Provider Relations Manager - Cigna Healthcare - KS, MO

Cigna Group • Kansas City, KS

1d

About The Position

Due to the Book of Business, we are planning to hire from within one of the following METRO locations: St. Louis/Columbia, MO or Kansas City, KS. 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 L eads, collaborates, and supports local market dir ection as it relates to improving the provider experience Creates and maintains individual provider strategic action plans Proactively identify new opportunities and risks for provider s 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 s trategic im provements External facing with provider s 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 provider s Pr oactively educate provider s 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 Serve s as a provider advocate both internally and externally Serve s in a consultative role or subject matter expert to key matrix partners Develops and participates in presentations to existing and prospective provider s 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 QUALIFICATIONS Bachelor's Degree or higher strongly preferred or equivalent work experience required. 5 + years of experience in provider relations and health care required. Account management experience highly preferred. Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills. Experience with MS Office required (use of pivot tables/VLOOKUP in Excel is highly preferred). Understanding of medical insurance products and associated provider issues highly preferred. Ability to lead the account management teams and matrix partners to a common goal. Ability to work in a matrix environment. Up to 25% travel within the Metro KS (Kansas City) and Metro MO (St. Louis and Columbia) areas is required for the Book of Busines and to attend meetings.

Requirements

• Bachelor's Degree or higher strongly preferred or equivalent work experience required.
• 5 + years of experience in provider relations and health care required.
• Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.
• Experience with MS Office required (use of pivot tables/VLOOKUP in Excel is highly preferred).
• Ability to lead the account management teams and matrix partners to a common goal.
• Ability to work in a matrix environment.
• Up to 25% travel within the Metro KS (Kansas City) and Metro MO (St. Louis and Columbia) areas is required for the Book of Busines and to attend meetings.

Nice To Haves

• Account management experience highly preferred.
• Understanding of medical insurance products and associated provider issues highly preferred.

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

Benefits

• Starting on day one of your employment, you’ll 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level