Revenue Management Risk 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

• Compile, analyze, and distribute risk analysis reviews for group accounts and ported member populations • Perform quality reviews of audits completed by billing analysts to ensure accuracy, completeness, and adherence to established standards • Create, maintain, and enhance reporting to identify and monitor risk trends, barriers, process gaps, and audit outcomes that may contribute to or indicate potential financial exposure • Partners with supervisors and cross-functional teams, including reporting, inventory, and project teams, to understand risk and execute plans to achieve goals • Represent client-facing functions on calls to communicate potential risks or barriers related to account management or client structure • Provide feedback, coaching, and guidance to billing analysts based on audit findings and risk observations • Support the client teams in meeting or exceeding key performance metrics • Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities • Provide oversight and coordination of all sales compensation-related tasks to ensure accuracy and timeliness • Assist with team support activities and operational tasks as needed to ensure coverage and continuity

🎯 Requirements

• High school diploma or GED, required; associate or bachelor’s degree, preferred • 2+ years of experience in revenue management, billing operations, financial operations, or a related field, required • Advanced proficiency in Microsoft (Excel, word, SharePoint, PowerPoint, Outlook) including complex data analysis, reporting, and process optimization; working knowledge of Microsoft Access preferred • Strong business acumen with the ability to manage multiple priorities in a fast-paced environment, required • Ability to develop and document clear, effective process flows and Standard Operating Procedures (SOPs), preferred • Self-motivated and detail-oriented, with the ability to adapt quickly to change and shift priorities as business needs evolve, required • Strong interpersonal and influencing skills, with ability to provide direction, identify barriers, and escalate issues appropriately, required • Collaborative team player who works effectively with leadership, demonstrates openness to feedback, and actively contributes ideas and solutions, preferred • Ability to support operations between 7:00 AM–6:00 PM, with a typical schedule of 8:30 AM–5:00 PM EST and demonstrates flexibility to meet business needs, required

🏖️ Benefits

• medical, vision, dental, and 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