Provider Contracting Senior Analyst
Provider Contracting Senior Analyst

Provider Contracting Senior Analyst

Lanark Full-Time 36000 - 60000 £ / year (est.) No home office possible
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At a Glance

  • Tasks: Support the Network team and manage provider coding queries for smooth data flow.
  • Company: Cigna Healthcare is a global leader in health services, 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, personal growth, and making a meaningful impact.
  • Qualifications: Minimum 2 years in customer service or medical roles, with strong communication and organisational skills.
  • Other info: Cigna values diversity and offers equal opportunities for all applicants.

The predicted salary is between 36000 - 60000 £ 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.

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

      Mid-Senior level

    Employment type

    • Employment type

      Full-time

    Job function

    • Job function

      Business Development and Sales

    • Industries

      Hospitals and Health Care

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    Provider Contracting Senior Analyst employer: The Cigna Group

    Cigna Healthcare is an exceptional employer that prioritises employee well-being and professional growth within a supportive, multicultural environment. With competitive salaries, comprehensive benefits including private medical insurance, and a strong focus on work-life balance, Cigna fosters a culture of collaboration and innovation, making it an ideal place for those looking to make a meaningful impact in the healthcare sector.
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    Contact Detail:

    The Cigna Group 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, as this role heavily involves working with it. Understanding how to navigate the platform and its coding systems will give you a significant advantage during interviews.

    ✨Tip Number 2

    Brush up on your knowledge of UK healthcare providers and their processes. Being able to discuss specific examples or experiences related to provider interactions can demonstrate your expertise and readiness for the role.

    ✨Tip Number 3

    Prepare to showcase your analytical skills, particularly in root cause analysis. Think of instances where you've successfully identified issues and implemented solutions, as this will be crucial for the responsibilities outlined in the job description.

    ✨Tip Number 4

    Highlight your communication and facilitation skills during discussions. This role requires you to be the main point of contact for provider queries, so demonstrating your ability to convey complex information clearly will be key.

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

    Customer Service Experience
    Medical Terminology Knowledge
    Understanding of UK Providers and 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 to thoroughly read the job description for the Provider Contracting Senior Analyst role. Understand the key responsibilities and required skills, such as knowledge of medical terminology and experience with UK providers.

    Tailor Your CV: Customise your CV to highlight relevant experience that aligns with the job requirements. Emphasise your customer service background, any experience with claims or medical teams, and your familiarity with Healthcode processes.

    Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for the healthcare industry and your understanding of Cigna's mission. Mention specific experiences that demonstrate your ability to support providers and manage coding queries effectively.

    Proofread Your Application: Before submitting, carefully proofread your application materials. Check for spelling and grammatical errors, and ensure that all information is accurate and clearly presented. A polished application reflects your attention to detail.

    How to prepare for a job interview at The Cigna Group

    ✨Understand the Role

    Make sure you thoroughly understand the responsibilities of a Provider Contracting Senior Analyst. Familiarise yourself with Healthcode processes and the importance of accurate coding, as this will show your genuine interest in the role.

    ✨Showcase Your Experience

    Prepare to discuss your previous experience in customer service or medical teams. Highlight specific examples where you've successfully handled provider issues or worked with external business partners, as this aligns closely with the job requirements.

    ✨Demonstrate Attention to Detail

    Since the role requires strong attention to detail, be ready to provide examples of how you've maintained accuracy in your previous roles. Discuss any experiences where your attention to detail made a significant impact on outcomes.

    ✨Ask Insightful Questions

    Prepare thoughtful questions about the team dynamics, company culture, and how success is measured in this role. This not only shows your enthusiasm but also helps you gauge if the company is the right fit for you.

    Provider Contracting Senior Analyst
    The Cigna Group
    T
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