Revenue Management Risk Analyst - Cigna Healthcare - Remote

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
• What you'll need to do the job:
• 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
• Experience working with offshore or third-party operational support teams, preferred
• 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
• Ability to develop and document clear, effective process flows and Standard Operating Procedures (SOPs), preferred
• 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
• Collaborative team player who works effectively with leadership, demonstrates openness to feedback, and actively contributes ideas and solutions, preferred
• 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
• 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 63,800 - 106,300 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.
• About The Cigna Group

Benefits

Additional Information

We're hiring a Revenue Management Risk Analyst that supports billing and revenue operations by identifying, assessing, and mitigating financial and operational risk across group accounts and ported member populations. This role oversees key billing risk drivers, including premium accuracy, and ensures quality and compliance through audit review of billing analyst work. The position also manages operational tasks such as sales compensation processing, contributes to cross-functional initiatives, and drives continuous improvement through trend analysis and process enhancements in a dynamic, evolving environment.

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