Provider Relations Manager - Cigna Healthcare - Remote - CA, NV
Core
Manage end-to-end provider experience and service delivery for a medium to low complex book of business, acting as an external advocate and strategic partner.
Role type
Senior IC provider relations manager (account management)
Builds
Strategic action plans, joint operating committees, and service improvements for assigned provider networks
Domain
Health insurance / Provider network management
Deliverable
client delivery
Required skills
Account management, provider relations, market intelligence analysis, strategic planning, issue resolution, negotiation, data reporting
Preferred skills
Claims administration, Proclaim or Facets platform experience, medical insurance product knowledge
Technologies
Outlook, Teams, Excel, PowerPoint, Word, Proclaim, Facets
Responsibilities
Create and maintain individual provider strategic action plans; manage joint operating committees; collect and analyze provider informatics and dashboards; track performance guarantees; educate providers on business objectives and policies; represent Cigna in external medical societies and provider associations.
Seniority
Mid-Senior, hands-on IC
