Contract Associate Analyst

Role Overview

The Contract Associate Analyst is primarily responsible for accurate and compliant member data uploads on the CHI platform, ensuring a smooth process by validating data integrity and resolving any issues related to member corrections, rejections, or delays.

Key Responsibilities

• Authenticate mandatory policy and member details before CHI uploads.
• Verify that National ID, Iqama, Border Number, Passport Number, and Member IDs correspond precisely with supporting documentation.
• Conduct pre-upload validations on member additions, deletions, transfers, and corrections to avoid rejections by CHI.
• Investigate discrepancies between client census data, internal systems, and CHI criteria.
• Analyze reasons for rejections, coordinate amendments, and resubmit data adhering to SLA timeframes.
• Validate policy effective, enrollment, and renewal dates in line with underwriting approvals and policy configurations.
• Manage updates including date of birth corrections, identity document changes, relationship updates, and member transfers among groups.
• Monitor member upload statuses until acceptance and linkage on the CHI portal, escalating unresolved matters promptly.
• Ensure all data transfers comply with regulatory mandates and internal standards.
• Create reports detailing validation errors, rejection analyses, SLA adherence, and recommendations to enhance upload accuracy and reduce failure rates.
• Maintain timely review and action on the Validation mailbox within SLA.

Qualifications

• Bachelor's degree in healthcare administration, business, or a related discipline or equivalent professional experience.
• 1 to 2 years of relevant work experience in benefit setup or insurance policy management within the health insurance sector.
• Hands-on experience with benefit configuration tools and administrative systems.
• Understanding of medical insurance coverages, CHI upload processes, and eligibility procedures.
• Knowledge of regulatory requirements such as CHI, IA, and Nphies.

Skills

• Superior attention to detail combined with analytical capabilities.
• Proficiency in Microsoft Office applications, notably Excel and Word, and data entry platforms.

About The Cigna Group

The Cigna Group dedicates itself to improving health and vitality through divisions like Cigna Healthcare and Evernorth Health Services, focusing on enhancing clients’, customers’, and patients’ lives. The company promotes diversity and equal opportunity, welcoming qualified candidates regardless of various personal characteristics and providing accommodation support during the application process via designated contact.