Payer Contract Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Assist RCM team with escalated systemic billing/collection issues • Assist with network contracting by making calls to payors • Supports the payer contract team ensuring that contract requirements are appropriately met • Respond to questions surrounding contracts • Monitors performance of the payer process • Acts as the subject matter expert in the requirements, rules and regulations • Assist Payer Contracting team with updating Contract folders • Manages defined processes to ensure effectiveness and efficiency • Assist Revenue Cycle Analyst by assuming some of the regularly scheduled reports • Ensure accurate and timely completion of all assigned projects

🎯 Requirements

• High school diploma or GED required • Knowledge of reimbursement practice and electronic claims processing is preferred • Preferred experience in pharmacy and health insurance • Strong knowledge of payor contracting and managed care programs • Excellent interpersonal, organizational, communication and effective problem-solving skills • Attention to detail is critical • Must be able to manage multiple projects simultaneously • Proficiency in MS Office software, Excel and Power BI experience preferred

🏖️ Benefits

• 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 • leaves of absence