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Post-Acute Care Provider Relations Advisor - EviCore at Cigna in FRANKLIN, Tennessee

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

PAC Provider Engagement Advisor(PDP303)

Builds relationships with Post-Acute Care/DME/Home Solutions providers; drives performance through data analysis and metrics and develops "Centers of Excellence" along with clinical and medical economics.Acts as the main contact for Partner Executive, Managerial and Administrative Staff. Acts as a liaison between business internal operations and clinical teams and our provider partners. Solves process problems crossing multiple functional areas and business units by getting to the right department. Analyzes the problem, draws relevant conclusions, and devises and implements appropriate plan of action. Proactively identifies issues that may hinder provider relationships, utilization and financial performance and works with key individuals within the organization to implement solutions. In conjunction with Clinical and marketing teams, identifies provider education/outreach needs, develops communication strategy, and assists in collateral development.

Minimum Education, Licensure and Professional Certification requirement:

  • Bachelor's Degree or equivalent work experience

Minimum Experience required (number of years necessary to perform role) :

  • 5 - 7 years' healthcare experience in operations, network development, project management and/or provider service management

Required Skills


  • Bachelors Degree or equivalent work experience

  • 5 or more years of healthcare experience in operations, network development, project management and/or provider service management

  • Excellent negotiation skills

  • Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels.

  • Proven ability to build strong relationships with the provider community.

  • Strong financial analytics experience

  • Proven ability to solve process problems crossing multiple functional areas and business units

  • Exceptional presentation, written and verbal communication skills.

  • Ability to work independently and remain on task. Good organization and planning skills.

  • Ability to effectively manages one's time and resources to ensure that work is completed efficiently

  • Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership

  • Occasional travel

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

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.

Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.





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