CareAllies Network Ops Senior Analyst - Hybrid: Huntsville, AL - Cigna Healthcare

*

*

*Requires at least 50% local travel to providers in & around Huntsville, AL

*

*

*

This role will work with a subdivision within Cigna Healthcare called CareAllies, a Management Company that works side-by-side with providers and payer entities to help improve the quality, value and the experience of care for patients, to make health care better for everyone.

As a part of the Provider Engagement Team, you will be working closely with providers to accelerate their transition to value-based care and to help them manage the long-term health of their patients.

CareAllies' consultative approach emphasizes physician engagement, delivery system organization and culture change, actionable data and analytics, as well as patient engagement to support treatment plans.

We collaborate with providers to drive change and ensure success in a value-based market.

Roles and Responsibilities


* Serves as primary contact for providers and provider staff to assist in contract management and provide supporting analyses for network and performance optimization.

Develops and maintains positive relationships with physicians, providers, and practice managers within the network, including oversight and managing performance in various incentives based and/or value based programs.


* Provide tactical operations support to assigned groups, including contracting, data integrity, communications, and relationship management.


* Create and deliver materials to educate providers and provider staff on contracts, policies and procedures, quality and service line initiatives, and financial performance


* Prepares and delivers presentations with providers, provider staff, and/or physician leadership during monthly operational meetings.


* Understands, develops, tracks, monitors and reports on key program performance metrics, such as utilization, coding, and STARs/quality performance.


* Perform root cause analyses and resolution related to provider concerns, grievances, claims and care delivery.


* Assist in the STARS and clinical metrics data collection, and design plans for enhanced provider engagement in quality initiatives.


* Prepare materials and participate in monthly financial review with senior leadership.


* Partners with other internal departments, including but not limited to Health Services, Finance, Claims, and Coding in order to develop solutions for strategic business needs.


* Work closely with internal representative for needs and support.

Qualifications

What you need to do the job


* Bachelor's Degree in Healthcare Administration, Business, Finance, Operations, Public Health, or Professional Sales or equivalent experience


* Solid understanding of health insurance, customer messaging/design and project management required


* Excellent communication skills - verbal, written and presentation.


* Experience in public speaking is a plus.


* Intermediate level of Excel preferred (knowledge of pivot tables, VL...