Senior Provider Compliance Analyst

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $62.2k - $103.6k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Partner with contracted pharmacy providers and internal teams to research and resolve complex compliance and operational matters • Lead or contribute to cross-functional projects designing, testing, and implementing business applications, technology solutions, and process improvements • Analyze complex issues, identify risks and opportunities, and turn findings into timely recommendations and solutions • Simplify work, automate workflows, and strengthen alignment across teams and partners • Monitor network provider compliance with state and federal requirements, internal policies, and established procedures • Support client, internal, and applicable audits by preparing information, coordinating responses, and addressing operational needs • Create, review, and maintain standard operating procedures, policies, training materials, and process documentation • Share recommendations, concerns, and operational risks with stakeholders while building trusted cross-functional relationships • Promote operational excellence through continuous improvement, effective technology use, and consistent execution

🎯 Requirements

• 3+ years of experience in pharmacy benefit management, pharmacy networks, healthcare operations, compliance, or a related field • Strong analytical, critical-thinking, problem-solving, and decision-making skills • Ability to translate complex research into practical recommendations • Ability to independently manage multiple priorities, deadlines, and deliverables in a fast-paced environment • Clear written and verbal communication skills • Strong organization, time management, attention to detail, and sound judgment • Advanced Microsoft Excel skills, including formulas, data analysis, and pivot tables • Proficiency with PowerPoint, Word, Access, and related business applications • Experience with regulatory requirements and industry standards related to accreditation, credentialing, delegation, or oversight preferred • Experience improving processes, supporting audits, developing procedures or training, or implementing technology solutions in a regulated environment preferred • Bachelor’s degree preferred

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • 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 • Remote work arrangement • Cable broadband or fiber optic internet service requirement for home working, with at least 10Mbps download/5Mbps upload