Portuguese Speaking Provider Network Manager

Cigna Health And Life Insurance Company; Gauteng; Remote; ZAR 400 000 - 500 000; Full time

Job summary

A leading health insurance provider is seeking a remote Provider Network Manager to develop and manage relationships with healthcare providers in South Africa. The candidate must have at least 3 years of experience in provider relations, be proficient in English and Portuguese, and possess strong analytical and communication skills. This role involves overseeing the provider onboarding process and ensuring high service standards are met through effective relationship management.

Qualifications

• Minimum 3 years of experience in provider relations or network management.
• Proficient in English and Portuguese; additional languages are a plus.
• Strong analytical and problem-solving skills.
• Excellent organization and communication skills.

Responsibilities

• Develop and manage relationships with Health Care Providers.
• Manage end-to-end provider journey from onboarding to complaints resolution.
• Conduct service area analysis and identify network development opportunities.
• Monitor performance and provide support to providers.

Skills

Provider relations

Network management

Analytical skills

Problem-solving

Communication skills

Customer service standards

MS Office (Excel)

Job description

Portuguese speaking Provider Network Manager – Remote, South Africa (work from home). Full‑time.

As a Provider Network Manager, you will be part of the Provider Services Organization, responsible for developing and managing relationships with Health Care Providers in Africa.

You will work closely with peers and stakeholders across the globe to deliver best‑in‑class service to CGHB’s providers, customers and clients. Key to the role is managing providers’ end‑to‑end journey, from onboarding, enquiries, training, performance monitoring, complaints resolution and driving engagement initiatives.

Key Responsibilities

• Manages contracting and relations with healthcare providers including hospitals, clinics, pharmacies and physicians.
• Collaborates with respective teams in performing service area analysis and cost analysis to identify network development and renegotiation opportunities.
• Acts as an expert on the medical landscape in the countries within your region and continuously monitors evolutions in that respect.
• Conducts smooth onboarding and all aspects of health care professional education for existing and newly contracted health care professionals in the region.
• Manages day‑to‑day operational maintenance of provider relationships including resolution of potential complaints, escalations, suspensions or threats.
• Monitors and analyzes data such as Operations KPIs and reconciliation results to provide comprehensive support to providers on their interpretation.
• Strives for continuous service improvement via analysis of root causes and proactive implementation of data‑driven initiatives.
• Practices proactive communication with providers and maintains provider communication channels taking into consideration local habits and practices.
• Provides consolidated feedback to PSO management team.
• Conducts provider visits as applicable and regular meetings with your dedicated health care providers.

Qualifications

• If internal, at least 2 years of Cigna experience, relevant experience in other functions, and a strong performance track record.
• If external, at least 3 years of experience in provider relations, network management or network operations with a customer / provider‑facing profile.
• Proficient in English and Portuguese; any other additional language is a plus.
• 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, high qualification in relationship management, and broad understanding of multicultural behaviours.
• Action‑oriented, problem‑solving attitude.
• Excellent organization, planning and prioritization skills to meet deadlines.
• Experience in complaints management with a proven track record in improving customer service standards.
• Ability to assess the situation/issue, conduct appropriate research, gather relevant data and provide constructive feedback on the outcome.
• Accountability – assume ownership for achieving personal results and contributing to collective team goals.
• Excellent communication skills – verbal, written and presentation.
• Positive role model, able to work independently and in conjunction with co‑workers of all levels.
• Experience interpreting data and drafting reports.
• Strong practical knowledge of MS Office applications, including Excel.
• Availability to travel 10% of your time (estimated).

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.

Join us in driving growth and improving lives.

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.