Senior Business Project Analyst, MRC Manual Pricing

Posted 21hrs ago

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Job Description

Senior Analyst at Cigna Healthcare performing manual pricing and analyzing complex claims for cost containment initiatives. Collaborating to ensure accuracy and compliance with pricing regulations.

Responsibilities:

  • Perform manual pricing for Maximum Reimbursable Charge (MRC1/MRC2) claims
  • Analyze complex, sensitive, or escalated claims and recommend pricing outcomes
  • Evaluate system and process challenges, identifying practical solutions
  • Provide clear analysis, pricing rationale, and guidance to partners
  • Contribute to continuous improvement by sharing knowledge and supporting team learning

Requirements:

  • 3+ years of experience in claims analysis, pricing, reimbursement, or related healthcare operations role
  • Strong analytical and problem-solving skills
  • Experience in fast-paced environments requiring prioritization, independent decision-making, and attention to detail
  • Strong written and verbal communication skills
  • Proficiency with Microsoft Office tools, including Excel, Word, PowerPoint, and SharePoint

Benefits:

  • Medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays