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Cigna - Bloomfield, CT

posted 2 months ago

Full-time - Entry Level
Hybrid - Bloomfield, CT
Insurance Carriers and Related Activities

About the position

The Program Management Analyst - HEDIS Records Central is responsible for key functions within the HEDIS Records Central Team, focusing on the retrieval, intake, indexing, and invoicing of medical records. This remote position requires engagement with healthcare providers to request medical records for HEDIS purposes, ensuring compliance with deadlines and maintaining accurate records in Cigna's systems.

Responsibilities

  • Process medical records received for HEDIS and other related projects
  • Index medical records into Cigna's systems
  • Call provider offices to confirm medical record contact information
  • Fax medical record requests to provider offices
  • Process invoices for medical records from provider offices and vendors
  • Participate in continuous improvement opportunities with workflows
  • Track and report on records received through year-round medical record retrieval and load records into supplemental sources
  • Collaborate with multiple departments to ensure success of projects

Requirements

  • Ability to perform in a production-based environment under tight deadlines
  • Effective computer skills, including Microsoft Outlook and basic Excel for tracking and reporting
  • Experience with provider and health systems outreach
  • Familiarity with HIPAA regulations
  • Analytical skills preferred
  • Prior HEDIS MRR experience preferred
  • Experience with medical records and provider interaction is a plus

Benefits

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