Provider Relations Manager

Job not on LinkedIn

🔥 4 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

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 the assigned medium- to low-complexity book of business • Lead, collaborate on, and support local-market initiatives 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 • Serve as an external-facing contact for 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 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 matrix partners as a consultant or subject matter expert • Develop and participate in presentations for existing and prospective providers and clients • Represent Cigna to medical societies and external provider associations • Manage joint operating committees, including agendas, participation, 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 • Home internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload if working from home

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on 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 • Tobacco-free policy and smoking cessation program option where applicable • Remote work from home