Senior Provider Relations Manager
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Chattanooga • Arizona • Colorado • United States
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Salary
💰 $112,000 - $186,600 per year
Job Level
About the role
- Direct supervision to a diverse team of external facing team members supporting commercial healthcare, and IFP.
- Accountable for the end-to-end Provider experience across all products in assigned market to include commercial, and IFP.
- Works closely with Contracting Leads, Network Operation Leads, Market Medical Executives, and Sales to build local market provider relations strategy driving provider experience and HCP index.
- Identifies and recommends opportunities (financial, clinical and operational) for Provider engagement enhancements to the local market leadership team.
- Creates and manages local market action plans that drive annual initiatives to increase provider satisfaction base on survey results, competitive intelligence, etc.
- Ensures team creates, executes and manages strategic and corrective action plans for their aligned book of business.
- Proactively identify new opportunities and risks for Providers at local market level and drives resolution.
- Coordinates all budget and expense management activities through effective planning, monitoring and forecasting.
- Develops and participates in presentations to existing and prospective providers and/or clients.
- Serves as a HCP advocate internally with matrix partners as well as with external provider associations.
- Responsible for the ongoing development of staff including providing feedback, coaching and ongoing development.
- Additionally, this position is responsible for building and fostering relationships with matrix partners while driving toward issue resolution.
- Collaborates with Communications Team on internal and external communication needs.
- Leverage provider relationships to execute market strategies.
- Responsible for ongoing Provider orientation and training.
- Convenes local market Office Manager Advisory Council (OMAC).
- Delivers on regulatory and compliance timelines.
- Responsible for capturing, documenting, and sharing local market competitive intelligence.
Requirements
- Bachelor’s degree or higher strongly preferred or equivalent work experience required in business, health care management or related field experience
- 5+ years in health care service delivery, network development or contract management role highly preferred
- Possess strong leadership skills with a proven successful track record in managing and developing people in a matrixed organization
- Extremely knowledgeable of health plan administrative and operational requirements
- Problem solving skills including the ability to systematically analyze complex problems
- Work in a highly matrixed environment
- Ability to multi-task, shifting effectively among multiple activities.
- Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand as well as the ability to understand and interpret complex information from others.
- Excellent presentation skills
- Proficient in speaking in both individual and group settings
- Experience building strong, positive relationships with providers
- Strong influencing/negotiation skills
- History of reimbursement strategies from both perspective –health system/provider and Payors.
Benefits
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- 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 & Tools
health care managementcontract managementnetwork developmentprovider engagementbudget managementregulatory compliancecompetitive intelligenceproblem solvingpresentation skillsreimbursement strategies
Soft Skills
leadershipteam developmentcommunicationrelationship buildinginfluencingnegotiationmulti-taskinganalytical thinkingcoachingcollaboration
Certifications
Bachelor’s degree or higher