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Provider Data Sr. Representative - Work from home - Cigna Evernorth at Cigna

Posted in General Business 13 days ago.

Type: Full-Time
Location: Bloomfield, Connecticut

Job Description:

Remote, Work from Home, United States

The Provider Data Senior Representative is a non-exempt position within the Provider Data Management Department. This position reports to the Provider Data Management Supervisors. The individual in this position plays a major role in the research, analysis and maintenance of provider data. The person in this position will also provide constructive feedback on quality issues which can be addressed through focused training to better maintain provider data. The individual will interface with a few departments within the organization by performing analysis of provider data and provide detailed, as well as, executive data entry decisions.


  • Responsible for entering and maintaining participating provider data in QCare, OnBase, OLPD and any other Provider Data System.

  • Responsible for entering and maintaining non-participating provider data in the QCare system

  • Responsible for research and analysis of projects maintaining provider data

  • Responsible for correcting provider data in QCare based of off provider claims submission

  • Responsible for the quality of provider data entered in QCare, OnBase, OLPD and any other Provider Data System.

  • Other Duties as assigned


  • High school diploma or GED required

  • 2+ years of experience working with healthcare claims/provider data highly preferred

  • 1+ years of experience working with Medicare/Medicaid data preferred

  • Experience reading/understanding standard contract language

  • Able to research and analyze data

  • Experience reviewing healthcare claims

  • 2+ years working with MS Word and Excel (sorting, filtering, VLOOKUP, and pivot tables preferred)

  • 2+ years of experience working with Web based applications

  • Able to work independently and as a member of a team

  • Must be able to multi-task and handle high priority issues

  • Must have strong data entry skills and be detailed-oriented

  • Able to meet deadlines

  • Good written and oral communication skills

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: for support. Do not email 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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