Medical Claims Review Senior Analyst at Cigna interpreting medical reports and analyzing provider claims for cost containment. Collaborating with colleagues and attending meetings for workflow improvements.
Responsibilities
Interpreting key information from medical reports/invoices
Analyzing invoices to identify cost containment opportunities
Reviewing claims from a clinical point of view directly with Providers
Collaborating with colleagues across the business
Attending meetings to discuss and improve workflows
Serving as a contact for expert advice on R&C calculations
Taking ownership of production and meeting outputs
Requirements
Clinical Background (Nurse/Clinical officer)
Passive knowledge of French/German/Italian, additional languages is a plus
Experience with processing provider claims is a plus
Affinity with medical terminology is a plus
ICD knowledge is a plus
Proactive and driven with integrity
Ability to approach people confidently
Tech-savvy, able to work with different systems/applications simultaneously
Attention to detail and accuracy
Flexible with ability to shift priorities when required
Mid - level Accounting Analyst handling reconciliations, monthly/annual closings and preparation of financial statements. Provides audit support, coordinates with tax/finance/payroll teams and mentors junior analysts.
Digital Inventory Analyst leveraging data to optimize yield and support sales operations at Disney. Reporting insights on business trends and working collaboratively across teams to drive strategies.
Senior Portfolio Analyst responsible for capital planning and financial analysis at Disney. Collaborating with stakeholders to ensure alignment with business goals and budgets.
Analista de planejamento acompanhando níveis de estoque e previsão de demanda em multinacional tecnológica. Oportunidade no Brasil com foco em administração e engenharia logística.
Digital Media Analyst planning and executing paid media campaigns across platforms like Google Ads and Meta Ads. Focused on performance metrics and data analysis for strategic insights.
Quality Assurance Analyst improving testing strategies and ensuring quality for tech solutions impacting many users. Collaborating with teams to deliver robust software solutions.
Analista de Planejamento de Demanda desenvolvendo modelos estatísticos em empresa de cosméticos. Colaborando em áreas para alinhar estratégias e garantir a governança dos dados.
Project Analyst ensuring execution of agricultural technology projects, implementing and monitoring for client satisfaction. Collaborating with teams and delivering quality results in Araçatuba, Brazil.