Provider Relations Lead Analyst - Mid FL Market - Evernorth - Remote

Cigna; United States; Remote; USD 65,000 - 110,000; Full time

Job summary

A leading health services organization is looking for a Provider Relations Lead Analyst to oversee service delivery and manage experiences for providers remotely. Responsibilities include developing relationships, managing metrics, and supporting healthcare initiatives. Candidates should have relevant provider relations experience and a Bachelor's degree. Competitive salary and comprehensive benefits are offered.

Benefits

Comprehensive health benefits

401(k) with company match

Tuition reimbursement

Paid time off

Qualifications

• Solid experience in provider relations or healthcare.
• Ability to monitor metrics and service performance.
• Understanding of medical insurance products.

Responsibilities

• Manage the overall provider experience for a defined business.
• Develop relationships with providers for positive experience.
• Monitor internal metrics and service performance.

Skills

Provider relations experience

Account management

Communication skills

Negotiation skills

Metric monitoring

Education

Bachelor's degree or equivalent experience

Tools

MS Office

Job description

Provider Relations Lead Analyst - Mid FL Market - Evernorth - Remote

Pay 65,500.00 - 109,100.00 / year

Location Remote

Employment type Full-Time

Job Description

The Provider Relations Lead Analyst is responsible for overseeing the end-to-end provider experience for a defined book of business within an assigned geography. Experience Consultants are external facing and support the providers in delivering education on Cigna lines of business, changes in Cigna policies, procedures, collaborative programs and more. Experience Consultants are responsible for supporting market and national initiatives and will work in collaboration with Provider Relations Advisors, Accounts Receivable Specialists, Contracting, Market Medical Executives and other matrix partners to ensure market and national goals are achieved.

Duties and responsibilities

• Accountable for the end-to-end provider experience and overall service delivery for a defined book of business and geography
• Develop and manage relationships with providers ensuring a positive experience with Cigna
• Manage and monitor internal metrics and service performance for providers
• Proactively identify education opportunities and influence providers on Cigna business objectives
• Promotes Provider Index score improvement through proactive and effective service and support of network
• Facilitates and participates in presentations to existing providers in their Book of Business
• Serves as advocate representing CIGNA at external provider conferences and payer meetings (MGMA and AAHAM)
• Supports National and Market level goals and initiatives such as Total Medical Cost (TMC), Collaborative Accountable Care and E-Services
• Collaborates with Experience Managers (EM), Accounts Receivable Specialists (ARS) and other key matrix partners to support in timely issue resolution
• Works with Market Engagement Lead to resolve complex/sensitive Provider inquiries, concerns, complaints, appeal, and grievances
• Participate in joint operating committees (JOC) and assist with tasks including: agenda development, facilitating appropriate meeting participation and follow up activities
• Gathers and understands competitor information regarding Provider network, participation and reimbursement methods
• Responsible for capturing the Provider Experience using Cigna tools such as Accountable Relationship Tracker (ART) and monitor Daily Activities using Management Operating System (MOS)
• Provide feedback to managers on issues and concerns going on in their books of business
• Additional tasks may be assigned based on market need

Position requirements

• Bachelor's degree or higher strongly preferred or equivalent work experience required
• Solid experience in provider relations or health care is required
• Solid account management experience is required
• Ability to monitor metrics and service performance for providers
• MS Office preferred
• Demonstrated communication and negotiation skills
• Understanding of medical insurance products and associated provider issues
• Up to 25% travel may be required within the market

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 65,500 - 109,100 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.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, 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, visit Life at Cigna Group.

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: [e-mail] for support. Do not email [e-mail] 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.

About the company

Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.