Provider Relations Manager
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Denver • Colorado • United States
Visit company websiteExplore more
Salary
💰 $66,600 - $111,000 per year
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 to include all medical lines of business
- 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 as a provider advocate both internally and externally
- 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 service 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 working in provider relations or in health care highly preferred.
- Strong work history of effectively presenting to various groups is required.
- Demonstrated written, interpersonal and analytical skills required.
- Experience with MS Office (Word, Outlook, Excel, PowerPoint, etc.).
- Strong understanding of medical insurance products and associated provider issues required.
- Ability to lead an account management team to achieve goals.
- Ability to work in a matrix environment.
- >25% travel may be required.
Benefits
- Health insurance
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- 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 & Tools
provider relationshealth care experienceanalytical skillspresentation skillsaccount managementservice deliverymarket intelligenceperformance trackingprovider informaticsstrategic action plans
Soft Skills
interpersonal skillscommunication skillsjudgmentdiscretioncollaborationconsultative skillsadvocacyleadershiporganizational skillsproblem-solving
Certifications
Bachelor’s degreeequivalent work experience