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Lead Analyst – Credentialing

AnalystAnalystOtherRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Alabama + 17 moreAll locations: Alabama | Alaska | Arizona | Florida | Hawaii | Idaho | Iowa | Kansas | Nebraska | Ohio | Maryland | Massachusetts | Michigan | Pennsylvania | Texas | Utah | Vermont | Washington

Posted

94 days ago

Salary

$55.7K - $92.8K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Lead Analyst – Credentialing

The Cigna Group

• Perform the daily tasks of delegation oversight • Conduct practitioner/provider group credentialing audits • Negotiate and manage delegation contractual agreements • Be a key contributor for internal and external organization audits • Analyze and manage delegated provider data • Maintain working knowledge of regulatory credentialing requirements • Collaborate effectively with delegated groups and other matrix partners • Provide support and act as a subject matter expert for various projects • Perform other related duties as assigned.

Job Requirements

  • Bachelor's degree or higher strongly preferred or equivalent work experience required
  • 3+ years of credentialing and/or auditing experience required
  • Knowledge of NCQA and Medicare standards
  • Proficient in Microsoft Access, Excel, Outlook, PowerPoint and Word
  • Strong analytical and problem-solving skills
  • Excellent communication, collaboration, interpersonal and organizational skills
  • Ability to work effectively, both independently and/or in a group setting
  • Ability to effectively coordinate and manage multiple projects and prioritize work in a fast-paced environment
  • Ability to perform work with minimal supervision while achieving desired outcome
  • Minimal travel may be required for audits.

Benefits

  • medical insurance
  • vision insurance
  • dental insurance
  • 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

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