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The Cigna Group
The Cigna Group
HealthcareHealthcare InsurancePharmaceuticals
The Cigna Group is a global healthcare company operating through Cigna Healthcare and Evernorth Health Services. Its work combines healthcare services, health insurance, and pharmacy benefits management to support the health and wellbeing of customers, clients, and patients. The company also focuses on ethical healthcare and artificial intelligence practices, health equity, responsible environmental and social governance, and innovation in how care is delivered.
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Senior Provider Relations Analyst (Remote) | The Cigna Group

Improve Cigna Healthcare’s provider-data integrity and automation through analysis of PRIME data, SQL sources, and loading processes.

USUnited States
$58,100 – $96,900 / year
RemoteFull-timeSeniorEnglish RequiredAnalyst
HadoopSQL

Description

  • Create business, functional, and non-functional requirements
  • Contribute to system design reviews, test evidence reviews, and status meetings
  • Identify the data elements needed to load provider information into PRIME (BoR)
  • Apply knowledge of provider and practitioner demographics, contracts, contract management, and PRIME domains
  • Build expertise in PRIME and other BoR systems supporting HCPM
  • Use data analysis to determine whether each load is a new record or an update
  • Partner with matrix teams to evaluate outcomes and maintain accurate loading guidelines
  • Identify remediation opportunities that improve automated provider-data loading and data integrity across provider systems
  • Review validated data elements for quality before BoR ingestion
  • Help the team follow established system process flows
  • Collaborate with business and IT partners to improve provider-data quality and develop automation capabilities

Requirements

  • Bachelor’s degree or higher is strongly preferred, or equivalent professional experience
  • Knowledge of provider data domains
  • Familiarity with PRIME contractual structures is preferred
  • Ability to locate, analyze, and maintain HCP data for accurate downstream use
  • Ability to derive extraction criteria through data analytics when top-down extraction is unavailable
  • Healthcare or managed-care experience with direct responsibility for quality analytics and data management, including relational database concepts
  • Advanced knowledge of relational database concepts and applications, particularly SAS Enterprise Guide, SQL databases and tools, and Microsoft Office
  • Proficiency writing SQL procedures for data retrieval
  • Ability to write SAS and SQL programs that query and retrieve data from multiple sources, including Hadoop, SQL Server, and Teradata
  • Strong data-mining capabilities, including research and root-cause analysis
  • Ability to navigate the organization, build subject-matter-expert relationships, and support internal discussions
  • At least one year of Business Systems Analyst experience is highly preferred
  • Home-based work requires cable broadband or fiber-optic internet with minimum speeds of 10 Mbps download and 5 Mbps upload

Benefits

  • Eligibility for an annual bonus plan
  • Medical, vision, and dental coverage beginning on the first day
  • Well-being and behavioral health programs
  • 401(k) plan
  • Company-paid life insurance
  • Tuition reimbursement
  • At least 18 days of paid time off annually
  • Paid holidays
  • Leaves of absence
  • Tobacco-free workplace policy
  • Reasonable accommodations during the application process

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