Provider Relations Manager

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee the complete provider experience and the overall service delivery for a designated medium- to low-complexity portfolio.

• Partner with local market and matrix collaborators to enhance the provider experience.

• Develop and sustain strategic action plans for providers.

• Recognize provider opportunities and risks, and drive the resolution process.

• Gather, document, and disseminate market intelligence to foster strategic enhancements.

• Collect, analyze, interpret, translate, and distribute provider informatics, reports, and dashboards.

• Monitor and track performance guarantees.

• Enhance Provider Index scores through proactive network service and support initiatives.

• Review reports and dashboards with individual providers.

• Educate providers on Cigna's objectives, procedures, policies, and programs.

• Act as a provider advocate both internally and externally.

• Consult with key matrix partners as a subject matter expert.

• Prepare and engage in presentations directed at providers and clients.

• Represent Cigna to medical societies and external provider organizations.

• Facilitate joint operating committees, including setting agendas, meeting facilitation, and follow-up actions.

⛳️ Requirements

• A Bachelor's degree or higher is strongly preferred, or equivalent professional experience.

• A minimum of 5 years of experience in provider relations is preferred.

• Demonstrated success in account management is preferred.

• Experience in claims administration is preferred.

• Proficient in using Outlook, Teams, Excel, PowerPoint, Word, etc.

• Familiarity with Proclaim or Facets is preferred.

• Exceptional oral, written, interpersonal, analytical, and negotiation skills.

• Knowledge of medical insurance products and related provider issues.

• Capability to support an account management team in resolving issues.

• Ability to thrive in a matrixed environment.

• Willingness to travel up to 10% as needed.

• For remote work, a cable broadband or fiber optic internet connection with a minimum of 10Mbps download and 5Mbps upload speed is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits available from day one.

• Access to well-being and behavioral health programs.

• Participation in a 401(k) plan.

• Company-paid life insurance coverage.

• Tuition reimbursement program.

• Minimum of 18 days of paid time off each year.

• Paid holiday leave.

• Options for leaves of absence.

• Remote work arrangements available.

• Requirement for cable broadband or fiber optic internet for home-based work.