Provider Data Sr. Associate-CareAllies (Birmingham, AL) at Cigna in Birmingham, Alabama

Job Description:

Job Location: Birmingham, Alabama only

SUMMARY:

The Network Operations Department within CareAllies is responsible for the financial and operational activities of the provider network. In this role, you will be exposed to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting, claim payments, meetings, training, etc.).  This role supports the Network Operations Administrators and Representatives.

RESPONSIBILITIES:

• Researching and resolving provider issues such as authorization and claim issues




• Identify the right parties or resources, internally and externally, to resolve issues in a timely manner.




• Prepares documentation for meetings, schedules meetings, and educates providers regarding member benefits and the referral process




• Develops, maintains, and distributes reports for assigned provider groups




• Submitting change requests to update provider demographics, group information, contract changes)

Qualifications:

• Bachelor’s degree preferred




• Strong knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing highly preferred




• Working knowledge of SharePoint, Microsoft Word, Excel, & Access




• Strong analytical and problem-solving skills.




• Excellent communication skills – verbal, written and presentation.  




• Ability and willingness to share knowledge




• Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards)




• Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

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.