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Cigna Provider Relations Experience Consultant - Work from home, NC/SC in Charleston, South Carolina

This role can support work at home however, the incumbent must geographically reside in NC or SC

SUMMARY

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

  • 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 Cigna's 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 joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities

PREFERRED QUALIFICATIONS

  • College degree preferred or equivalent work experience.

  • 5+ years of experience in provider relations or health care

  • Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.

  • Ability to use PC software and multiple Cigna systems.

  • Understanding of medical insurance products and associated provider issues

  • Ability to lead an account management team

  • Ability to work in a matrix environment.

  • 25% travel

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

This position is not eligible to be performed in Colorado.

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.

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