The job profile for this position is Provider Contracting Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.

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In this role, you will be a key contributor to Cigna's Out of Network Protection Team (ONPT). We are seeking a highly skilled and meticulous Senior Analyst who can adapt quickly and deliver results within specified time limits. This analyst will play a critical role in resolving pricing inquiries for state and federal arbitration requests, along with pricing maintenance of ground ambulance established rates throughout various states.

Key Responsibilities

• Manage the assigned caseload of pricing intakes within the established turnaround times for each pricing request.

• Research and return pricing requests for State and Federal arbitration requests.

• Maintain ongoing published pricing related to ground ambulance regulatory requirements by monitoring and updating published rates from state websites.

• Improve provider experience by providing accurate results of intake requests and ground ambulance pricing.

• Exhibit quick, decisive, and informed actions on issues or problems deemed critical.

• Research problems to resolve complex and/or escalated and sensitive issues.

• Demonstrate passion for self-motivation, initiative-taking, learning, and knowledge sharing.

• Define and provide information and analysis to internal partners requesting pricing, guidelines, and analysis.

• Participate in additional projects related to ONPT as requested.

Required Qualifications

• 3+ years of experience in healthcare analytics or provider pricing.

• Demonstrated knowledge of MRC, FairHealth pricing, and Medicare base pricing.

• Knowledge of provider claim payments.

• Experience and knowledge of claim pricing platforms, including Proclaim, PMHS, Facets, PEGA and SANP.

• Excellent communication, organization, and leadership skills.

• Must be initiative-taking and possess the competencies required to work in a fast-paced entrepreneurial organization with critical turnaround time and compliance deadlines.

• Exhibit strong organizational and critical thinking skills necessary to accomplish identified tasks within a specified time limit.

• Ability to work independently and manage multiple priorities in a production-driven environment.

• Proficient with Microsoft Office Suite (SharePoint, PowerPoint, Word, Excel)

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 59,900 - 99,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.