drjobs Provider Relations Lead Analyst - Cigna Healthcare - Remote - TN

Provider Relations Lead Analyst - Cigna Healthcare - Remote - TN

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1 Vacancy
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Job Location drjobs

Franklin - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Due to the Book of Business and supporting specific providers we plan to hire a candidate from the Middle Tennessee area (Nashville Franklin Murfreesboro etc.

This position is an external provider facing role with account management responsibilities for a medium to low complex book of business. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive ongoing service improvements understand articulate and resolve service impacts and drive the overall provider strategic planning solutions. This individual is empowered within their scope to make decisions as it pertains to the experience with Cigna is required to have local market knowledge and visibility builds and continuously improve the relationship between Cigna and the provider.

DUTIES AND RESPONSIBILITIES
Accountable for the endtoend provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers
Leads collaborates and supports local market direction as it relates to improving the provider experience
Creates and maintains individual provider strategic action plans
Proactively identify new opportunities and risks for providers at market or national level and drives resolution
Exercises good judgment and discretion to support the provider experience
Responsible for capturing documenting and sharing market intelligence; use market intelligence to develop and drive strategic improvements
External facing with providers in assigned BOB
Collect analyze interpret translate and distribute provider informatics reports dashboards
Track and monitor performance guarantees for assigned BOB
Promotes Provider Index score improvement through proactive and effective service and support of network
Review provider reports/dashboard with individual providers
Proactively educate providers on Cignas business objectives standard operating procedures policies and programs to influence behavior and how to work with Cigna
Serve as a provider advocate both internally and externally
Understands and applies service culture principles and methodology
Serves as a provider advocate both internally and externally
Serves in a consultative role or subject matter expert to key matrix partners
Develops and participates in presentations to existing and prospective providers and/or clients
Serves as advocate in external community representing CIGNA to medical societies and external provider associations.
Manage joint operating committees including agenda development facilitating appropriate meeting participation and follow up activities

PREFERRED QUALIFICATIONS
Bachelors degree or higher strongly preferred or equivalent work experience required
5 years of experience in provider relations required.

Demonstrated excellent oral written interpersonal analytical and negotiation skills.
Ability to use PC software and multiple systems.
Understanding of medical insurance products and associated provider issues
Ability to work in a matrix environment.
25 / to support the providers

CORE COMPETENCIES
Organizational savvy Plans and aligns Collaborates Communicates Effectively Interpersonal Savvy Tech Savvy Being Resilient Action Oriented Decision Quality Customer FocusBuilds Networks and Instills Trust


If you will be working at home occasionally or permanently the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position we anticipate offering an annual salary ofUSD / yearly depending on relevant factors including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing and behavioral health programs. We also offer 401(k) with company match company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services we are committed to enhancing the lives of our clients customers and patients. 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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobaccofree policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.


Required Experience:

IC

Employment Type

Full-Time

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