Northeast Region Network Operations Senior Analyst

LOCATION: REMOTE position aligned to the Northeast Region States in the USA

The Northeast Region Healthcare Provider Network 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 Northeast Regional Network Access Lead.

This role is responsible for leading a small limited scope project or components of a larger project and directs one or more teams of business consultants involved in the evaluation of systems requirements and/or the development of new procedures/processes/policy solutions to address complex business needs.

Determines requirements, plans projects, establishes priorities and monitors progress.

Evaluates project status and resource utilization and implements changes to improve the teams' effectiveness.

Compiles and analyzes results of services for identification of improvement opportunities.

Provides benchmarking and industry comparative analysis support.

Responsibilities:


* Act as Project Management Lead for National Account Recruitment Requests, Middle Market and Local Sales recruitment; coordinating with market Contracting and Provider Services teams.


* Identify and manage the upload, maintenance and clean-up of existing/new providers in the Salesforce recruitment tracking database.


* Manage/Support Provider Termination reporting needs and workgroup calls for the Northeast Region


* Partner with Contracting and Sales/Service organizations to manage provider fallout from disruption process.


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


* Act as Northeast Region Network Development and Competitive Insights lead for market research.

This could entail market developments relating to competitor-provider network participation status, competitor product development, regulatory developments and other market news as appropriate.


* Maintain Northeast Region Network Development and Competitive Insights SharePoint site.


* Special projects as needed.

Preferred Qualifications:


* College degree or equivalent work experience


* 3+ years Network Operations, Provider Relations or Provider Contracting experience, required


* 3+ years' experience working in the Healthcare industry, required


* Cigna systems experience


* Detailed knowledge of provider set up in Cigna systems and tools to track provider recruitment


* Working knowledge of hospital, managed care and provider business models


* Understanding of medical insurance products


* Project management skills


* Ability to analyze large volumes of data


* Superior problem solving, decision making and critical thinking skills


* Strong interpersonal and written/oral communication skills


* Ability to work independently and with matrix partners


* Expert knowledge of Microsoft excel, access and power point


* Proficient in the use of PC software; i.e.,...