Top 543 Cigna Jobs | SimplyHired

Claim Negotiator - Non‑Par Reimbursement - Remote
The Cigna Group —Remote
- $58,100 - $96,900 a year
- Online Application
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
6d
Quality Review and Audit Lead Analyst - Express Scripts - Remote
The Cigna Group —Remote
- $68,700 - $114,500 a year
- Online Application
- Remote
- Microsoft Outlook
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
1d
Order Packer- Accredo
The Cigna Group —Warrendale, PA
- 8 hour shift
- Computer literacy
- Basic math
- High school diploma or GED
- Paid holidays
- Health insurance
Senior Commercial HVAC/Refrigeration Technician
The Cigna Group —St. Louis, MO
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Staff Pharmacist Manager - Express Scripts - Whitestown, IN
The Cigna Group —Whitestown, IN
- Online Application
- Bachelor of Science
- Bachelor's degree
- Fair chance
Home Infusion Nurse Per Diem - Accredo - Tacoma, WA
The Cigna Group —Tacoma, WA
- $38 - $63 an hour
- Part-time
- Nursing
- RN License
- Bachelor of Science
14d
Home Infusion Nurse - Accredo - Des Moines, IA
The Cigna Group —Des Moines, IA
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science
Patient Care Coordinator, Specialty Pharmacy- Evernorth
The Cigna Group —Remote
- $20 - $30 an hour
- Online Application
- Remote
- Computer literacy
- Mid-level
- Windows
- Paid holidays
- Health insurance
Administrative Assistant Senior Representative - Evernorth - Remote
The Cigna Group —Remote
- $26 - $39 an hour
- Online Application
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
- Paid holidays
- Health insurance
2d
Provider Contracting Director-West Region (Remote)
The Cigna Group —Remote
- $156,700 - $261,100 a year
- Online Application
- Remote
- Analysis skills
- Organizational skills
- Fair chance
- Paid holidays
- Health insurance
Account Executive - Cigna Pharmacy - Remote
The Cigna Group —Houston, TX
- Online Application
- Remote
- Analysis skills
- Bachelor's degree
- Travel
Financial Analysis Advisor - Express Scripts - Remote
The Cigna Group —Remote
- $96,800 - $161,300 a year
- Online Application
- Remote
- Mid-level
- 3 years
- SQL
- Paid holidays
- Health insurance
Eligibility Chargeback Manager - CuraScript - Remote
The Cigna Group —New York, NY
- $77,300 - $128,900 a year
- Online Application
- Remote
- Oracle
- 5 years
- High school diploma or GED
- Paid holidays
- Health insurance
Sr. Director Global Facilities Management
The Cigna Group —Remote
- $184,900 - $308,100 a year
- Online Application
- 11+ years
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Administrative Assistant Senior Representative - Hybrid - Cigna Healthcare
The Cigna Group —Denver, CO
- $26 - $39 an hour
- Online Application
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Data Measurement & Reporting Advisor - Evernorth Health Services - Hybrid
The Cigna Group —Remote
- $96,700 - $161,100 a year
- Online Application
- Remote
- Mid-level
- 3 years
- SQL
- Paid holidays
- Health insurance
Business Analytics Senior Analyst/340B Program - Express Scripts - Remote
The Cigna Group —Remote
- $68,000 - $113,400 a year
- Online Application
- Remote
- Bachelor of Science
- Writing skills
- Research
- Paid holidays
- Health insurance
Strategy & Analytics Advisor, C&CE - Evernorth - Remote
The Cigna Group —Remote
- $98,200 - $163,600 a year
- Online Application
- Remote
- Office
- Analysis skills
- Fair chance
- Paid holidays
- Health insurance
Business Analytics Senior Analyst/340B Program - Express Scripts - Remote
The Cigna Group —Oregon
- $68,000 - $113,400 a year
- Online Application
- Remote
- Bachelor of Science
- Writing skills
- Research
- Paid holidays
- Health insurance
Data Science Senior Advisor (Pricing & Underwriting) - Remote
The Cigna Group —Remote
- $131,200 - $218,600 a year
- Online Application
- Remote
- 5 years
- SQL
- Doctor of Philosophy
- Paid holidays
- Health insurance

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Claim Negotiator - Non‑Par Reimbursement - Remote

The Cigna Group -
Remote

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Job Details

Full-time
$58,100 - $96,900 a year
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Healthcare dispute resolution
Microsoft Excel
HIPAA compliance
Microsoft Outlook
Regulatory compliance
Providing information to customers
HIPAA
Process improvement
Mid-level
Contract management experience in healthcare
Task prioritization
Consumer dispute resolution
Contracts
Pricing analysis experience within healthcare industry
Healthcare reimbursement methods
Negotiation in dispute resolution
Medical terminology
2 years
Communication skills
Customer complaint resolution

Full Job Description

This role is an individual contributor within the Nonpar Provider Contracting Team, supporting our enterprise strategy to deliver affordable, predictable, and simple health care. The position is responsible for negotiating nonpar single case agreements, ensuring compliance, and fostering strong partnerships with internal and external stakeholders.

Summary of Responsibilities

The Provider Relations Sr. Analyst skillfully navigates reimbursement conversations with nonpar health care professionals while providing exceptional service. Responsibilities include negotiating reimbursement rates for nonpar health care providers, utilizing excellent verbal and written communication skills, partnering with internal teams to resolve complaints and disputes, ensuring compliance with policies, procedures, and regulatory requirements, suggesting process improvements and fostering innovation, utilizing knowledge of medical terminology and standard reimbursement methodologies, and managing multiple priorities in a fast-paced environment.

Key Duties and Responsibilities

Review and prioritize daily work assignments for timely single case agreement negotiation.
Develop individual case pricing strategies and present to management and/or providers.
Accurately document case outcomes in all systems and communicate results to stakeholders.
Serve as team subject matter expert (SME) for highly complex cases.
Support department goals contributing to organizational success.
Communicate and collaborate effectively with internal and external partners.
Adhere to all Compliance/Program Integrity requirements and HIPAA regulations.
Promote professional growth through continuing education and skills development.

Qualifications

Minimum 2+ years of experience in healthcare contracting, provider relations, or reimbursement negotiations required
Single case agreement or billing negotiation experience required
Demonstrated experience in interpreting and applying reimbursement methodologies.
Proficiency in medical terminology and healthcare industry standards.
Strong negotiation and conflict resolution skills.
Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook).
Ability to manage multiple priorities in a high-volume environment.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 58,100 - 96,900 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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. 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. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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