfully interact with both internal and external customers at all levels
Demonstrated ability to perform root cause analysis on claims issues
Demonstrated ability to manage and resolve problems to satisfactory completion
Project management skills to include time management, task analysis and breakdown and resource utilization
Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider
Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider
Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes
Some travel required (up to 10% maximum)

Benefits

Comp & perks

health-related benefits including 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 administrationroot cause analysisproject managementExcelPowerPointProclaimFacetsPMHSprovider contractingtask analysis

Soft Skills

communicationnegotiationfacilitationproblem-solvingtime managementcustomer interactionownershipprofessionalismstrategic planningbig picture thinking