Financial Analysis Lead Analyst, Billing & Collections - Evernorth - Remote

POSITION SUMMARY

The Financial Analysis Lead Analyst is responsible for pursuing and resolving collection efforts on billed receivables, Premium and Claims/Claims Funding, which are deemed uncollectable and/or require special repayment arrangements for Facets ASO and Fully Insured business.

Key responsibilities include: 1) Owning the end-to-end delinquency and collections activities for groups referred by the Facets billing team; 2) Resolving all ACH and/or pre-note failures and ensuring proper banking detail is updated or proper authorization is obtained; 3) Identifying opportunities for process improvements to enhance client satisfaction and reduce Cigna financial risk; 4) Analysis, trending, and resolution of accounts with consistent collection and/or delinquency behavior.

Primary Responsibilities

This position supports business control and risk analysis within Facets Reporting and Analytics.


* Payment negotiation with Clients, TPAs and/or brokers to collect on outstanding Premiums and/or Claims.


* Drives changes in client behavior to achieve Cigna's financial results.


* Responsible for managing and communicating state legislation specific to delinquency and collection.


* Preparing legal documents to include repayment agreements and delinquency letters.


* Support Billing Analyst in collection activities; including scheduling calls and driving resolution.


* Produce timely and accurate reporting for month/quarter/year end close.

Strive for continuous improvement in processes and reports.


* Supports month end/quarter end close process with Accounting by analyzing receivables balances, identifying root causes, recommending appropriate accruals/reserves, and ensuring solutions are executed.


* Support Revenue Management operations as needed, including solutions to bottleneck situations that occasionally emerge that impact customers and/or financial statements.


* Support the development, implementation, training, and maintenance of Facets controls and best practices.


* Support the development, implementation, and enhancement of Sarbanes Oxley controls related to the Billing and Financial Reporting processes.


* Support responses to internal and external audits/examinations/walk-throughs.


* Lead or support the development and on-going production and analysis of daily, weekly, and monthly actionable information tools and reporting that are highly visible to multiple organizational levels (FORT).


* Understand and interpret how the business works, including but not limited to Billing, Banking, Eligibility, and other related functions.

This role needs to learn, absorb, and interpret how the business runs in order to convert that understanding into simple, useful analytical and reporting solutions.


* Analyze and interpret complex financial information.

Utilize independent judgment and discretion, identify trends, variances, and key issues and provide recommendations on how data and ...