Provider Relations Sr. Analyst - Evernorth - Remote
About The Position
The Provider Relations Sr. Analyst role sits within the Provider Tax Data Integrity team in the Provider Service and Operations organization. This team works towards improving the quality of data in Cigna's Provider Book of Record (BoR) system by collaborating with business partners to create an exceptional data experience for Cigna and its customers. The focus is on executing the strategic vision for enterprise data and delivering quality automation, strengthening the journey to provide one of the most reliable provider data experiences in the industry. The role partners closely with IT to improve data quality and develop automation capabilities that transform data, algorithms, and processes into a reliable one-stop shop for provider data.
Requirements
- Bachelor's degree or higher strongly preferred or equivalent work experience.
- Dedicated to innovation and designing new ways to work.
- Knowledge and understanding of Provider Data Domains.
- Ability to locate and analyze HCP data and perform data maintenance for accurate consumption; ability to extract criteria through data analytics when top-down extraction is not possible.
- Be a team player and able to work independently or with little supervision.
- Experience in health care/managed care with direct responsibility for quality analytics and data management with relational database concepts.
- Expertise in the use of relational database concepts and applications, specifically use of SAS EG, SQL databases and tools, MS Office Suite.
- Proficiency with Structured Query Language (SQL) procedure as a data retrieval tool. Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources like Hadoop, SQL server and Teradata with SAS and SQL.
- Ability to navigate organization, build SME relationships and assist with internal discussions.
- Strong data mining skills including the ability to perform research and conduct root cause analyses.
Nice To Haves
- Knowledge of PRIME contractual structure preferred.
- 1+ years of experience as a Business System Analyst highly preferred.
Responsibilities
- Writes business, functional, and non-functional business requirements.
- Actively participates in system design reviews.
- Reviews test evidence.
- Participates in status meetings.
- Identifies data elements required for provider data loading to PRIME (BoR).
- Understands all aspects of provider/practitioner demographics, contracts, contract management, and PRIME domains.
- Develops understanding of existing BoR system (PRIME) and other BoR related to HCPM.
- Determines load type (update or new) based on data analysis.
- Collaborates with matrix partners to review outcomes and ensure accurate loading guidelines.
- Identifies remediation needs to promote increased automated loading of provider data and to support data integrity across all provider systems.
- Reviews validated data elements to ensure quality of data before BoR ingestion.
- Guides the team in following system process flows.
Benefits
- Medical
- Vision
- Dental
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Senior
