Client Solutions Strategist

atThe Cigna GroupRemoteUS flagUnited StatesFull-timeUncategorizedMid-levelSenior$112.1k – $186.8k/year

Posted 3 days ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform assessments of the revenue cycle to pinpoint operational inefficiencies, risks in reimbursement, and areas for enhancing financial performance.

• Evaluate financial and operational KPIs, industry standards, and trends to create actionable recommendations.

• Offer expertise in infusion reimbursement, payer requirements, billing operations, and optimization of the revenue cycle.

• Assist in the redesign, standardization, automation of workflows, and the development of best practices.

• Provide guidance on the revenue cycle during system implementations, transitions, and optimization efforts, which includes configuration, testing, training, and support during go-live.

• Work in partnership with clients and internal teams to assess business needs, address challenges, and implement lasting solutions.

• Generate project deliverables, operational assessments, executive reports, and recommendations to aid client decision-making.

• Stay informed about industry trends, regulatory updates, and new technologies.

• Foster client relationships, drive business development initiatives, and promote organizational growth through expertise and engagement in the industry.

• Provide strategic guidance for platforms such as Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management systems.


⛳️ Requirements

• At least 4 years of experience in healthcare revenue cycle management, with a minimum of 2 years focused on home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME).

• Comprehensive understanding of reimbursement processes, particularly infusion payer requirements, billing operations, denial management, and accounts receivable.

• Proven experience in evaluating operational workflows, analyzing performance metrics, and identifying process improvement opportunities.

• Ability to generate actionable recommendations and implement effective operational solutions.

• Strong skills in analytical thinking, problem-solving, project management, and communication.

• Capacity to work independently, prioritize multiple tasks, and collaborate efficiently with clients and cross-functional teams.

• High School Diploma or GED is required.

• A Bachelor's degree in business, healthcare administration, finance, or a related field is preferred.

• Experience in providing consulting or advisory services to healthcare organizations is preferred.

• Familiarity with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or similar infusion management systems is preferred.

• Experience in supporting system implementations, workflow redesign, testing, training, and operational optimization is preferred.

• Knowledge of Medicare, Medicaid, commercial payer reimbursement methodologies, and managed care contracting is preferred.

• Experience in developing executive reports, conducting financial analyses, creating standard operating procedures, and formulating operational recommendations is preferred.

• Awareness of healthcare automation, emerging technologies, and revenue cycle performance benchmarking is preferred.

• If remote, must have cable broadband or fiber optic internet service with a minimum of 10 Mbps download and 5 Mbps upload speeds.


🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical benefits provided.

• Vision benefits included.

• Dental benefits available.

• Programs focused on well-being and behavioral health.

• 401(k) plan offered.

• Company-paid life insurance coverage.

• Tuition reimbursement program.

• Minimum of 18 days of paid time off annually.

• Paid holidays included.

• Leave of absence policies available.

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