Job description

Remote, Work from Home, United States

The person in this position will be responsible for ensuring accurate provider data is loaded into multiple Cigna systems in a timely manner. Information will be obtained through a variety of methods such as Cigna matrix partner requests, provider outreach, and examining vendor feedback and data collection from providers.

RESPONSIBILITIES:
Responsible for the loading of Provider data into multiple systems – i.e. claims (QNXT), directory (Sharepoint), and network adequacy tables (Sharepoint).
Act as a SME (subject matter expert) for standard loading procedures for provider demographic and non-demographic data.
Utilize various reports to compare and combine information into templates used to load provider data into Cigna systems.
Uploads documents into Tract Manager.
Respond in a timely manner to urgent research questions or issues brought by the team, including being able to identify the right parties or resources.
Conduct provider outreach via outbound calls for demographic validation.
Validate data to ensure accuracy of directories and network adequacy tables.
Review provider data from multiple sources and identify missing required elements according to data submission standards.

QUALIFICATIONS:
High school degree or equivalent experience.
Proficient in Excel – transferring data, data formatting. Knowledge of how to use Excel to compare data or summarize data is highly desired.
Excellent communication skills – written and verbal.
Demonstrated ability to use available resources to independently work through new or complex questions.
Demonstrated ability to work independently and produce consistent, reliable work.
Detail oriented with organization skills, including the ability to engage in multiple tasks and track due dates.
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
Strong knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing.
Ability to work with SharePoint, Microsoft Word, & Outlook.

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 hourly rate of 20 - 30 USD / hourly, depending on relevant factors, including experience and geographic location.

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

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna .

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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