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Credentialing Lead Analyst - Work from home at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Bloomfield, Connecticut





Job Description:

Remote, Work from home, United States

This position will be responsible for performing the daily tasks of delegation oversight, including selection and retention of practitioner/provider group accounts that are seeking or have been awarded delegated credentialing for the Behavioral, Dental, and Medical line of businesses. Conduct practitioner/provider group credentialing audits for initial, annual and interim assessments in accordance with Cigna and CMS regulatory requirements. Negotiate and manage delegation contractual agreements. Be a key contributor for internal and external organization audits. Analyze and manage delegated practitioner/provider data. Maintain working knowledge of regulatory credentialing requirements as applicable for medical, dental and behavioral delegation.  Collaborate effectively with delegated groups, compliance/legal, direct credentialing, contracting, and other matrix partners, as applicable. Maintain fundamental understanding of key matrix partners’ operations within the Cigna organization.  Provide support to and act as a subject matter expert for various projects.  Perform other related duties as assigned. 

Qualifications:


  • Bachelor's degree or higher strongly preferred or equivalent work experience

  • 3+ years of Credentialing and/or auditing experience required

  • Knowledge of Medicare/Medicaid requirements preferred

  • Excellent communication, collaboration and interpersonal skills

  • Proficient in Microsoft Access, Excel, Outlook, PowerPoint and Word

  • Strong analytical and problem solving skills

  • Excellent organizational skills

  • Ability to work effectively, both independently and/or in a group setting

  • Ability to effectively coordinate and manage multiple projects and prioritize work in a fast-paced environment

  • Knowledge of Provider Workbench/CPF and SharePoint helpful, but not required

  • Ability to perform work with minimal supervision while achieving desired outcome

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

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.





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