Provider Relations Coordinator - Cigna Healthcare

Cigna Healthcare; Kuala Lumpur; On-site; MYR 60,000 - 100,000; Full time

Benefits offered by this job

Restaurant not specified

Job summary

Cigna Healthcare, a division of The Cigna Group, is seeking a Provider Relations professional in Kuala Lumpur to build and maintain relationships with healthcare providers and resolve operational and service issues.

You will respond to provider enquiries, analyze feedback, and collaborate with internal teams to drive service improvements, meeting KPIs and ensuring a positive provider experience.

Qualifications

• 2-4 years of relevant professional experience in healthcare, insurance, provider relations, operations, or a comparable customer-facing environment.
• Strong communication and relationship-management skills, with the confidence to interact professionally with external providers and internal stakeholders.
• Ability to manage multiple priorities and follow issues through to completion.
• Strong analytical and problem-solving capability, with the ability to gather information from different sources and make practical recommendations.

Responsibilities

• Manage relationships with assigned healthcare providers, acting as a key point of contact for operational matters, enquiries and escalations.
• Take ownership of complex or sensitive provider issues, using sound judgement to investigate root causes, coordinate stakeholders and drive timely resolution.
• Proactively identify emerging provider concerns, recurring issues and operational risks, taking appropriate action before they develop into significant service or relationship issues.
• Partner with Operations and other internal stakeholders to resolve provider issues and improve service delivery and the overall provider experience.
• Communicate complex matters clearly to providers and maintain effective engagement through regular discussions, meetings and follow-up on agreed actions.
• Analyze provider feedback, complaints, reconciliation outcomes and operational indicators to identify trends and recommend practical improvements.
• Deliver against relevant operational KPIs, service standards and turnaround expectations while contributing to continuous improvement initiatives.

Skills

Relationship management

Communication

Analytical thinking

Prioritization

Cross-functional collaboration

English fluency

Tools

Microsoft Excel

Microsoft Office

Job description

The Provider Relations role is responsible for building and maintaining effective relationships with healthcare providers while supporting the resolution of operational and service-related issues. The role serves as a key point of contact for assigned providers and works closely with internal stakeholders to ensure issues are understood, appropriately prioritized and driven toward resolution.

In addition to responding to provider enquiries and escalations, the role is expected to take a proactive approach to provider management, using operational insights, provider feedback and recurring issue trends to identify opportunities for service improvement and strengthen the overall provider experience.

Responsibility:

• Manage relationships with assigned healthcare providers, acting as a key point of contact for operational matters, enquiries and escalations.
• Take ownership of complex or sensitive provider issues, using sound judgement to investigate root causes, coordinate stakeholders and drive timely resolution.
• Proactively identify emerging provider concerns, recurring issues and operational risks, taking appropriate action before they develop into significant service or relationship issues.
• Partner with Operations and other internal stakeholders to resolve provider issues and improve service delivery and the overall provider experience.
• Communicate complex matters clearly to providers and maintain effective engagement through regular discussions, meetings and follow-up on agreed actions.
• Analyze provider feedback, complaints, reconciliation outcomes and operational indicators to identify trends and recommend practical improvements.
• Deliver against relevant operational KPIs, service standards and turnaround expectations while contributing to continuous improvement initiatives.

Your Profile:

• 2-4 years of relevant professional experience, preferably within healthcare, insurance, provider relations, operations, relationship management or a comparable customer/stakeholder-facing environment.
• Strong communication and relationship-management skills, with the confidence to interact professionally with both external providers and internal stakeholders.
• Demonstrated ability to manage multiple priorities and follow issues through to completion.
• Strong analytical and problem-solving capability, with the ability to gather information from different sources and make practical recommendations.
• Ability to work independently while collaborating effectively across functions and geographies.
• Strong written and spoken English.
• Good working knowledge of Microsoft Office applications, particularly Excel.

About The Cigna Group

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.