Provider Relations Executive Cigna Healthcare CO Hybrid

This Book of Business will require travel throughout the Metro Denver area along with travel to some provider offices in UT.

POSITION SUMMARY:

This position is a high functioning role with account management and strategic planning responsibilities for a specific provider book of business. They are responsible for a managing a highly complex Book of Business; (i.e. Integrated Delivery Systems with valued based arrangements) engaging with providers as collaborative partners to drive strategic planning activities to improve experience outcomes while encouraging and influencing the provider/customer relationship in support of the connected care strategy.

This role is external facing and supports the provider in delivering education on Cigna products policies procedures collaborative programs and more. They work in partnership with matrix partners; (Contracting Market Medical Executives Sales Accounts Receivable Support and more) to support provider specific and local market initiatives.

This individual is empowered to make decisions as it pertains to the provider experience is required to have local market knowledge and will contribute to building a culture of service excellence while continuously improving the relationship between Cigna providers and customers.

DUTIES AND RESPONSIBILITIES

• Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on local market network strategy and complexity)
• Supports local market total medical cost strategies for assigned BOB
• Owns end-to-end management and execution of corrective and strategic action plans
• Leads collaborates and provides direction to improving the provider experience in accordance with action plans activities
• Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions
• Responsible for coordinating directing and implementing Service Experience Review (SER) as defined by the SER strategy
• Manage joint operating committees (JOC) including agenda development facilitating appropriate meeting participation and follow up activities
• Facilitates education and discussion on products quality initiatives disease management programs joint ventures etc.
• Monitors internal metrics and service performance in accordance of organizational and provider specific goals.
• Proactively educate and influence policies on CIGNAs business objectives standard operating procedures policies and programs
• Participate in local professional associations/organizations
• Responsible for capturing documenting and sharing market intelligence; use market intelligence to develop and drive strategic improvements
• Collect analyze interpret translate and distribute provider informatics with Account Management team
• Review provider reports/dashboard with individual HCPs
• Understands and applies service culture principles and methodology
• Serve in a consultative role or subject matter expert to key matrix partners
• Participates in presentations to existing and prospective providers
• Serves as advocate in external community representing Cigna to medical societies and external provider associations.
• Convenes and participates in physician and administrative focus/advisory groups

QUALIFICATIONS

• Bachelors degree or higher strongly preferred or equivalent work experience required.
• 5 years of experience in provider relations or healthcare required.
• Excellent presentation skills and strong proficiency with speaking in both individual and group settings is required.
• Solid experience with MS Office (Word Excel Outlook PowerPoint etc.).
• Experience building strong positive relationships with providers is required.
• Accountability through Matrix management: Works collaboratively across functional areas to improve the provider experience is required.
• Strong influencing/negotiation skills required.
• Ability to analyze and articulate service outcomes accordingly is required.
• Demonstrated excellent verbal/written interpersonal analytical influential and negotiation skills is required.
• Understanding of medical insurance products industry and associated provider issues is required.
• Ability to lead experience initiatives to drive service improvements required.
• Ability to work in a matrix environment requried.
• Up to 25% travel is required.

CORE COMPETENCIES

• Leadership
• Organizational agility
• Resourceful
• Sense of urgency
• Priority setting and time management
• Decision quality
• Drive for results
• Planning and forecasting
• Functional/Technical knowledge
• Product/program knowledge
• Innovation/Creativity
• Strategic thinking
• Strategy development
• Customer Centric Environment

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

At The Cigna Group 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) 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 click here.

About Cigna Healthcare

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 tobacco-free 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.