Provider Services Lead Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $65,500 - $109,100 per year
Job Level
Senior
About the role
- Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers
- Leads, collaborates, and supports local market direction as it relates to improving the provider experience
- Creates and maintains individual provider strategic action plans
- Proactively identify new opportunities and risks for providers at market or national level and drives resolution
- Exercises good judgment and discretion to support the provider experience
- Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
- External facing with providers in assigned BOB
- Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
- Track and monitor performance guarantees for assigned BOB
- Promotes Provider Index score improvement through proactive and effective service and support of network
- Review provider reports/dashboard with individual providers
- Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with Cigna
- Serve as a provider advocate both internally and externally
- Understands and applies service culture principles and methodology
- Serves in a consultative role or subject matter expert to key matrix partners
- Develops and participates in presentations to existing and prospective providers and/or clients
- Serves as advocate in external community, representing Cigna to medical societies and external provider associations
- Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities
Requirements
- Bachelor's Degree or higher strongly preferred or equivalent work experience required
- 3+ years of experience in provider relations highly preferred
- Account management experience required
- Client facing experience with providers required
- Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
- Intermediate experience with MS Office required (pivot tables and VLOOKUP experience highly preferred)
- Ability to run reports and extract/manipulate data highly preferred
- Solid understanding of managed care/provider operations in CA required
- Ability to work in a matrix environment
- Up to 25% travel may be required within the CA area
Benefits
- comprehensive range of benefits
- health-related benefits including medical, vision, dental
- well-being and behavioral health programs
- 401(k) with company match
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisreportingprovider relationsaccount managementnegotiationmanaged care operationsdata extractiondata manipulationMS Officepivot tables
Soft skills
interpersonal skillsanalytical skillscommunication skillsleadershipconsultative skillsjudgmentdiscretioncollaborationpresentation skillsadvocacy
Certifications
Bachelor's Degree