Provider Relations Lead Analyst

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🕒 5 days ago

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Own the end-to-end provider experience and service delivery for an assigned medium- to low-complexity provider book of business • Collaborate with matrix partners and support local-market direction to improve provider experience • Create and maintain provider strategic action plans • Identify provider opportunities and risks and drive resolution • Capture, document, and share market intelligence to develop strategic improvements • Engage virtually with assigned providers • Collect, analyze, interpret, translate, and distribute provider informatics, reports, and dashboards • Track and monitor performance guarantees • Promote Provider Index score improvement through proactive service and support • Review provider reports and dashboards with individual providers • Educate providers on Cigna's objectives, procedures, policies, and programs • Advocate for providers internally and externally • Serve as a consultant or subject matter expert to matrix partners • Develop and participate in presentations for existing and prospective providers or clients • Represent Cigna to medical societies and external provider associations • Manage joint operating committees, including agendas, facilitation, participation, and follow-up

🎯 Requirements

• Bachelor's degree or higher strongly preferred, or equivalent work experience required • 5+ years of experience working in the provider relations industry highly preferred • Account management experience supporting a provider book of business required • Knowledge of medical insurance products and associated provider issues strongly preferred • Experience with MS Office Suite, Tableau, Facets, ETQL, or Proclaim highly preferred • Ability to lead an account management team and matrix partners toward a common goal • Excellent oral, written, interpersonal, analytical, and negotiation skills • Ability to work in a matrix environment • Up to 25% travel may be required • For home working, cable broadband or fiber optic internet with at least 10 Mbps download and 5 Mbps upload is required

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • 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 • Leaves of absence • Remote work arrangement