Provider Relations Lead Analyst – Cigna Healthcare

Provider Relations Lead Analyst – Cigna Healthcare

Requirements

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• 5+ years of experience in provider relations required
• Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
• Ability to use PC software and multiple systems
• Understanding of medical insurance products and associated provider issues
• Ability to work in a matrix environment

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

Preferred Qualifications

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• 5+ years of experience in provider relations required