Business Analytics Advisor - Network Billing and Reimbursement Practice at 091 Cigna Health & Life Ins. Co.

Posted in Nonprofit - Social Services 6 days ago.

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Type: Full-Time
Location: Franklin, Tennessee





Job Description:

It's fun to work in a company where people truly BELIEVE in what they are doing!

We're committed to bringing passion and customer focus to the business.

Summary

The ideal candidate for this role is a Professional Cost Specialist who has experience focusing on the costs and characteristics specific to physicians (and associated entities).  Working collaboratively with other disciplines and organizations, you will be the primary communicator of drivers of trends in this space, and will be responsible for creation/validation of professional unit cost forecasts. This role supports the markets in the greater Mid-South (TN, AR, MS, KY) and Georgia/Alabama

Responsibilities


  • Physician Network subject matter expert providing end-to-end forecast and trend analytics

  • Data Modeling and Report creation in support of Network billing and reimbursement practice

  • Produce rational and communicable story based on drivers of emerging trends and transmit that information to the respective management team using data reporting technologies and data models

  • Work effectively within (and around as necessary) a highly structured set of tools to manage details associated with physician reimbursement contract terms, leading to the creation of unit cost forecasts.

  • Train and Direct the work of internal business partners

Qualifications


  • Experience with Physician operations and (in particular) CPT coding practices.

  • Experience with insurance carrier side, physician billing and reimbursement practices

  • Experience with Healthcare data and data-modeling best practices

  • Experience using data extractions tools (e.g. SQL)

  • Experience and ability to work with both technical and non-technical personnel alike

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.





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