Houston, Texas, USA
1 day ago
Provider Relations Representative - Evernorth Health Services - Remote, TX

**Due to the book of business, we plan to hire a candidate from Houston, TX or from the surrounding area**

SUMMARY

This position is an external provider facing role with account management responsibilities for a medium to low complex book of business primarily servicing Houston, TX and the surrounding areas. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements, understand, articulate and resolve service impacts, and drive the overall provider strategic planning solutions. This individual is empowered within their scope to make decisions as it pertains to the experience with Cigna, is required to have local market knowledge and visibility, builds and continuously improve the relationship between Cigna and the provider.

DUTIES AND RESPONSIBILITIES

Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers to include all medical lines of businessLeads, collaborates, and supports local market direction as it relates to improving the provider experienceCreates and maintains individual provider strategic action plansProactively identify new opportunities and risks for providers at market or national level and drives resolutionExercises good judgment and discretion to support the provider experienceResponsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvementsExternal facing with providers in assigned BOBCollect, analyze, interpret, translate and distribute provider informatics, reports, dashboardsTrack and monitor performance guarantees for assigned BOBPromotes Provider Index score improvement through proactive and effective service and support of networkReview provider reports/dashboard with individual providers                                            Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with CignaServe as a provider advocate both internally and externallyUnderstands and applies service culture principles and methodologyServes as a provider advocate both internally and externallyServes in a consultative role or subject matter expert to key matrix partnersDevelops and participates in presentations to existing and prospective providers and/or clientsServes as advocate in external community, representing Cigna to medical societies and external provider associations.Manage service joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities

PREFERRED QUALIFICATIONS                                                                            

Bachelor's degree or higher strongly preferred or equivalent work experience required5+ years of experience in provider relations highly preferredDemonstrated excellent oral, written, interpersonal, analytical, and negotiation skillsAbility to use Microsoft software (VLOOKUP in Excel is a plus)Understanding of medical and commercial insurance products is preferredAbility to work in a matrix environment>40% travel  

CORE COMPETENCIES

Organizational savvyPlans and alignsCollaboratesCommunicates EffectivelyInterpersonal SavvyTech SavvyBeing ResilientAction orientedDecision qualityCustomer FocusBuilds NetworksInstills Trust


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 65,500 - 109,100 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Confirm your E-mail: Send Email