Financial Analysis Senior Analyst - Remote

POSITION SUMMARY

This role is responsible for supporting the Revenue Management Team to identify and decrease risk, support non-standard setup, TPA or broker structure, and processes enhancements while managing all billing aspects for a hybrid book of business with medical products on the Facets platform and dental products on the Non-Facets platform. The role is accountable to collect all premium/fees and claims/claims funding billed on an invoice, resolve all billing inquires, and partner with internal and external partners to create a positive client experience. Key responsibilities of this role include: Owning the end-to-end billing relationship for the client, identifying opportunities for process improvements to enhance client satisfaction, reduce financial risk, and support the successful implementation of new and renewing clients from a financial perspective. In addition to the primary responsibilities, this role requires a strong ability to embrace change while offering significant flexibility that may result in a shift in responsibilities based on business need.

This role requires a strong ability to embrace change while offering significant flexibility that may result in a shift in responsibilities based on business need.

Primary Functions

• Make independent decisions regarding credits and debits, notifications and communication on client receivables.
• Provide support for external and internal customers regarding all items related to the billing for premium and claims/claims funding
• Analyze daily Automated Clearing House (ACH) tap files prior to sending to Treasury and the bank.
• Conduct audits to ensure financial controls are maintained, when necessary.
• Design, enhance, and maintain system applications for processing and reporting financial information as needed.
• Strong verbal and written communication skills to communicate billing items to clients, TPA’s, brokers, and internal partners
• Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission’s errors, etc.)
• Meeting all required deliverables with accurate and up-to-date information
• Partner with Global Service Partner to reduce financial risk
• Produce and maintain custom reporting for clients per PBAB approval
• Organizational skills and prioritization skills  
• Compile and distribute risk analysis reviews
• Create reporting to capture trends and barriers that are driving or have potential to drive increased financial risk
• Research and Review non-standard practices to determine appropriate steps are being taken
• Work to remove processes that are not systemically processed
• Outreach to various matrix partners such as underwriting to drive financial results
• Partner with supervisors to understand account or process risk; execute on a plan to achieve those goals
• Partnering with Reporting, Inventory, and Project
• Represent client functions on conference calls to speak to potential risk or barriers due to account management or client structure
• Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities
• Ability to work independently on tasks with little to no direction from management
• Possessing the capability to excel in tasks that involve undertaking responsibilities, even in areas where both the individual and their team may lack prior familiarity or expertise

Key Qualifications

• High school diploma or GED required
• 2+ years relevant experience as a Revenue Account Specialist or Financial Analyst with proven successful results
• Strong business acumen, and the ability to multi-task in a fast-paced environment
• Dual Platform process experience is not required but encouraged
• Strong Technical and analytical skills
• Ability to establish strong matrix partner relationships and follow through on expectations
• Excellent organizational skills and the ability to juggle multiple priorities simultaneously
• Comfortable with raising questions, issues, ideas, or suggestions - strong team player
• Strong influential skills; including the ability to provide direction to analysts while identifying barriers and routing trends/issues
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization
• Self-motivator, detail-oriented with demonstrated ability to positively embrace and adapt to change and shift gears on the fly
• Ability to adapt to change in responsibilities based on business need
• Strong computer skills required, with demonstrated proficiency in Microsoft Office - advanced Excel knowledge preferred; Access knowledge a plus
• Comfortable with giving and receiving feedback
• Ability to effectively problem-solve issues to resolution
• Strong customer-centric focus and ability to work directly with point of contact in a client-facing role
• Ability to establish strong matrix partner relationships and follow through on expectations
• Demonstrated ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work
• Ability to demonstrate increased awareness on account specific barriers impacting deliverables geared at influencing positive change
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization. Demonstrates ability to manage all communication timely and professionally
• Ability to manage multiple competing demands to include effective time management and organization 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 annual salary of 62,300 - 103,900 USD / yearly, 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 Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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.

The Cigna Group 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.