Client Solutions Strategist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $112.1k - $186.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Conduct revenue cycle assessments to identify operational inefficiencies, reimbursement risks, and opportunities to improve financial performance • Analyze financial and operational KPIs, industry benchmarks, and trends to develop actionable recommendations • Provide subject matter expertise in infusion reimbursement, payer requirements, billing operations, and revenue cycle optimization • Support workflow redesign, standardization, automation, and development of best practices • Provide revenue cycle guidance during system implementations, conversions, and optimization initiatives, including configuration, testing, training, and go-live support • Collaborate with clients and internal stakeholders to identify business needs, resolve challenges, and implement sustainable solutions • Develop project deliverables, operational assessments, executive reports, and recommendations to support client decision-making • Maintain knowledge of industry trends, regulatory changes, and emerging technologies • Support client relationships, business development initiatives, and organizational growth through subject matter expertise and industry engagement • Provide strategic guidance for Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management platforms

🎯 Requirements

• Minimum of 4 years of healthcare revenue cycle management experience, including 2 years in home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME) • Strong understanding of reimbursement, preferably infusion payer requirements, billing operations, denial management, and accounts receivable • Experience evaluating operational workflows, analyzing performance metrics, and identifying opportunities for process improvement • Demonstrated ability to develop actionable recommendations and implement sustainable operational solutions • Strong analytical, problem-solving, project management, and communication skills • Ability to work independently, manage multiple priorities, and collaborate effectively with clients and cross-functional teams • High School Diploma or GED required • Bachelor’s degree in business, healthcare administration, finance, or a related field preferred • Experience providing consulting or advisory services to healthcare organizations preferred • Experience with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or comparable infusion management systems preferred • Experience supporting system implementations, workflow redesign, testing, training, and operational optimization preferred • Knowledge of Medicare, Medicaid, commercial payer reimbursement methodologies, and managed care contracting preferred • Experience developing executive reports, financial analyses, standard operating procedures, and operational recommendations preferred • Familiarity with healthcare automation, emerging technologies, and revenue cycle performance benchmarking preferred • If working from home, cable broadband or fiber optic internet service with at least 10 Mbps download and 5 Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence

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