Provider Data Representative at Cigna in Sunrise, Florida

Job Description:

Overview

• Utilizes independent judgment and discretion. Responsible for maintaining current provider data to ensure the quality of the network. May be responsible for overseeing and coordinating training and departmental reporting.

Major Duties

• Ensuring consistent communication with internal service partners and within the Dental Provider Data Management area.


• Responsible for coordinating efforts to cleanse existing data, and improve Third Party Vendor loading processes.


• Identifying data integrity improvement opportunities within Dental Provider Data Management to reduce inventory queues.


• Working closely with Contracting/Provider Relations, Quality, and Claims Managers and Supervisors to ensure the department is meeting its turn-around-time service level agreements.


• Meeting with internal service partners to ensure understanding of large projects and determine the impact to all systems so that the desired results are achieved.

Qualifications

• Associate's degree preferred and/or equivalent work experience


• Strong written and verbal communication skills


• Superior problem solving, decision-making skills


• Ability to use Microsoft Office tools and multiple Cigna systems


• Team player with proven ability to develop strong working relationships within a matrix organization


• Ability to manage in a production and matrix environment


• Detail oriented

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.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.