Intake Care Associate Analyst
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Cigna Healthcare is hiring an Intake Care Associate Analyst in Kenya to manage preauthorization, claims review, provider negotiations, and care coordination for complex and high-risk members. The role focuses on clinical appropriateness, policy compliance, cost containment, and continuity of care. It runs on a 24/7 schedule and suits candidates with healthcare or business training and strong analytical and communication skills.
- Full-cycle care management and cost containment role
- Preauthorization, claims review, and provider negotiation duties
- 24/7 schedule with shift assignments
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Cigna Healthcare is hiring an Intake Care Associate Analyst in Kenya to manage preauthorization, claims review, provider negotiations, and care coordination for complex and high-risk members. The role focuses on clinical appropriateness, policy compliance, cost containment, and continuity of care. It runs on a 24/7 schedule and suits candidates with healthcare or business training and strong analytical and communication skills.
- Full-cycle care management and cost containment role
- Preauthorization, claims review, and provider negotiation duties
- 24/7 schedule with shift assignments
- Healthcare or business degree/diploma preferred
- Coding certification is an added advantage
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Not enough public dataNot enough public salary data is available for this exact role. Before applying, prepare to ask about gross pay, benefits, contract length, probation period, transport and any allowances.
Can you qualify for this role?
- UnclearRelated work experienceThe text mentions experience, but the exact level should be confirmed at source.
- RequiredEducation or certification mentioned in the postThe captured text mentions education, a diploma, certificate, or licence.
- PreferredPractical evidence in part_time, entregador, Healthcare AnalystThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in KenyaThe vacancy is associated with this location.
- UnclearComfort with the Full Time contract termsConfirm hours, duration, probation and benefits at the original source.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- Role specificAcademic or professional certificates
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest Intake Care Associate Analyst evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to Cigna Healthcare and the role in Kenya.
- Add concrete examples related to part_time, entregador, Healthcare Analyst, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from MyJobMag Kenya; avoid sending documents to unofficial contacts or copied links.
- Confirm the deadline, interview location and employer contact before sharing personal documents.
- Prepare a polite question about pay, benefits and contract terms for later interview stages.
Source and safety check
- MyJobMag Kenya
- Original source link available
- Application method is clear
- Deadline not specified
- No major risk signal was detected in the captured text.
Never pay for interviews, shortlisting, medical checks, uniforms, or job placement. Confirm every application at the original source before sharing personal documents. Report suspicious listing.
Interview preparation
- What experience makes you a strong fit for this Intake Care Associate Analyst role in part_time, entregador?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Kenya under the listed contract or schedule?
- Prepare examples with clear responsibilities, tools used and measurable outcomes.
- Review the source and research Cigna Healthcare before the interview.
Ask what the first priorities will be in the role and how success will be measured.
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Original source description
Intake Care Associate Analyst : The preauthorization, claims review, negotiation and care coordination analyst is responsible for managing the full continuum of care management and cost containment activities-from pre-service authorization through post -service claims review and provider negotiations. This role ensures clinical appropriateness, policy compliance, and cost effective care delivery while coordinating services for complex and high-risk members to improve outcomes and member experience.
Key Responsibilities
- Preauthorization/Utilization Management:
- Review and process preauthorization request for medical services, procedures, and treatments
- Assess medical necessity using clinical guidelines, policy criteria, and regulatory requirements
- Collaborate with clinical teams to ensure appropriate level of care and service utilization
- Identify high-risk or high-cost cases early and route for care coordination or case management intervention
- Conduct detailed reviews of medical claims for accuracy, coding integrity, and benefit alignment
- Identify billing discrepancies, overutilization, and potential cost-saving opportunities
- Support appeals, reconsiderations and audit activities as needed
- Analyze trends in high-cost claims and recommend process improvements
- Lead or support negotiations for out-of-network claims, high-cost procedures, and single case assignments
- Partner with provider network and contracting teams to align negotiation approaches
- Document and track savings outcomes, including financial and operational impact
- Partner with case management, clinical teams, and providers to ensure continuity and quality of care
- Qualification/Skills
- Degree or Diploma ; additional education in healthcare, business or related fields preferred
- Knowledge of medical claims adjudication, prior authorization processes, medical necessity review, and utilization management guidelines, with the ability to review clinical documentation and apply established coverage criteria.
- Coding certification (e.g., CPC, CCS) a plus but not preferred
- Excellent communication skills both written and oral, with a good telephone manner
- Flexibility and ability to multi-task.
- High level of accuracy and attention to detail.
- Problem solving & decision making.
- Team player
- Ability to interpret key data and identify trends.
- This role operates on a 24/7 schedule. Selected candidates will be assigned to one of the following shifts: 8:00 PM - 6:00 AM EAT (Sat-Wed), 9:00 PM - 7:00 AM EAT (Wed-Sun), or 7:00 AM - 3:00 PM EAT (Sat-Wed). Flexibility to work weekends and holidays is required.
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Method of Application
- Interested and qualified? Go to
- Cigna on jobs.thecignagroup.com
- to apply
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