Provider Relations Senior Analyst, Americas, Cigna International Health, Remote at The Cigna Group

Overview

As a Provider Relations Senior Analyst , you will be part of the Network Management, Americas team, being responsible to manage the relationship with Health Care Providers of the Latin American & Caribbean network (with some support for Canada and the U.S.). You will work very closely with peers and stakeholders strategically positioned across the globe. Key to the role will be the end-to-end journey, managing the partnership with health provider accounts, such as hospitals and clinics, and support their journey from the onboarding, supporting on the daily / monthly interactions with Cigna, educate them to navigate Cigna operating model, monitoring their performance, and driving engagement initiatives.

YOUR FUNCTIONS: Accountability to enable an effective and efficient collaboration with health providers to deliver a best-in-class customer experience through the partnership with our providers. Secure a smooth onboarding and day-to-day operational maintenance of provider relationships. Conduct all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential roadblocks preventing a successful partnership, including but not limited to: 1) Overview of member identification and eligibility process, 2) Claims submission, 3) Cigna operating model, and 4) Training and onboarding providers into the new provider portal.

Manage the ongoing relationship and handling day-to-day operations directly with health care providers, including the follow-up, negotiation, and resolution of potential complaints, escalations, suspensions, or threats. Responsible to enable an effective and efficient collaboration with health providers through monitoring and analyzing the operational KPIs, the results of the reconciliation of the accounts, and others to provide a comprehensive support on their interpretation and assurance of further follow up if needed. Strive for continuous service improvement via analyzes of root causes and proactive implementation of initiatives driven by outcome obtained through data and feedback gathered through reconciliation results, complaints, or other sources, and continuous service delivery improvement through BAU collaboration with different teams.

Benefits

• , with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related

Benefits

• including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.
• For more details on our employee

Benefits

• programs, click here .
• 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.
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• 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.
• Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.