Principal Associate analyzing Cyber controls and developing automated health metrics for Capital One. Collaborating with teams to transform telemetry data into real - time insights and prevent security risks.
About the role
- 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
Benefits
- Health insurance
- Flexible work arrangements
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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