Job Description

This is a hybrid position and it will require working onsite in the Denver CO office three days per week (Tues/Wed required plus another day in that week).

External Title - Provider Relations Manager

Internal Title - Pr ovider Relations Lead Analyst

Due to the Book of Business we are planning to hire a candidate from the Denver CO area. Travel will be required throughout Metro Denver along with travel to a small number of provider offices in Wyoming and New Mexico.

This position is an external provider facing role with account management responsibilities for a medium to low complex book of business. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements understand articulate and resolve service impacts and drive the overall provider strategic planning solutions. This individual is empowered within their scope to make decisions as it pertains to the experience with Cigna is required to have local market knowledge and visibility builds and continuously improve the relationship between Cigna and the provider.

DUTIES AND RESPONSIBILITIES

• Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers to include all medical lines of business
• Leads collaborates and supports local market direction as it relates to improving the provider experience
• Creates and maintains individual provider strategic action plans
• Proactively identify new opportunities and risks for providers at market or national level and drives resolution
• Exercises good judgment and discretion to support the provider experience
• Responsible for capturing documenting and sharing market intelligence; use market intelligence to develop and drive strategic improvements
• External facing with providers in assigned BOB
• Collect analyze interpret translate and distribute provider informatics reports dashboards
• Track and monitor performance guarantees for assigned BOB
• Promotes Provider Index score improvement through proactive and effective service and support of network
• Review provider reports/dashboard with individual providers
• Proactively educate providers on Cignas business objectives standard operating procedures policies and programs to influence behavior and how to work with Cigna
• Serve as a provider advocate both internally and externally
• Understands and applies service culture principles and methodology
• Serves as a provider advocate both internally and externally
• Serves in a consultative role or subject matter expert to key matrix partners
• Develops and participates in presentations to existing and prospective providers and/or clients
• Serves as advocate in external community representing CIGNA to medical societies and external provider associations.
• Manage service joint operating committees including agenda development facilitating appropriate meeting participation and follow up activities

QUALIFICATIONS

• Bachelors degree or higher strongly preferred or equivalent work experience required.
• 3 years of experience working in provider relations or in health care highly preferred.
• Strong work history of effectively presenting to various groups is required.
• Demonstrated written interpersonal and analytical skills required.
• Experience with MS Office (Word Outlook Excel PowerPoint etc.).
• Strong understanding of medical insurance products and associated provider issues required.
• Ability to lead an account management team to achieve goals.
• Ability to work in a matrix environment.
• >25% travel may be required.

CORE COMPETENCIES

• Organizational savvy
• Plans and aligns
• Collaborates
• Communicates Effectively
• Interpersonal Savvy
• Tech Savvy
• Being Resilient
• Action oriented
• Decision quality
• Customer Focus
• Builds Networks
• Instills Trust

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.

For this position we anticipate offering an annual salary of 66600 - 111000 USD / yearly depending on relevant factors including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs click here .

About The Cigna Group

Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services we are committed to enhancing the lives of our clients customers and patients. 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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

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

Required Experience:

Manager

Job Tags

Full time, Work experience placement, Local area, Work from home, 3 days per week

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