Provider Relations Associate Analyst

POSITION SUMMARY

Role Description: This position is responsible for identifying qualified Behavioral Outpatient Clinics, developing and maintaining positive relationships with them and their office staff, and extending the highest quality service. Work to negotiate competitive & cost effective pricing and obtain contracts with these professionals to meet health plan needs. Specific responsibilities include, but are not limited to: explaining the plan's policies and procedures to health care professionals, resolving complaints and disputes, ensuring compliance with policies and procedures. May answer inquiries and resolve problems. 

ESSENTIAL FUNCTIONS

• Processes Outpatient Clinic screening applications, which includes verifying and vetting information and sending a provider on-boarding packet/contract
• Helps Clinics understand the recruiting/on-boarding process and assists them with any on-boarding issues
• Responsible for identifying qualified behavioral providers based on minimum credentialing requirements and targeted recruitment lists
• Works to negotiate competitive and cost-effective pricing and obtains contracts with providers to meet health plan needs
• Skills required are strong phone, communication, and analytical abilities. Self-directed problem-solving skills are a must
• Candidate must have the ability to navigate a computerized data entry system or other relevant applications for tracking, information gathering, and / or troubleshooting
• Familiarity with Microsoft Office is a must

QUALIFICATIONS

• Some college preferred or equivalent work experience
• Previous sales experience preferred
• Excellent organization skills and able to manage multiple priorities/projects
• Healthcare and call center experience is a plus
• Previous customer service experience preferred
• Ability to use PC software including Microsoft Office Suite
• Solid oral and written communication skills
• Able to work independently with minimum supervision
• Demonstrate good critical thinking skills and able to problem solve
• Able to learn and apply quickly in a fast pace environment
• Strong influencing and critical thinking skills
• Team player with proven ability to develop strong working relationships within a matrix organization
• Must be a current contractor with Cigna or Express Scripts

ABOUT CIGNA

First things first, we’re a global health service company dedicated to helping people improve their health, well-being and sense of security. But we don’t just care about your well-being, we care about your career health too. That’s why when you work with us, you can count on a different kind of career – you’ll make a difference, learn a ton, and share in changing the way people think about healthcare.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com.  Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.