Provider Services Sr Spec Job at Cigna
POSITION SUMMARY:
This position is a high functioning role with account management and strategic planning responsibilities for a specific provider book of business. They are responsible for a managing a highly complex Book of Business; (i.e. Integrated Delivery Systems with valued based arrangements) engaging with providers as collaborative partners to drive strategic planning activities to improve experience outcomes while encouraging and influencing the provider/customer relationship in support of the connected care strategy.
This role is external facing and supports the provider in delivering education on Cigna products, policies, procedures, collaborative programs and more. They work in partnership with matrix partners; (Contracting, Market Medical Executives, Sales, Accounts Receivable Support and more) to support provider specific and local market initiatives.
This individual is empowered to make decisions as it pertains to the provider experience, is required to have local market knowledge and will contribute to building a culture of service excellence while continuously improving the relationship between Cigna, providers, and customers.
DUTIES AND RESPONSIBILITIES
Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on local market network strategy and complexity)
Supports local market total medical cost strategies for assigned BOB
Owns end-to-end management and execution of corrective and strategic action plans
Leads, collaborates, and provides direction to improving the provider experience in accordance with action plans activities
Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions
Responsible for coordinating, directing, and implementing Service Experience Review (SER) as defined by the SER strategy
Manage joint operating committees (JOC), including agenda development, facilitating appropriate meeting participation and follow up activities
Facilitates education and discussion on products, quality initiatives, disease management programs, joint ventures, etc.
Monitors internal metrics and service performance in accordance of organizational and provider specific goals.
Proactively educate and influence policies on CIGNA's business objectives, standard operating procedures, policies and programs
Participate in local professional associations/organizations
Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
Collect, analyze, interpret, translate and distribute provider informatics with Account Management team
Review provider reports/dashboard with individual HCPs
Understands and applies service culture principles and methodology
Serve in a consultative role or subject matter expert to key matrix partners
Participates in presentations to existing and prospective providers
Serves as advocate in external community, representing Cigna to medical societies and external provider associations.
Convenes and participates in physician and administrative focus/advisory groups
POSITION REQUIREMENTS
College degree or equivalent work related experience in healthcare
Excellent presentation skills. Proficient in speaking in both individual and group settings
Experience building strong, positive relationships with providers
Accountability through Matrix management: Works collaboratively across functional areas to improve the provider experience
Strong influencing/negotiation skills
Ability to analyze and articulate service outcomes accordingly
Demonstrated excellent oral, written, interpersonal, analytical, influential and negotiation skills.
Understanding of medical insurance products, industry and associated provider issues
Ability to lead experience initiatives to drive service improvements
Ability to work in a matrix environment.
Significant travel required
CORE COMPETENCIES
Leadership
Organizational agility
Resourceful
Sense of urgency
Priority setting and time management
Decision quality
Drive for results
Planning and forecasting
Functional/Technical knowledge
Product/program knowledge
Innovation/Creativity
Strategic thinking
Strategy development
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.
For this position, we anticipate offering an annual salary of 72,000 - 120,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.
Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
This position is a high functioning role with account management and strategic planning responsibilities for a specific provider book of business. They are responsible for a managing a highly complex Book of Business; (i.e. Integrated Delivery Systems with valued based arrangements) engaging with providers as collaborative partners to drive strategic planning activities to improve experience outcomes while encouraging and influencing the provider/customer relationship in support of the connected care strategy.
This role is external facing and supports the provider in delivering education on Cigna products, policies, procedures, collaborative programs and more. They work in partnership with matrix partners; (Contracting, Market Medical Executives, Sales, Accounts Receivable Support and more) to support provider specific and local market initiatives.
This individual is empowered to make decisions as it pertains to the provider experience, is required to have local market knowledge and will contribute to building a culture of service excellence while continuously improving the relationship between Cigna, providers, and customers.
DUTIES AND RESPONSIBILITIES
Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on local market network strategy and complexity)
Supports local market total medical cost strategies for assigned BOB
Owns end-to-end management and execution of corrective and strategic action plans
Leads, collaborates, and provides direction to improving the provider experience in accordance with action plans activities
Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions
Responsible for coordinating, directing, and implementing Service Experience Review (SER) as defined by the SER strategy
Manage joint operating committees (JOC), including agenda development, facilitating appropriate meeting participation and follow up activities
Facilitates education and discussion on products, quality initiatives, disease management programs, joint ventures, etc.
Monitors internal metrics and service performance in accordance of organizational and provider specific goals.
Proactively educate and influence policies on CIGNA's business objectives, standard operating procedures, policies and programs
Participate in local professional associations/organizations
Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
Collect, analyze, interpret, translate and distribute provider informatics with Account Management team
Review provider reports/dashboard with individual HCPs
Understands and applies service culture principles and methodology
Serve in a consultative role or subject matter expert to key matrix partners
Participates in presentations to existing and prospective providers
Serves as advocate in external community, representing Cigna to medical societies and external provider associations.
Convenes and participates in physician and administrative focus/advisory groups
POSITION REQUIREMENTS
College degree or equivalent work related experience in healthcare
Excellent presentation skills. Proficient in speaking in both individual and group settings
Experience building strong, positive relationships with providers
Accountability through Matrix management: Works collaboratively across functional areas to improve the provider experience
Strong influencing/negotiation skills
Ability to analyze and articulate service outcomes accordingly
Demonstrated excellent oral, written, interpersonal, analytical, influential and negotiation skills.
Understanding of medical insurance products, industry and associated provider issues
Ability to lead experience initiatives to drive service improvements
Ability to work in a matrix environment.
Significant travel required
CORE COMPETENCIES
Leadership
Organizational agility
Resourceful
Sense of urgency
Priority setting and time management
Decision quality
Drive for results
Planning and forecasting
Functional/Technical knowledge
Product/program knowledge
Innovation/Creativity
Strategic thinking
Strategy development
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.
For this position, we anticipate offering an annual salary of 72,000 - 120,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.
Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.