The Cigna Group

Provider Services Lead Analyst

The Cigna Group

full-time

Posted on:

Origin:  • 🇺🇸 United States • California

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Salary

💰 $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
  • Capture, document, and share market intelligence; use market intelligence to develop and drive strategic improvements
  • External facing with providers in assigned BOB; serve as a provider advocate both internally and externally
  • Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
  • Track and monitor performance guarantees for assigned BOB
  • Promote 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
  • Serve as a consultative role or subject matter expert to key matrix partners and develop/participate in presentations to providers/clients
  • Serve 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
  • Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
  • Intermediate experience with MS Office (Word, Excel, Outlook, PowerPoint)
  • Solid understanding of managed care/provider operations
  • Ability to work in a matrix environment
  • Up to 25% travel may be required
  • Internet connection via cable broadband or fiber with speeds of at least 10Mbps download/5Mbps upload if working at home occasionally or permanently