Provider Contracting Senior Analyst, Voluntary Out-of-Network Pricing - Cigna Healthcare - Remote

We are seeking a highly skilled, customer-focused Senior Analyst to support our Voluntary Out-of-Network team. This role plays a critical part in resolving complex pricing disputes, supporting cost containment efforts, and strengthening provider relationships. While not a people-management role, the Senior Analyst serves as a key contributor and subject-matter expert, guiding execution and supporting strategic initiatives.

This position is ideal for someone with strong analytical capabilities, a passion for customer service, and the ability to work independently while collaborating effectively across teams.

Key Responsibilities

• Lead the execution of pricing dispute resolution activities within Voluntary Out-of-Network cost containment programs.
• Conduct thorough investigations of pricing disputes to determine appropriate next steps, involved vendors, and resolution pathways.
• Ensure timely follow-up and resolution in alignment with established turnaround time standards.
• Maintain accurate, detailed documentation and tracking of all dispute cases.
• Support external claims pricing dispute resolution by working directly with vendors, providers, and internal stakeholders to ensure accurate pricing methodologies are applied and disputes are resolved efficiently.
• Serve as a knowledgeable point of contact for internal stakeholders, vendors, and providers.
• Provide guidance and feedback to Claims and Call Center teams related to dispute resolution processes.
• Demonstrate professionalism and a strong commitment to customer satisfaction in all interactions.
• Compile and analyze data to identify trends, gaps, and opportunities for improvement.
• Support the development of reports and tools used to monitor program performance.
• Contribute to process improvement initiatives and support operational change efforts.

Qualifications

• Bachelor’s degree preferred but not required; equivalent experience in healthcare operations, claims, provider contracting, or analytics will be considered.
• Minimum of 3 years of experience in claims, call center operations, healthcare analytics, or provider contracting.
• Strong written and verbal communication skills.
• Advanced proficiency in Microsoft Excel and other data analysis tools.
• Ability to work independently while managing multiple priorities effectively.
• Customer-focused mindset with a strong commitment to quality and timeliness.
• Strong analytical, critical-thinking, and problem-solving skills.
• Ability to influence peers and support operational change initiatives.

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 59,900 - 99,800 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.

At The Cigna Group, 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), 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, click here.

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

The Cigna Group 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.