Provider Relations Analyst

Cigna Group; Madrid; Híbrido; EUR 40.000 - 55.000; Jornada completa

Descripción de la vacante

A global healthcare company is seeking a Provider Relations Specialist in Madrid. The role involves managing relationships with healthcare providers, ensuring effective collaboration and education, and supporting operational processes. Candidates should have strong communication and analytical skills, be proficient in English and Spanish, and possess relevant experience in operations or relationship management. This position offers a hybrid work model with competitive salary and benefits.

Servicios

Permanent contract

Remote work flexibility, 4 days from home

Competitive salary and social benefits

Formación

• 1 year of Cigna experience or 2 years in Operations/Data analysis/Relationship Management.
• Proficient in English and Spanish; additional languages a plus.
• Ability to manage complaints and improve customer service standards.

Responsabilidades

• Manage provider relationships and facilitate effective collaboration.
• Conduct education for healthcare professionals.
• Ensure smooth onboarding and operational maintenance of provider relationships.

Conocimientos

Strong analytical skills

Problem-solving skills

Excellent communication skills

Multicultural awareness

Customer service improvement

Data interpretation

Herramientas

MS Office applications

Excel

Descripción del empleo

Job summary

As a Provider Relations Specialist you will be part of the Provider Services Organization responsible to manage the relationship with Health Care Providers of Europe and Americas network. You will work very closely with peers and stakeholders strategically positioned across the globe.

Key to the role will be the end-to-end journey managing the partnership with health provider accounts such as hospitals and clinics and support their journey from the on-boarding supporting on the daily / monthly interactions with Cigna educate them to navigate Cigna operating model monitoring their performance and driving engagement initiatives.

YOUR FUNCTIONS

• Accountability to enable an effective and efficient collaboration with health providers to deliver a best-in-class customer experience through the partnership with our providers.
• Secure a smooth on-boarding and day-to-day operational maintenance of provider relationships.
• Conduct all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential roadblocks preventing a successful partnership including but not limited to :

Overview of member identification and eligibility process

Claims submission.

Cigna operating model

Training in legacy portal and on-board of selected providers into new provider portal

• Manage the ongoing relationship and handling day-to-day operations directly with health care providers including the follow up negotiation and resolution of potential complaints escalations suspensions or threats.
• Responsible to enable an effective and efficient collaboration with health providers through monitoring and analysing the Operations KPIs the results of the reconciliation of the accounts and others to provide a comprehensive support on their interpretation and assurance of further follow up if needed.
• Strive for continuous service improvement via analyses of root causes and proactive implementation of initiatives driven by outcome obtained through data and feedback gathered through reconciliation results complaints or other sources continuous service delivery improvement through BAU collaboration with different teams.
• Active communication and prompt follow up combined with regular meetings with your dedicated health care providers.
• Provide consolidated feedback to PSO management team
• Manage continuous improvement and maintenance of provider communications channels taking into consideration the local habits and practices.
• Proactive education to providers on the way to work with Cigna including the roll out of new processes.
• Conduct provider visits as applicable

YOUR PROFILE

• If internal 1 years of Cigna experience relevant experience in other functions / companies and a strong performance track record.
• If external at least 2 years of experience in Operations Data analysis Marketing / Communications or Relationship Management with operational and customer / provider-facing experience profile.
• Proficient in English Spanish; additional language is a plus (preferred languages : French German Italian Greek)
• Strong analytical and problem-solving skills.
• International mind-set able to work remotely with colleagues partners and providers across the globe.
• Striving for excellent service to our members clients and providers is part of your DNA.
• Strong can-do attitude and high qualification in relationship management including a broad understanding of multicultural behaviours.
• Action-orientated problem-solving attitude
• Excellent organization planning and prioritization skills to meet deadlines.
• Experience in complaint management - with a proven track record in improving customer service standards.
• Ability to assess the situation / issue carry out appropriate research gather the relevant data and provide constructive feedback on the outcome.
• Accountability to assume ownership for achieving personal results and to contribute for collective team goals.
• Excellent communication skills verbal written and presentation.
• Be a positive role model and be able to work independently and in conjunction with co-workers of all levels.
• Experience interpreting data drafting reports.
• Strong practical knowledge of MS Office applications including Excel.
• Availability to travel 10% of your time (estimation)

What we offer

• Permanent contract.
• Enjoy working from the comfort of your home 4 days per week and 1 day from our Madrid office.
• Competitive salary plus plenty of social benefits.

About Cigna Healthcare

Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.