Provider Relations Sr. Manager Cigna Healthcare

Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Chattanooga TN Denver CO St Louis MO or Scottsdale AZ.

In order to support the business (CO UT WY and NM) we plan to consider candidates from the Mountain Central or Pacific Markets/Time Zones

Overview

This position is a high functioning role with management and strategic planning responsibilities of provider services to include medical US Commercial and IFP. This includes leading a team of focused individuals accountable for the overall provider service model and provider experience by working in collaboration with matrix partners to drive a culture of service excellence. They are responsible for developing and executing on strategic planning solutions that drive providers customers and product success. This role actively participates in local market planning discussions to strengthen Cignas strategic positioning; provides input on progress and makes recommendations for improving provider sales and employee outcomes.

Responsibilities

• Direct supervision to a diverse team of external facing team members supporting commercial healthcare and IFP.
• Accountable for the end-to-end Provider experience across all products in assigned market to include commercial and IFP.
• Works closely withContracting Leads Network Operation Leads Market Medical Executives and Sales to build local market provider relations strategy driving provider experience and HCP index.
• Identifies and recommends opportunities (financial clinical and operational) for Provider engagement enhancements to the local market leadership team
• Creates and manages local market action plans that drive annual initiatives to increase provider satisfaction base on survey results competitive intelligence etc.
• Ensures team creates executes and manages strategic and corrective action plans for their aligned book of business.
• Proactively identify new opportunities and risks for Providers at local market level and drives resolution
• Coordinates all budget and expense management activities through effective planning monitoring and forecasting
• Develops and participates in presentations to existing and prospective providers and/or clients
• Serves as a HCP advocate internally with matrix partners as well as with external provider associations
• This position will be responsible for the ongoing development of staff including providing feedback coaching and ongoing development. Additionally this position is responsible for building and fostering relationships with matrix partners while driving toward issue resolution.
• Collaborates with Communications Team on internal and external communication needs
• Leverage provider relationships to execute market strategies
• Responsible for ongoing Provider orientation and training
• Convenes local market Office Manager Advisory Council (OMAC)
• Delivers on regulatory and compliance timelines
• Responsible for capturing documenting and sharing local market competitive intelligence

Qualifications

• Bachelors degree or higher strongly preferred or equivalent work experience required in business health care management or related field experience.
• 5 years in health care service delivery network development or contract management role highly preferred.
• Possess strong leadership skills with a proven successful track record in managing and developing people in a matrixed organization is required.
• Builder of Network Value: Strong producer and drives network initiatives to ensure operating targets are achieved to position Cignas networks as the network of choice by providers and customers.
• Role Model & Coach: Fosters a competitive environment internally and serves as a role model and coach to direct reports and other employees seeking career development required.
• Extremely knowledgeable of health plan administrative and operational requirements.
• Problem solving skills including the ability to systematically analyze complex problems.
• Work in a highly matrixed environment. Ability to multi-task shifting effectively among multiple activities.
• Excellent written and verbal communication skills; ability to speak clearly and concisely conveying complex or technical information in a manner that others can understand as well as the ability to understand and interpret complex information from others.
• Excellent presentation skills. Proficient in speaking in both individual and group settings is required.
• Experience building strong positive relationships with providers
• Strong influencing/negotiation skills.
• History of reimbursement strategies from both perspective health system/provider and Payors.
• Up to 25% travel may be required.

CORE COMPETENCY

• Strategic Mindset
• Drives Engagement
• Organizational Savvy
• Builds Networks
• Drives for Results
• Customer Focus
• Decision Quality
• Financial Acumen
• Interpersonal Savvy

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.