Provider Relations Manager Job at The Cigna Group (Denver)

Job Description

This position is an external provider facing role with account management responsibilities for a medium to low complex book of business. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements, understand, articulate and resolve service impacts, and drive the overall provider strategic planning solutions. This individual is empowered within their scope to make decisions as it pertains to the experience with Cigna, is required to have local market knowledge and visibility, builds and continuously improve the relationship between Cigna and the provider.

Job Responsibility

Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers to include all medical lines of business
Leads, collaborates, and supports local market direction as it relates to improving the provider experience
Creates and maintains individual provider strategic action plans
Proactively identify new opportunities and risks for providers at market or national level and drives resolution
Exercises good judgment and discretion to support the provider experience
Responsible for capturing, documenting, and sharing market intelligence
use market intelligence to develop and drive strategic improvements
External facing with providers in assigned BOB
Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
Track and monitor performance guarantees for assigned BOB
Promotes Provider Index score improvement through proactive and effective service and support of network
Review provider reports/dashboard with individual providers
Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with Cigna
Serve as a provider advocate both internally and externally
Understands and applies service culture principles and methodology
Serves as a provider advocate both internally and externally
Serves in a consultative role or subject matter expert to key matrix partners
Develops and participates in presentations to existing and prospective providers and/or clients
Serves as advocate in external community, representing CIGNA to medical societies and external provider associations
Manage service joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities

Requirements

Bachelor's degree or higher strongly preferred or equivalent work experience required
3+ years of experience working in provider relations or in health care highly preferred
Strong work history of effectively presenting to various groups is required
Demonstrated written, interpersonal and analytical skills required
Experience with MS Office (Word, Outlook, Excel, PowerPoint, etc.)
Strong understanding of medical insurance products and associated provider issues required
Ability to lead an account management team to achieve goals
Ability to work in a matrix environment
>25% travel may be required

What we offer

Medical
vision
dental
well-being and behavioral health programs
401(k)
company paid life insurance
tuition reimbursement
a minimum of 18 days of paid time off per year
paid holidays

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