Business Project Senior Analyst, MRC Manual Pricing - Cigna Healthcare - Remote

Job description

This role plays a critical part in supporting non-participating cost containment efforts by ensuring accurate, timely, and thoughtful manual pricing decisions. You will collaborate with experienced professionals to evaluate complex claims and contribute to solutions that drive consistency, quality, and positive customer outcomes across the organization. Responsibilities: - Perform manual pricing for Maximum Reimbursable Charge (MRC1/MRC2) claims, ensuring accuracy, compliance, and alignment with pricing guidelines. - Analyze complex, sensitive, or escalated claims and recommend pricing outcomes that balance cost containment with customer experience. - Evaluate system and process challenges, identifying practical solutions that improve efficiency, accuracy, and overall results. - Provide clear analysis, pricing rationale, and guidance to internal and external partners requesting manual pricing support. - Take informed, decisive action on priority issues while managing multiple requests in a fast-paced environment. - Contribute to continuous improvement by sharing knowledge, strengthening functional expertise, and supporting team learning. - Support quality and accuracy initiatives t...