Provider Services Sr Analyst - Cigna Healthcare - Remote - CA

Due to the Book of Business we are planning to hire a candidate near the Glendale CA area.

SUMMARY

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 on-going 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 end-to-end 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

QUALIFICATIONS

• Bachelors Degree or higher strongly preferred or equivalent work experience required
• 3 years of experience in provider relations required
• Demonstrated excellent oral written interpersonal analytical and negotiation skills.
• Intermediate experience with MS Office (Word Excek Outlook PowerPoint)
• Solid understanding of managed care/provider operations
• Ability to work in a matrix environment.
• Up to 25% travel may be required

CORE COMPETENCIES

• Organizational savvy
• Plans and aligns
• Collaborates
• Communicates Effectively
• Interpersonal Savvy
• Tech Savvy
• Being Resilient
• Action oriented
• Decision quality
• Customer Focus
• Builds Networks
• Instills Trust

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 health-related benefits including medical vision dental and well-being 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