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Provider Relations Manager
Location
Kansas + 1 moreAll locations: Kansas | Missouri
Posted
122 days ago
Salary
$66.6K - $111K / year
Seniority
Senior
Job Description
Provider Relations Manager
The Cigna Group
• 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 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
Job Requirements
- 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
Benefits
- health-related benefits including medical, vision, and dental
- well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- minimum of 18 days of paid time off per year
- paid holidays
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