Remote Jobs Hiring | Provider Relations Advisor – Work from home

Job Responsibilities : Provider Relations Advisor – Work from home Salary : $16 per hour Company : Cigna Location : Remote us

Remote Work from Home United States

Only candidates will be considered from the Eastern Tennessee area (example: Chattanooga Knoxville and Tri City areas)

This position is a high functioning role with account management and strategic planning responsibilities for a specific provider book of business. They are responsible for a managing a highly complex Book of Business; (i.e. Integrated Delivery Systems with valued based arrangements) engaging with providers as collaborative partners to drive strategic planning activities to improve experience outcomes while encouraging and influencing the provider/customer relationship in support of the connected care strategy.

This role is external facing and supports the provider in delivering education on Cigna products policies procedures collaborative programs and more. They work in partnership with matrix partners; (Contracting Market Medical Executives Sales Accounts Receivable Support and more) to support provider specific and local market initiatives.

This individual is empowered to make decisions as it pertains to the provider experience is required to have local market knowledge and will contribute to building a culture of service excellence while continuously improving the relationship between Cigna providers and customers.

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

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
Accountability through Matrix management: Works collaboratively across functional areas to improve the provider experience
Strong influencing/negotiation skills required
Ability to analyze and articulate service outcomes accordingly
Demonstrated excellent oral written interpersonal analytical influential and negotiation skills.
Understanding of medical insurance products industry and associated provider issues
Ability to lead experience initiatives to drive service improvements
Ability to work in a matrix environment.
Solid Excel and PowerPoint experience required
Significant travel required (60%-70% travel)

Organizational agility
Sense of urgency
Priority setting and time management
Decision quality
Drive for results
Planning and forecasting
Functional/Technical knowledge
Product/program knowledge
Strategic thinking
Strategy development
Customer Centric Environment

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite. Currently we are encouraging all employees to remain

This position is not eligible to be performed in Colorado.

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health well-being and peace of mind of those we serve. Together with colleagues around the world we aspire to transform health services making them more affordable and accessible to millions. Through our unmatched expertise bold action fresh ideas and an unwavering commitment to patient-centered care we are a force of health services innovation. When you work with us or one of our subsidiaries you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

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