Back to positions

Provider Services Lead Analyst - Cigna Healthcare - Remote - CA

Remote role Full-time Open position

Due to the Book of Business, we are planning to hire a candidate from within the Southern California area. SUMMARY 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 QUALIFICATIONS + Bachelor's Degree or higher strongly preferred or equivalent work experience required. + 3+ years of experience in provider relations highly preferred. + Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills. + Intermediate experience with MS Office (Word, Excel, Outlook, PowerPoint). + Solid understanding of managed care/provider operations. + Ability to work in a matrix environment. + Up to 25% travel may be required. CORE COMPETENCIES + Organizational savvy + Plans and aligns + Collaborates + Communicates Effectively + Interpersonal Savvy + Tech Savvy + Being Resilient + Action oriented + Decision quality + Customer Focus + Builds Networks + Instills Trust 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. For this position, we anticipate offering an annual salary of 65,500 - 109,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _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_ [email protected]_ _for support. Do not email_ [email protected]_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._ Remote About the Company The Cigna Group Apply tot his job Apply To this Job Apply To This Job

Further positions

Urgently Hiring: Fedex Online Jobs (Remote) ::: Usa $26/Hour

Remote role Full-time

Entry Level Fedex data entry jobs (Work At Home)

Remote role Full-time

LH Svc Provider Solutions Mgr

Remote role Full-time

Senior Staff Accountant job at MaineHealth in Boothbay Harbor, ME

Remote role Full-time

Part-Time Data Entry Clerk (Remote Jobs) – $2100 Weekly | arenaflex Sacramento, CA

Remote role Full-time

Flexible Part-Time Data Entry Jobs from Home for Beginners - Join arenaflex's Dynamic Team

Remote role Full-time

Experienced Part-Time Remote Data Entry Clerk – Typing – Flexible Schedule

Remote role Full-time

Remote Part-Time Junior Data Entry Clerk – Entry-Level Data Management Position with Flexible Hours and Career Development Opportunities

Remote role Full-time

Experienced Part-time Data Entry Specialist – Remote Work Opportunity with careerzynith

Remote role Full-time

Experienced Data Entry Clerk – Amazon Remote Jobs for Teens

Remote role Full-time

Remote Customer Service Representative - Western US Territory (Pacific Time Zone Zone) | Order Management & Account Support Specialist

Remote role Full-time

Semiconductor Software Engineer

Remote role Full-time

Experienced Packaging Strategy Lead-Data – Remote Data Entry Jobs at arenaflex

Remote role Full-time

Category Director Bakery

Remote role Full-time

Experienced Customer Support Representative – Advanced English – Full-Time – Paid Vacation, Benefits, and Career Growth Opportunities at arenaflex

Remote role Full-time

Experienced Data Entry Specialist – Remote Virtual Support Team at arenaflex

Remote role Full-time

Part‑Time Remote Data Engineer – Distributed Systems & Big Data Platform Development at arenaflex

Remote role Full-time

ATI Virtual Nurse Educator Part Time - NCLEX Services

Remote role Full-time

Command Center Virtual RN

Remote role Full-time

AI Chatbot Developer – Basic Live Chat Support Bot Development for Sports Streaming Platform

Remote role Full-time