Provider Relations Senior Supervisor - Cigna Healthcare - Remote

The Cigna Group

6h • Remote

About The Position

The job profile for this position is Provider Relations Senior Supervisor, which is a Band 3 Management Career Track Role.
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Requirements

• Bachelor's degree or higher strongly preferred or equivalent work experience required
• 3+ years of leadership, technical coaching or supervisory experience in healthcare revenue cycle operations preferably in Accounts Receivable or Provider Relations required
• Strong understanding of escalation workflows, claim resolution, and providers support processes
• Proven track record of cross functional communication and stakeholder engagement
• Experience managing global offshore teams in a shared service model
• Ability to conduct root cause analysis identify trends and drive resolution
• Proficient in Excel, and other workflow management tools.
• Experience with other MS Office Suite applications(Word, Outlook, etc.)
• Skilled in coaching, mentoring and developing performance evaluations
• Excellent communication, organization and time management abilities
• Demonstrated ability to successfully interact with both internal and external customers at all levels
• Demonstrated ability to perform root cause analysis on claims issues
• Demonstrated ability to manage and resolve problems to satisfactory completion
• Skills to include time management, task analysis and breakdown and resource utilization
• Demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider
• Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction
• Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider
• Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes
• Demonstrated ability to read and understand data results
• If you will be working at home occasionally or permanently, 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.

Nice To Haves

• Experience with Cigna claim processing, claim appeals, or claim quality preferred

Responsibilities

• Own the end-to-end processes for managing inventory and escalations within the assigned region.
• Review, triage, and assign escalations to the appropriate resource based on issue type and urgency.
• Monitor team inventory and escalation volumes to ensure service level expectations are met.
• Conduct root cause reviews of repeated issues and partner with leadership to address process gaps.
• Assist in developing and training new staff in the escalation process of standard work and role expectations.
• Collaborate on knowledge exchange article updates and process efforts.
• Prepare weekly and monthly reporting on trends backlog and resolution timelines.
• Conduct regular one-on-one with direct reports to support their professional development and address roadblocks.
• Host team meetings to reinforce standard work, escalation awareness, and identify support opportunities.
• Ensure clear communication collaboration with market stakeholders and support resolution transparency.
• Provide weekly and monthly reporting to the director on escalation trends, backlog status, and team performance health.
• Participate in staffing coverage planning and cross regional support models.
• Promote team morale, accountability, and a culture of continuous improvement.
• Interacts directly with the provider to understand, educate, communicate and resolve issues.
• Participate in provider meetings with local team as needed.
• Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs.
• Participates in cross functional project initiatives and workgroups, as requested
• Achieves and/or exceeds Service Level Agreements

Benefits

• At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
• 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