Revenue Management Risk Analyst - Cigna Healthcare - Remote

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. What you'll do:

• 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. 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 The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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. Remote Skills: Analysis Skills, Billing, Broadband, Business Skills, Coaching, Compensation and Benefits, Continuous Improvement, Cross-Functional, Customer Relations, Customer Support/Service, Data Analysis, Employee Benefits, Fiber Optic Cable, Financial Analysis, Financial Operations, Financial Risk, Healthcare, High School Diploma, Internet Service Providers, Interpersonal Skills, Inventory Reports, Leadership, Maintain Compliance, Microsoft Access Database, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Product Family, Microsoft SharePoint, Microsoft Word, Multitasking, Operational Support, Operations Management, Performance Metrics, Process Development, Process Flow, Process Improvement, Revenue Analysis, Revenue Management, Risk, Risk Analysis, Risk Management, Sales, Sales Management, Standard Operating Procedures (SOP), State Ordinances, Team Lead/Manager, Team Player, Trend Analysis, Work From Home About the Company: The Cigna Group