Provider Relations Manager

Job not on LinkedIn

🔥 25 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $66.6k - $111k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

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

🎯 Requirements

• Bachelor's degree or higher strongly preferred or equivalent work experience • 5+ years of experience in provider relations preferred • Successful account management experience preferred • Claims administration experience preferred • Solid experience using Outlook, Teams, Excel, PowerPoint, Word, etc. • Experience with Proclaim or Facets preferred • Excellent oral, written, interpersonal, analytical, and negotiation skills • Understanding of medical insurance products and associated provider issues • Ability to assist an account management team through issue resolution • Ability to work in a matrix environment • Up to 10% travel required • For home working, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting day one • 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 • Cable broadband or fiber optic internet requirement for home working