Provider Relations Manager - Cigna Heathcare - Hybrid - CO

The Cigna Group•Denver, CO

11d•Hybrid

About The Position

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). 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.

Requirements

Bachelor’s 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.
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.

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 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 service joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities