Lead Analyst – Credentialing
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Job Description
Delegated Credentialing Lead Analyst at The Cigna Group performing oversight of provider credentialing. Collaborating with various partners to ensure compliance with regulatory requirements and standards.
Responsibilities:
- 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.
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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