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
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
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.
Plans and aligns
This position is not eligible to be performed in Colorado.
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.