Revenue Management Risk Analyst - Cigna Healthcare - Remote

Cigna Healthcare • Tennessee Work at Home, TN

1d • $63,800 - $106,300 • Remote

About The Position

Supports billing and revenue operations by identifying, assessing, and mitigating financial and operational risk across group accounts and ported member populations. This role oversees key billing risk drivers, including premium accuracy, and ensures quality and compliance through audit review of billing analyst work. The position also manages operational tasks such as sales compensation processing, contributes to cross-functional initiatives, and drives continuous improvement through trend analysis and process enhancements in a dynamic, evolving environment.

Requirements

• High school diploma or GED, required
• 2+ years of experience in revenue management, billing operations, financial operations, or a related field, required
• Advanced proficiency in Microsoft (Excel, word, SharePoint, PowerPoint, Outlook) including complex data analysis, reporting, and process optimization; working knowledge of Microsoft Access preferred
• Strong business acumen with the ability to manage multiple priorities in a fast-paced environment, required
• Self-motivated and detail-oriented, with the ability to adapt quickly to change and shift priorities as business needs evolve, require
• Strong interpersonal and influencing skills, with ability to provide direction, identify barriers, and escalate issues appropriately, required
• Ability to support operations between 7:00 AM–6:00 PM, with a typical schedule of 8:30 AM–5:00 PM EST and demonstrates flexibility to meet business needs, including extended hours during peak periods, required

Nice To Haves

• Associate or bachelor’s degree, preferred
• Experience working with offshore or third-party operational support teams, preferred
• Ability to develop and document clear, effective process flows and Standard Operating Procedures (SOPs), preferred
• Collaborative team player who works effectively with leadership, demonstrates openness to feedback, and actively contributes ideas and solutions, preferred

Responsibilities

• Compile, analyze, and distribute risk analysis reviews for group accounts and ported member populations
• Perform quality reviews of audits completed by billing analysts to ensure accuracy, completeness, and adherence to established standards
• Create, maintain, and enhance reporting to identify and monitor risk trends, barriers, process gaps, and audit outcomes that may contribute to or indicate potential financial exposure
• Partners with supervisors and cross-functional teams, including reporting, inventory, and project teams, to understand risk and execute plans to achieve goals
• Represent client-facing functions on calls to communicate potential risks or barriers related to account management or client structure
• Provide feedback, coaching, and guidance to billing analysts based on audit findings and risk observations
• Support the client teams in meeting or exceeding key performance metrics
• Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities
• Provide oversight and coordination of all sales compensation-related tasks to ensure accuracy and timeliness
• Assist with team support activities and operational tasks as needed to ensure coverage and continuity

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
• annual bonus plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED