Provider Relations Sr. Analyst - Work from home at Cigna in Memphis, Tennessee

Job Description:

Remote, Work from Home, United States

RESPONSIBILITIES

Responsible for account receivable activity tied to a specific market.

Be a key partner to the experience manager supporting strategic planning to improve provider experience.

Support and ensure timely responses are provided related to provider onboarding, claims issues, and compliance overview.

Provide direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs.

Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement.

Engages matrix partners to achieve service improvements and minimize contract interpretation issues.

Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy.

QUALIFICATIONS:

• Bachelor's degree or higher strongly preferred or equivalent work experience in health care


• 3+ years of Medicare experience preferred


• 3+ years of experience in health care service delivery, network development/contract management role required.


• Strong producer and drives network initiatives to ensure operating targets are achieved to position Cigna's networks as the network of choice by Providers and Customers;


• Extremely knowledgeable of Medicare health plan administrative and operational requirements


• Problem solving skills including the ability to systematically analyze complex problems


• Work in a highly matrixed environment. Ability to multi-task, shifting effectively among multiple activities


• Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand as well as the ability to understand and interpret complex information from others


• Experience building strong, positive relationships with providers


• Strong influencing/negotiation skills


• Possible travel in the future - less than 25% travel required

This role is WAH/Flex, which allows most work to be performed at home. WAH/Flex employees must be fully vaccinated against COVID-19 if they choose to come onsite or if required to periodically come on site.

For this position, we anticipate offering an annual salary of $54,500 - $90,900, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.