Provider Relations Lead Analyst - Mid FL Market at Cigna in Orlando, Florida

Job Description:

*** Please know this role can be a work at home arrangement however, the incumbent must geographically reside in the Mid FL Market ***

The Provider Relations Lead Analyst is responsible for overseeing the end-to end provider experience for a defined book of business within an assigned geography. Experience Consultants are external facing and support the providers in delivering education on CIGNA lines of business, changes in CIGNA policies, procedures, collaborative programs and more. Experience Consultants are responsible for supporting market and national initiatives and will work in collaboration with Provider Relations Advisors, Accounts Receivable Specialists, Contracting, Market Medical Executives and other matrix partners to ensure market and national goals are achieved.

This role is WAH/Flex which allows most of the work is to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

DUTIES AND RESPONSIBILITIES:

• Accountable for the end-to-end provider experience and overall service delivery for a defined book of business and geography

• Develop and manage relationships with providers ensuring a positive experience with Cigna


• Manage and monitor internal metrics and service performance for providers


• Proactively identify education opportunities and influence providers on Cigna business objectives

• Promotes Provider Index score improvement through proactive and effective service and support of network


• Facilitates and participates in presentations to existing providers in their Book of Business


• Serves as advocate representing CIGNA at external provider conferences and payer meetings (MGMA and AAHAM)

• Supports National and Market level goals and initiatives such as Total Medical Cost (TMC), Collaborative Accountable Care and E-Services


• Collaborates with Experience Managers (EM), Accounts Receivable Specialists (ARS) and other key matrix partners to support in timely issue resolution


• Works with Market Engagement Lead to resolve complex/sensitive Provider inquiries, concerns, complaints, appeal, and grievances


• Participate in joint operating committees (JOC) and assist with tasks including: agenda development, facilitating appropriate meeting participation and follow up activities

• Gathers and understands competitor information regarding Provider network, participation and reimbursement methods


• Responsible for capturing the Provider Experience using Cigna tools such as Accountable Relationship Tracker (ART) and monitor Daily Activities using Management Operating System (MOS)


• Provide feedback to managers on issues and concerns going on in their books of business


• Additional tasks may be assigned based on market need

POSITION REQUIREMENTS:

• Experience in provider relations or health care


• Demonstrated communication and negotiation skills


• Understanding of medical insurance products and associated provider issues


• 25% travel required within the market

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.