Remote Provider Data Senior Representative- Work From Home/Hiring ASAP

Job Responsibilities : Remote Provider Data Senior Representative- Work From Home/Hiring ASAP

Salary : 19 – 29 USD / hourly

Company : Cigna

Provider Data Senior Representative / United States, Work from Home

Maintains current provider data for the largest and most complex account structures to ensure the quality of the network.  Updates provider data in claim engine systems as well as HCPM and CPF for contracted HCPs.  This position receives work requests for remediation of provider data (demographic and contractual) from an array of sources and reports on a regular schedule.  Submits intakes for automation scripting to correct provider data in addition to manually updating provider data to address any fallout from automation.  Maintain production counts and inventory counts via MOS Daily Activity logs and Inventory manager batching.


Responsible for batching, reviewing and loading Provider Data in atleast 2 of the following provider systems: CPF (PWB)/HCPM/Facets/Proclaim.
Review and load all requests thru completion from the Cigna HCP Inventory Manager
Reviews incoming work for information that may be missing and accuracy of information.
Conducts/reviews/responds to outreaches for missing/verification of information from Providers/Matrix partner/Vendors to ensure data integrity, accuracy and equivalency in and between CPF (PWB)/HCPM/Facets/Proclaim.

Adheres to production and quality standards set for role
Identifies opportunities to simplify workstreams and become more efficient from receiving of request to loading of requests into applicable system.
Supports provider data remediation projects or new work type implementation activities as directed by Manager.
Will grow in role to be able to identify opportunities for improvement in processes and workflows as well as volume reduction opportunities.

The Ideal Candidate Will Offer:

Excellent written and verbal communication skills
Provider Data and Domain knowledge
Atleast 2 of following provider systems: CPF, Facets, HCPM (Portico), Proclaim; Preferred
Baseline Network product as well as AIMS (IFP/Surefit) Network product knowledge
Navigation skills in Inventory Manager (formerly IBM HCP Intake Tool)

High school diploma and preferred to have experience with managed care data systems and applications for claims payment; or any combination of education and work experience.
Strong technical skills and track record of high performing producer
Microsoft office products knowledge (Access Database knowledge a plus)
Ability to work independently while managing multiple tasks and meeting deadlines.
Proven ability to maintain positive working relationships and to provide coaching and guidance to other staff members.
Strong investigative skills

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 hourly rate of 19 – 29 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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