Medicare Provider Relations Representative page is loaded Medicare Provider Relations Representative Apply remote type Hybrid locations Birmingham, AL Huntsville, AL time type Full time posted on Posted 13 Days Ago job requisition id 24003859 SUMMARY:This position is an external provider facing role with account management responsibilities for a medium to low complex book of business. Territory for this role is Alabama and candidate MUST reside in Alabama . 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.*A note to internal candidates:This role is set to convey and is open to all Cigna employees, including those already designated to move with HSCS. Please contact recruiter Betsy DeFelice with any questio ns .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 providersLeads, collaborates, and supports local market direction as it relates to improving the provider experienceCreates and maintains individual provider strategic action plansProactively identify new opportunities and risks for providers at market or national level and drives resolutionExercises good judgment and discretion to support the provider experienceResponsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvementsExternal facing with providers in assigned BOBCollect, analyze, interpret, translate and distribute provider informatics, reports, dashboardsTrack and monitor performance guarantees for assigned BOBPromotes Provider Index score improvement through proactive and effective service and support of networkReview provider reports/dashboard with individual providersProactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with CignaServe as a provider advocate both internally and externallyUnderstands and applies service culture principles and methodologyServes as a provider advocate both internally and externallyServes in a consultative role or subject matter expert to key matrix partnersDevelops and participates in presentations to existing and prospective providers and/or clientsServes as advocate in external community, representing CIGNA to medical societies and external provider associations.Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activitiesPREFERRED QUALIFICATIONS:College degree preferred or equivalent work experience.5 years of experience in provider relations or health careDemonstrated 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 issuesAbility to lead an account management teamAbility to work in a matrix environment.>25% travelIf 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 GroupDoing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, were 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.About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives.At The Cigna Group, were 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.#J-18808-Ljbffr

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