Provider Contracting Senior Analyst
Provider Contracting Senior Analyst

Provider Contracting Senior Analyst

Glasgow Full-Time 28800 - 48000 £ / year (est.) No home office possible
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At a Glance

  • Tasks: Support the Network team and manage provider coding for smooth invoice data flow.
  • Company: Cigna Healthcare is a global health service company serving over 180 million customers worldwide.
  • Benefits: Enjoy a competitive salary, hybrid work options, private medical insurance, and educational development programmes.
  • Why this job: Join a supportive culture focused on collaboration, meaningful change, and personal growth.
  • Qualifications: Minimum 2 years in customer service or medical roles; strong communication and analytical skills required.
  • Other info: Cigna values diversity and offers equal opportunities for all applicants.

The predicted salary is between 28800 - 48000 £ per year.

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ABOUT US:

Cigna Healthcare is a global health service company with roots in the US, serving more than 180 million customers and patients throughout the world. We deliver quality health care through choice, predictability, affordability and through integrated capabilities and connected, personalized solutions that advance whole person health.

Cigna’s mission is to help our customers improve their health, well-being and sense of security by providing access to care. With our whole health approach, we’re focused on addressing health concerns, improving resilience, reducing stress levels and emotional health issues.

The role:

A specialist role to work within the UK Network team supporting Network Manager and Senior Analysts on both Network and Healthcode. This role is provider facing, requires the candidate to work directly to support providers and to maintain accurate coding on Healthcode to ensure the smooth flow of invoice data from UK Healthcare providers to our policy admin systems.

Responsibilities:

  • Support Network team with provider issues

  • Support Healthcode SME for end-to-end Healthcode Process as below

    • Maintenance of the ‘Group Code Sets’ hosted on Healthcode website

    • Amending and/or adding new Industry Standard Codes (ISC)

    • Maintenance of the Collibra Service code mapping including changing/adding new ISC codes and the associated PAS procedure code mapping

    • Maintenance of the Healthcode Validation Rules

    • Main point of contact for all queries in relation to Healthcode provider coding queries (for the code sets outlined in this role specification)

    • Responsible for the submission/updates of price screening files for key UK providers

    • Maintenance of the ‘Valid CCSD’ code set

    • Maintenance of ‘Invalid Code Combinations’ code set

    • Understanding of how the settings impact data inflow

  • Support providers in relation to Healthcode related queries as below

    • Invalid member details

    • Validation failures CCSD/ISC/patient data

    • Remittance advice

  • Ensure Provider Database records are accurate and without duplicates to ensure the smooth flow of data

  • Reporting Line: Commercial Manager

    Skills and Experience:

  • Minimum of 2 years’ experience within a Customer Service/Claims/Medical team function

  • Good knowledge of medical terminology

  • Good knowledge of UK Providers and Provider processes

  • Understanding of Benefit/Procedure code mapping

  • Previous experience of working with external business partners and/or UK Healthcare providers

  • Focused and highly organised with the ability to work to tight timelines

  • Demonstrate the ability to perform root cause analysis

  • Strong attention to detail

  • Strong communication & facilitation skills

  • Able to work independently or as part of a team

  • Experience and competence with Microsoft applications – Excel is essential

BENEFITS:

  • Competitive salary

  • Multicultural and hybrid working environment

  • Private Medical Insurance

  • Employee Wellbeing Benefits

  • Educational Development Program

Join our globally recognized brand where trust, communication, and a positive culture are paramount. Our leadership is consistent, approachable, and supportive, ensuring your well-being and work-life balance.

We are seeking individuals who thrive in collaborative environments, are passionate about driving meaningful change, and are excited to grow in a company that prioritizes its people.

It’s time to look to your future and apply to work for Cigna today!

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 require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Seniority level

  • Seniority level

    Associate

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Business Development and Sales

  • Industries

    Insurance and Employee Benefit Funds

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Provider Contracting Senior Analyst employer: Cigna Healthcare

Cigna Healthcare is an exceptional employer that prioritises employee well-being and professional growth within a supportive, multicultural environment. With competitive salaries, private medical insurance, and a strong focus on work-life balance, Cigna fosters a collaborative culture where individuals are empowered to drive meaningful change in the healthcare sector. Join us in a role that not only enhances your career but also contributes to improving lives across the globe.
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Contact Detail:

Cigna Healthcare Recruiting Team

StudySmarter Expert Advice 🤫

We think this is how you could land Provider Contracting Senior Analyst

✨Tip Number 1

Familiarise yourself with Healthcode and its processes. Understanding how Healthcode operates will give you an edge, as you'll be able to speak confidently about it during interviews and demonstrate your readiness for the role.

✨Tip Number 2

Network with professionals in the healthcare sector, especially those who work with Cigna or similar organisations. Engaging with them can provide insights into the company culture and expectations, which can be invaluable during your application process.

✨Tip Number 3

Brush up on your knowledge of medical terminology and coding standards relevant to UK healthcare providers. This will not only help you in the role but also show your commitment to understanding the industry during interviews.

✨Tip Number 4

Prepare to discuss your experience with customer service and claims processing. Be ready to share specific examples of how you've handled provider issues or improved processes, as this will highlight your suitability for the Provider Contracting Senior Analyst position.

We think you need these skills to ace Provider Contracting Senior Analyst

Customer Service Skills
Knowledge of Medical Terminology
Understanding of UK Provider Processes
Benefit/Procedure Code Mapping
Root Cause Analysis
Attention to Detail
Strong Communication Skills
Facilitation Skills
Ability to Work Independently
Team Collaboration
Proficiency in Microsoft Excel
Data Management Skills
Problem-Solving Skills
Organisational Skills
Experience with Healthcode Systems

Some tips for your application 🫡

Understand the Role: Before applying, make sure you fully understand the responsibilities and requirements of the Provider Contracting Senior Analyst role. Tailor your application to highlight relevant experience in customer service, medical terminology, and provider processes.

Highlight Relevant Experience: In your CV and cover letter, emphasise your minimum of 2 years’ experience within a Customer Service/Claims/Medical team function. Provide specific examples of how you've successfully handled provider issues or worked with external business partners.

Showcase Your Skills: Make sure to showcase your strong communication and facilitation skills, as well as your ability to perform root cause analysis. Mention any experience with Microsoft applications, particularly Excel, as this is essential for the role.

Craft a Compelling Cover Letter: Write a cover letter that not only outlines your qualifications but also reflects your passion for improving health and well-being. Connect your personal values with Cigna's mission to demonstrate why you're a great fit for their team.

How to prepare for a job interview at Cigna Healthcare

✨Understand the Role

Make sure you have a clear understanding of the Provider Contracting Senior Analyst role. Familiarise yourself with the responsibilities, especially around Healthcode processes and provider interactions. This will help you answer questions confidently and demonstrate your suitability for the position.

✨Showcase Your Experience

Prepare to discuss your previous experience in customer service or medical teams. Highlight specific examples where you've dealt with provider issues or coding queries, as this is crucial for the role. Use the STAR method (Situation, Task, Action, Result) to structure your responses.

✨Demonstrate Attention to Detail

Given the importance of accurate coding and data management in this role, be ready to discuss how you ensure accuracy in your work. You might want to share examples of how you've handled complex data sets or resolved discrepancies in the past.

✨Prepare Questions

At the end of the interview, you'll likely have the chance to ask questions. Prepare thoughtful questions about the team dynamics, company culture, and how success is measured in this role. This shows your genuine interest in the position and helps you assess if it's the right fit for you.

Provider Contracting Senior Analyst
Cigna Healthcare
C
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