Job Description

Please Note: Eligible candidates must live in Ohio given the book of business being supported and have willingness to travel to various provider offices throughout the state for in-person visits as well as to Cigna offices for stakeholder meetings. Will be permitted to work from home on a hybrid basis.

SUMMARY:

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.

DUTIES AND RESPONSIBILITIES:

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

QUALIFICATIONS:

College degree preferred or equivalent work experience.

5+ years of experience in provider relations or health care

Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.

Ability to use PC software and multiple Cigna systems.

Understanding of medical insurance products and associated provider issues

Ability to lead an account management team

Ability to work in a matrix environment.

25% travel

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we\xe2\x80\x99re 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.

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