Remote Jobs Hiring | Provider Relations Advisor – Work from home

DUTIES AND RESPONSIBILITIES

Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on local market network strategy and complexity)

Supports local market total medical cost strategies for assigned BOB

Owns end-to-end management and execution of corrective and strategic action plans

Leads, collaborates, and provides direction to improving the provider experience in accordance with action plans activities

Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions

Responsible for coordinating, directing, and implementing Service Experience Review (SER) as defined by the SER strategy

Manage joint operating committees (JOC), including agenda development, facilitating appropriate meeting participation and follow up activities

Facilitates education and discussion on products, quality initiatives, disease management programs, joint ventures, etc.

Monitors internal metrics and service performance in accordance of organizational and provider specific goals.

Proactively educate and influence policies on CIGNA’s business objectives, standard operating procedures, policies and programs

Participate in local professional associations/organizations

Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements

Collect, analyze, interpret, translate and distribute provider informatics with Account Management team

Review provider reports/dashboard with individual HCPs

Understands and applies service culture principles and methodology

Serve in a consultative role or subject matter expert to key matrix partners

Participates in presentations to existing and prospective providers

Serves as advocate in external community, representing Cigna to medical societies and external provider associations.

Convenes and participates in physician and administrative focus/advisory groups

POSITION REQUIREMENTS

Bachelor’s Degree or higher strongly preferred or equivalent work experience required.

Excellent presentation skills required. Proficient in speaking in both individual and group settings

Experience building strong, positive relationships with providers

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