[Remote] Revenue Management Risk Analyst - Cigna Healthcare - Remote

Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is dedicated to improving the health and vitality of those they serve. They are hiring a Revenue Management Risk Analyst to support billing and revenue operations by identifying, assessing, and mitigating financial and operational risk across group accounts. The role involves overseeing billing risk drivers, managing operational tasks, and driving continuous improvement through trend analysis and process enhancements.

Responsibilities

• Compile, analyze, and distribute risk analysis reviews for group accounts and ported member populations
• Perform quality reviews of audits completed by billing analysts to ensure accuracy, completeness, and adherence to established standards
• Create, maintain, and enhance reporting to identify and monitor risk trends, barriers, process gaps, and audit outcomes that may contribute to or indicate potential financial exposure
• Partners with supervisors and cross-functional teams, including reporting, inventory, and project teams, to understand risk and execute plans to achieve goals
• Represent client-facing functions on calls to communicate potential risks or barriers related to account management or client structure
• Provide feedback, coaching, and guidance to billing analysts based on audit findings and risk observations
• Support the client teams in meeting or exceeding key performance metrics
• Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities
• Provide oversight and coordination of all sales compensation-related tasks to ensure accuracy and timeliness
• Assist with team support activities and operational tasks as needed to ensure coverage and continuity

Skills

• High school diploma or GED, required; associate or bachelor's degree, preferred
• 2+ years of experience in revenue management, billing operations, financial operations, or a related field, required
• Required: Advanced proficiency in Microsoft (Excel, word, SharePoint, PowerPoint, Outlook) including complex data analysis, reporting, and process optimization; working knowledge of Microsoft Access preferred
• Strong business acumen with the ability to manage multiple priorities in a fast-paced environment, required
• Self-motivated and detail-oriented, with the ability to adapt quickly to change and shift priorities as business needs evolve, require
• Strong interpersonal and influencing skills, with ability to provide direction, identify barriers, and escalate issues appropriately, required
• Ability to support operations between 7:00 AM–6:00 PM, with a typical schedule of 8:30 AM–5:00 PM EST and demonstrates flexibility to meet business needs, including extended hours during peak periods, required
• Associate or bachelor's degree, preferred
• Experience working with offshore or third-party operational support teams, preferred
• Ability to develop and document clear, effective process flows and Standard Operating Procedures (SOPs), preferred
• Collaborative team player who works effectively with leadership, demonstrates openness to feedback, and actively contributes ideas and solutions, preferred

Benefits

• Annual bonus plan
• Medical
• Vision
• Dental
• Well-being and behavioral health programs
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays

Company Overview

Company H1B Sponsorship