Business Project Senior Analyst - Northeast & Central Region

LOCATION: REMOTE position aligned to the Northeast and Central USA market.

The Business Project Senior Analyst serves as an integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Regional Network Access Lead.

This role leads regional product specific projects and/or components of larger national projects for a given territory.

Manages the hospital/large group and/or significant provider termination management process in assigned markets for Commercial, IFP and Medicare Advantage products.

Works closely with Contracting, Network Solutions, Network Operations, Provider Services, Sales and Compliance to meet termination process management guidelines/state requirements.

Manages client specific and/or product specific recruitment efforts as well as compiling competitive network benchmarking and industry comparative analysis to support Commercial, IFP and Medicare products.

This individual is involved in the evaluation of system requirements, the development of procedures/processes/policy solutions to address the complex business needs for projects and may direct one or more teams of business matrix partners to achieve project goals.

For assigned projects, the role is responsible for determining project requirements, outlining project objectives, ensuring state contracting and compliance guidelines are adhered to, directing business matrix partners to meet project timelines and produces timely accurate reporting for senior management on project status.

Responsibilities:


* Lead as Project Manager for National Account Recruitment Requests, Middle Market and Local Sales recruitment initiatives; coordinating recruitment efforts with the market Contracting/Provider Services teams, Sales, Medical Recruitment Team and national vendor specialty teams as required.


* Review datasets to identify recruitment universe; Review potential recruits against Cigna systems to check for current/previous par status, approved specialty recruitment in specific geographies and validate if the provider is currently in recruitment under a separate initiative.

Meet with the market Contracting/Provider Services teams to review and approve the final recruitment universe, appropriate fee schedule/contract paper and identify market contact to be aligned with the project.


* Provide analytic and reporting support for regional provider network access build initiative projects.


* Manage the recruitment tracking tool: project data uploads and provider record maintenance for duration of the project.

Manage project reporting and distribution to matrix partners and senior management.


* Partner with Contracting and Sales/Service organizations to manage the review of providers identified as non-participating through the Regional Support Unit provider review process in support pre-sale activities and current client non-par inquiries.


* Lead regional market research relatin...