Offer summary

Qualifications:

Minimum of 2 years’ experience in Customer Service, Claims, or Medical teams., Good knowledge of UK healthcare providers and processes., Understanding of medical terminology and benefit/procedure code mapping., Proficiency in Microsoft Excel and strong attention to detail..

Key responsibilities:

Support UK Network team and provider issues related to Healthcode.

Maintain and update Healthcode code sets and validation rules.

Assist providers with Healthcode-related queries and ensure data accuracy.

Support submission of price screening files and manage provider database records.

Job description

ABOUT US:

Cigna Healthcare is a global health service company with roots in the US, serving more than 180 million customers and patients throughout the world. We deliver quality health care through choice, predictability, affordability and through integrated capabilities and connected, personalized solutions that advance whole person health.

Cigna’s mission is to help our customers improve their health, well-being and sense of security by providing access to care. With our whole health approach, we’re focused on addressing health concerns, improving resilience, reducing stress levels and emotional health issues.

The role:

A specialist role to work within the UK Network team supporting Network Manager and Senior Analysts on both Network and Healthcode. This role is provider facing, requires the candidate to work directly to support providers and to maintain accurate coding on Healthcode to ensure the smooth flow of invoice data from UK Healthcare providers to our policy admin systems.

Responsibilities:

Support Network team with provider issues
Support Healthcode SME for end-to-end Healthcode Process as below
- Maintenance of the ‘Group Code Sets’ hosted on Healthcode website
- Amending and/or adding new Industry Standard Codes (ISC)
- Maintenance of the Collibra Service code mapping including changing/adding new ISC codes and the associated PAS procedure code mapping
- Maintenance of the Healthcode Validation Rules
- Main point of contact for all queries in relation to Healthcode provider coding queries (for the code sets outlined in this role specification)
- Responsible for the submission/updates of price screening files for key UK providers
- Maintenance of the ‘Valid CCSD’ code set
- Maintenance of ‘Invalid Code Combinations’ code set
- Understanding of how the settings impact data inflow
Support providers in relation to Healthcode related queries as below
- Invalid member details
- Validation failures CCSD/ISC/patient data
- Remittance advice
Ensure Provider Database records are accurate and without duplicates to ensure the smooth flow of data

Reporting Line: Commercial Manager

Skills and Experience:

Minimum of 2 years’ experience within a Customer Service/Claims/Medical team function
Good knowledge of medical terminology
Good knowledge of UK Providers and Provider processes
Understanding of Benefit/Procedure code mapping
Previous experience of working with external business partners and/or UK Healthcare providers
Focused and highly organised with the ability to work to tight timelines
Demonstrate the ability to perform root cause analysis
Strong attention to detail
Strong communication & facilitation skills
Able to work independently or as part of a team
Experience and competence with Microsoft applications – Excel is essential

BENEFITS:

Competitive salary
Multicultural and hybrid working environment
Private Medical Insurance
Employee Wellbeing Benefits
Educational Development Program

Join our globally recognized brand where trust, communication, and a positive culture are paramount. Our leadership is consistent, approachable, and supportive, ensuring your well-being and work-life balance.

We are seeking individuals who thrive in collaborative environments, are passionate about driving meaningful change, and are excited to grow in a company that prioritizes its people.

It’s time to look to your future and apply to work for Cigna today!

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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