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Knowledge of National Coverage Determinations, Local Coverage Determinations and MCG criteria are a plus. Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
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2+ years’ experience in claims, medical coding, and health insurance is a plus. Knowledge and understanding of Medical coding is a plus. This position is responsible for data entry for a coordination of benefits (COB) for the competitive intelligence team.
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The Financial Medical Expense Modeling Enablement Advisor will carry out projection and results analysis for core Medical Advantage Part C medical claims expense processed and paid on a fee-for-service (FFS) basis.
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Be responsive to audit feedback from Analysts, or management, completing all corrections on a timely basis. Complete data entry in our Professional and Facility Access Databases on a timely basis, meeting or exceeding assigned delivery dates.
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ASA, FSA, MBA, or CPA are a plus (but not required). The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
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4+ years in a financial, actuarial or a highly analytical position. Team player able to work in a matrix environment to meet reporting deadlines. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. This individual will work with various teams including, but not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations, and external Audit Firms.
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Knowledge of how to read and interpret medical claims, forms, and Explanation of Benefits is required. Independent, but a Team Player. Behave ethically and in compliance with applicable laws when conducting CIGNA business by ensuring participation in mandatory training courses and adhering to CIGNA's Code of Ethics and related policies.
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Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
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