Business Analytics Advisor

4 weeks ago


Tampa, Florida, United States The Cigna Group Full time
Job Title: Business Analytics Advisor

About the Role:

As a Business Analytics Advisor at The Cigna Group, you will play a crucial role in driving Enterprise Strategic Priority for Medicare Advantage Growth. Your primary responsibility will be to enable a competitive administrative cost structure while delivering consistent, compliant operational performance.

Key Responsibilities:

* Develop and execute testing to ensure results align to expectations
* Collaborate and communicate frequently with other teams, including technical and solution teams
* Possess an understanding of business processes and capabilities
* Support the Provider Reimbursement/Claims Pricing, Capitation and Claims Intake team

Requirements:

* Bachelors degree or equivalent experience
* Two or more years of related business or healthcare experience
* Strong claim processing understanding, and advanced knowledge of health care coding, fee schedules and reimbursement methodologies
* Knowledgeable with high complexity, high volume transaction healthcare claim environment
* Experience in Quality Assurance and/or Business Acceptance Testing

About The Cigna Group:

At The Cigna Group, we are dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. We are looking for talented individuals who share our passion for making a difference in the lives of others.

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