Provider Relations Manager
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Kansas • Montana • United States
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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
- 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 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
- 5 + years of experience in provider relations and health care required
- Account management experience highly preferred
- Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
- Experience with MS Office required (use of pivot tables/VLOOKUP in Excel is highly preferred)
- Understanding of medical insurance products and associated provider issues highly preferred
- Ability to lead the account management teams and matrix partners to a common goal
- Ability to work in a matrix environment
Benefits
- health-related benefits including medical, vision, and dental
- well-being and behavioral health programs
- 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 relationsaccount managementdata analysisreportingperformance monitoringstrategic planningnegotiationservice deliverymarket intelligenceprovider informatics
Soft Skills
interpersonal skillsanalytical skillscommunication skillsleadershipcollaborationjudgmentadvocacypresentation skillseducational skillsproblem-solving
Certifications
Bachelor's Degree