Provider Relations Lead Analyst - Mid FL Market - Evernorth - Remote

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* Please know this role can be a work at home arrangement however, the incumbent must geographically reside in the Mid FL Market

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The Provider Relations Lead Analyst is responsible for overseeing the end-to end provider experience for a defined book of business within an assigned geography.

Experience Consultants are external facing and support the providers in delivering education on Cigna lines of business, changes in Cigna policies, procedures, collaborative programs and more.

Experience Consultants are responsible for supporting market and national initiatives and will work in collaboration with Provider Relations Advisors, Accounts Receivable Specialists, Contracting, Market Medical Executives and other matrix partners to ensure market and national goals are achieved.

DUTIES AND RESPONSIBILITIES:


* Accountable for the end-to-end provider experience and overall service delivery for a defined book of business and geography



* Develop and manage relationships with providers ensuring a positive experience with Cigna


* Manage and monitor internal metrics and service performance for providers


* Proactively identify education opportunities and influence providers on Cigna business objectives



* Promotes Provider Index score improvement through proactive and effective service and support of network


* Facilitates and participates in presentations to existing providers in their Book of Business


* Serves as advocate representing CIGNA at external provider conferences and payer meetings (MGMA and AAHAM)



* Supports National and Market level goals and initiatives such as Total Medical Cost (TMC), Collaborative Accountable Care and E-Services


* Collaborates with Experience Managers (EM), Accounts Receivable Specialists (ARS) and other key matrix partners to support in timely issue resolution


* Works with Market Engagement Lead to resolve complex/sensitive Provider inquiries, concerns, complaints, appeal, and grievances


* Participate in joint operating committees (JOC) and assist with tasks including: agenda development, facilitating appropriate meeting participation and follow up activities



* Gathers and understands competitor information regarding Provider network, participation and reimbursement methods


* Responsible for capturing the Provider Experience using Cigna tools such as Accountable Relationship Tracker (ART) and monitor Daily Activities using Management Operating System (MOS)


* Provide feedback to managers on issues and concerns going on in their books of business


* Additional tasks may be assigned based on market need

POSITION REQUIREMENTS:


* Bachelor's degree or higher strongly preferred or equivalent work experience required


* Solid experience in provider relations or health care is required


* Solid account management experience is required


* Ability to monitor metrics and service performance for providers


* MS Office preferred
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