Responsibilities (include but are not limited to):

• Strengthen existing client relationships and develop new relationships with client leaders at various levels, including network, medical management, and vendor management

• Actively support strategic growth through coordination with the EviCore Growth Team

• Periodically review client analytics with the Client Experience Managers (CEMs) to ensure that program performance and value are meeting client expectations (this includes utilization, financial savings, and operational metrics)

• Lead and prepare for Joint Operating Committee (JOC) meetings

• Provide direction and support to ensure that the CEMs are effective:

• Engage with CEMs on a regular basis and assist as needed

• Ensure timely resolution of client issues, including escalations

• Ensure that requests are appropriately documented, tracked, and reported

• Ensure that client documentation is being properly maintained

• Help develop the CEMs’ skills and capabilities

• Coordinate with the Client & Provider Representative Team leadership to review any outstanding issues and communicate important trends.

• Coordinate with IT, Claims, Clinical, and Workforce Management to resolve performance issues

• Provide expertise in utilization management services and claims operations to include all cross-program services, such as eligibility, provider loads, authorization exports, and claims file exchanges

Minimum Education, Licensure and Professional Certification requirement:

• Bachelor’s Degree or relevant experience

Minimum Experience required (number of years necessary to perform role):

• Seven or more years experience of client interfacing, three or more years of health care industry experience and three or more years leadership experience. Demonstrated project management experience, strong communication skills, and an ability to work in a fast-paced environment.

• Contract negotiation experience preferred. Information technology knowledge preferred.

Required Skills:

• Professional aptitude to solve problems, answer questions and apply information based on current circumstances with ability to search beyond initial results

• Strong analytical skills to perform effective troubleshooting.

• Ability to communicate in a highly professional and effective manner

• Ability to handle multiple tasks simultaneously, working independently and as part of a team in a collaborative manner

• Ability to insure efficient coordination with all relevant entities.

• Exceptional attention to detail and work product validation

• Strong organization and time management capacity to balance multiple project priorities with limited supervision

• Ability to handle confidential information on a daily basis in a professional manner

• Ability to use PC software and learn EviCore systems

• Ability to travel up to 20% or as necessary for client retention

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 84,400 - 140,600 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 Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.