Provider Claims Support Sr. Analyst - Express Scripts - Remote jobs in United States
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The Cigna Group ยท 1 day ago

Provider Claims Support Sr. Analyst - Express Scripts - Remote

positionUnited States
timeFull-time
remoteRemote
senioritySenior Level
money$62K/yr - $104K/yr

The Cigna Group is a healthcare company that offers pharmacy, care, and benefit solutions. The Senior Analyst, Provider Claims Support is responsible for assisting Network Providers and Internal Business Partners with provider-submitted claims, managing claim-related issues, and supporting operational activities within the Retail Network.

CommercialHealth CareHospitalInsuranceMedical

Responsibilities

Provides daily operational support for claim issues arising from provider inquiries, as well as internally and externally identified claims issues
Performs operational support activities including claim investigation, reject validation, and escalated issue management
Collaborates with cross-functional internal and external teams to provide ongoing support of Sponsors and their requirements
Serves as a subject matter expert in claims analytics and technical support. Acts as a primary point of contact for internal partners (e.g., Sales and Account Management, Network Implementation, Provider Compliance) regarding claim-related issues, managing ad hoc inquiries and facilitating provider outreach

Qualification

Healthcare industry knowledgeClaims analytics expertiseAnalytical skillsMicrosoft Office proficiencyProblem-solving skillsEscalated issue managementCross-functional collaborationAdaptability

Required

Knowledge of the healthcare and/or PBM industry
Strong problem-solving and analytical skills
Ability to work cross-functionally to research and resolve complex client and provider issues on a regular basis
Ability to manage multiple escalated issues simultaneously under tight timelines
Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions with minimal supervision
Basic proficiency in Microsoft Office applications, including PowerPoint, email, and spreadsheet software

Preferred

Bachelor's degree in a related field, or equivalent relevant work experience

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

Company

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
dateFounded in 1981
location
Bloomfield, Connecticut, USA
people-size10001+ employees
web-link
https://www.cigna.com/

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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