Provider Contracting Senior Analyst, Voluntary Out-of-Network Pricing - Cigna Healthcare - Remote

The Cigna Group

9h • Remote

About The Position

The job profile for this position is Provider Contracting Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.
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Our people make all the difference in our success.
We are seeking a highly skilled, customer-focused Senior Analyst to support our Voluntary Out-of-Network team. This role plays a critical part in resolving complex pricing disputes, supporting cost containment efforts, and strengthening provider relationships. While not a people-management role, the Senior Analyst serves as a key contributor and subject-matter expert, guiding execution and supporting strategic initiatives.
This position is ideal for someone with strong analytical capabilities, a passion for customer service, and the ability to work independently while collaborating effectively across teams.

Requirements

• Bachelor’s degree preferred but not required; equivalent experience in healthcare operations, claims, provider contracting, or analytics will be considered.
• Minimum of 3 years of experience in claims, call center operations, healthcare analytics, or provider contracting.
• Strong written and verbal communication skills.
• Advanced proficiency in Microsoft Excel and other data analysis tools.
• Ability to work independently while managing multiple priorities effectively.
• Customer-focused mindset with a strong commitment to quality and timeliness.
• Strong analytical, critical-thinking, and problem-solving skills.
• Ability to influence peers and support operational change initiatives.
• 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.

Responsibilities

• Lead the execution of pricing dispute resolution activities within Voluntary Out-of-Network cost containment programs.
• Conduct thorough investigations of pricing disputes to determine appropriate next steps, involved vendors, and resolution pathways.
• Ensure timely follow-up and resolution in alignment with established turnaround time standards.
• Maintain accurate, detailed documentation and tracking of all dispute cases.
• Support external claims pricing dispute resolution by working directly with vendors, providers, and internal stakeholders to ensure accurate pricing methodologies are applied and disputes are resolved efficiently.
• Serve as a knowledgeable point of contact for internal stakeholders, vendors, and providers.
• Provide guidance and feedback to Claims and Call Center teams related to dispute resolution processes.
• Demonstrate professionalism and a strong commitment to customer satisfaction in all interactions.
• Compile and analyze data to identify trends, gaps, and opportunities for improvement.
• Support the development of reports and tools used to monitor program performance.
• Contribute to process improvement initiatives and support operational change efforts.

Benefits

• At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level