Provider Contracting Associate Analyst - Remote - Cigna Healthcare

Cigna • Jacksonville, FL

269d • $23 - $35 • Remote

About The Position

This production role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment for a defined territory to-be-determined. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks (DHMO and DPPO). Assists with new provider or location credentialing, contracting and recredentialing requests. Respond to status requests and other non-routine contract questions. Assists with preparation or modification of provider compensation or contracts. Completes output in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Contracting.

Requirements

• High School Diploma or GED Required
• Minimum of 3 months experience in dental office negotiations, relations or contracting
• Ability to multi-task and prioritize workload
• Strong verbal and written communication skills
• Must be a current Cigna or Express Scripts employee or contractor
• Basic to intermediate proficiency in Microsoft Office products
• Demonstrates ability to manage multiple tasks simultaneously while maintaining quality service

Responsibilities

• Identifying, recruiting, and contracting qualified health care professionals in geographic area within established guidelines to meet health plan needs
• Handle incoming calls from dental providers, reroute misdirected calls
• Takes ownership of issues and works to resolve them over the phone with a 'one and done philosophy'
• Perform research and interpret guidelines to respond to inquiries, complaints or disputes, ensuring compliance
• Outreach to providers to obtain missing or additional information to ensure applications and contracts meet compliance
• Collaborate with internal departments as needed
• Maintain positive relationships with health care professionals and their office staff extending high quality service

Benefits

• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays
• Eligibility to participate in an annual bonus plan

What This Job Offers

• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED