Provider Relations Senior Analyst - Remote

This position is responsible for account receivable activity tied to a specific market.  They will be a key partner to the experience manager supporting strategic planning to improve provider experience.  Will support and ensure timely responses are provided related to provider onboarding, claims issues, and compliance overview.  Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs.  Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement.  Engages matrix partners to achieve service improvements and minimize contract interpretation issues.  Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy.

DUTIES AND RESPONSIBILITIES

• Serves as a key member of the account management team responsible for AR Management
• Collaborates with experience manager and matrix partners to identify, resolve and improve open issues.
• Drives root cause analysis for open AR and billing related errors
• Develops actions plan and/or project plan to resolve trends identified and impacting at a segment level
• Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause
•  Achieves and or exceeds Service Level Agreements
• Provides current and appropriate education to provider as it relates to Medicare and internal policy updates
• Participates in face to face meetings with EM as needed to act as an AR SME
• Other tasks as assigned

POSITION REQUIREMENTS

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• 3+ years of Medicare experience preferred
• 3+ years working in health care service delivery, network development or contract management preferred
• Experience with MS Office products (Word, Excel, Outlook, PowerPoint)
• Strong producer and drives network initiatives to ensure operating targets are achieved to position Cigna's networks as the network of choice by Providers and Customers
• Extremely knowledgeable of Medicare health plan administrative and operational requirements
• Problem solving skills including the ability to systematically analyze complex problems
• Work in a highly matrixed environment. Ability to multi-task, shifting effectively among multiple activities
• Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand as well as the ability to understand and interpret complex information from others
• Experience building strong, positive relationships with providers
• Strong influencing/negotiation skills
• Up to 25% travel may be required.

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 58,100 - 96,900 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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