Provider Relations Advisor, Retail Account Management Express Scripts Remote or Hybrid
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Job Location:
Saint Louis, MI - USA
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.
The Provider Relations Advisor supports the Pharma Retail Account Management team within Network Compliance. This role manages relationships with chains PSAO and independent pharmacy providers serving as the primary point of contact for complex and escalated issues. The advisor researches and resolves a high volume of issues daily delivers provider education and shares performance data and metrics. The role also partners closely with internal teams to ensure operational execution regulatory compliance and strong provider performance. Success in this role requires the ability to work independently lead provider relationships endtoend and drive crossfunctional issue resolution while supporting broader network and supply chain strategies.
ESSENTIAL FUNCTIONS
Responsible for the relationship and daily support of complex/high profile chain PSAO and independently unaffiliated providers which includes but not limited to education and escalated issue management.
Responsible for cross functional collaboration with internal and external teams and provide on-going support for Health Plan Sponsors and their requirements.
Work with appropriate teams for data mining and analysis of files to ensure efficient and effective communication to Providers.
Serves as subject matter expert for team on analytics and technical support.
Execution of assigned strategic work plan initiatives including but not limited to network development implementing initiatives benefiting Express Scripts clientele and promoting Corporate and Departmental objectives.
Assists with development of strategic plans for assigned providers providing consultative input to further foster strong provider relationships.
A key extension of the Provider Strategy and Contracting Management teams- supporting channel development program launches and communication of program implementation and status.
QUALIFICATIONS
Bachelors degree in related field or 3-5 years of relevant experience.
PBM industry knowledge strongly preferred.
Experience working directly with providers.
Ability to build strong external relationships.
Demonstrated strength in problemsolving and escalation management.
Excellent oral written communication and presentation skills.
Project management/organizational skills with the demonstrated ability to manage projects utilizing proven project management processes
Strong leadership skills and the ability to effectively engage with cross functional leadership
Ability to work cross-functionally to research and resolve complex client/provider issues on a daily basis.
Strong focus on building relationships both internal and External focusing on service.
Ability to manage simultaneous escalated issues with tight timelines.
Excellent PC skills including Microsoft Office and internet experience.
Ability to adapt in a dynamic work environment learn quickly solve problems and make decisions with minimal supervision.
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 of 77100 - 128500 USD / 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.
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 Evernorth Health Services
Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. 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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Required Experience:
Unclear Seniority
Key Skills
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
