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Program Management Lead Analyst, Clinical Sales & Network Organization - Cigna Healthcare - Remote
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Job Description
- Req#: 25015396
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $127,300 annually
- Eligibility to participate in an annual bonus plan
- Comprehensive benefits starting on day one, including medical, vision, dental, and well-being programs
- 401(k) with company match and tuition reimbursement
- Minimum of 18 days of paid time off per year plus paid holidays
- Opportunity to work in a meaningful role dedicated to improving health and vitality
What to Expect (Job Responsibilities):
- Complete care management summary reviews for high-cost claimants in accordance with corporate guidelines
- Conduct in-depth clinical summary reviews, including analysis of medical records and claims data
- Summarize and compile findings to support Market Medical Executives and Nurse Executives in client-facing engagements
- Collaborate with multiple-matrix partners in a fast-paced, dynamic environment
- Demonstrate understanding of the employer's core clinical programs and their application
What is Required (Qualifications):
- Minimum of 5 years of clinical or clinical support experience
- Strong analytical and research skills with the ability to interpret complex clinical information
- Excellent time management, organizational, and communication skills
- Proven ability to build strong relationships and influence cross-functional teams
- Proficient in Microsoft Office and other relevant technology platforms
How to Stand Out (Preferred Qualifications):
- Experience with ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, or TruCare
- Experience with CPT and ICD-10 coding
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