Provider Relations
il y a 3 semaines
YOUR JOB
As a Provider Relations Specialist you will be part of the Provider Organization, being responsible to manage the relationship with Health Care Providers. You will work very closely with your peers strategically positioned across the globe and Provider Services organization.
Key to the role will be the end to end managing the partnership with health provider accounts, such as hospitals or clinics and support their journey from on-boarding, supporting on the daily / monthly interactions with Cigna, guiding them to navigate Cigna operating model, monitoring their performance, and driving engagement initiatives.
**Your role includes**:
Accountable to enable an effective and efficient collaboration with health providers in order to deliver a 5 star customer experience through the partnership with our providers.
Secure a smooth on-boarding and day-to-day operational maintenance of provider relationships
Conducts all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential road-blocks preventing a successful partnership, including but not limited to:
Onboarding and overview of member recognition and eligibility process
Claims submission
Cigna operating model
How to use Envoy
Points of contact
Manage the ongoing relationship and handling day-to-day operations directly with health care providers, including the follow up and resolution of potential complaints, escalations, suspensions or threats
Responsible to enable an effective and efficient collaboration with health providers through monitoring and analyzing the Operations KPIs, the results of the reconciliation of the accounts and others in order to provide a comprehensive support on their interpretation and assurance of further follow up if needed;
Conduct regular root cause analysis and consolidated feedback of the data obtained out of the reconciliation outcome, complaints or other sources ,striving for continuous service delivery improvement through BAU collaboration with different teams;
Active communication and prompt follow up combined with regular meetings with your dedicated health care providers
Consolidated feedback to PS management team striving for continuous service delivery improvement through BAU collaboration with different teams;
Continuous improvement and maintenance of provider communications channels taking into consideration the local habits and practices.
Proactive education to providers on the way to work with Cigna, including the roll out of new processes.
Provider visits
YOUR PROFILE
If internal 2 years of Cigna experience, relevant experience in other functions/companies, and a strong performance track record;
If external, at least 2 years of experience in Operations, Data analysis, Marketing/Communications or Relationship Management, with operational and customer/provider-facing experience profile.
Proficient in English & German, additional language is a plus
Strong analytical and problem-solving skills.
International mind-set able to work remotely with colleagues, partners and providers across the globe;
Striving for excellent service to our members, clients and providers is part of your DNA;
Strong can-do attitude, and high qualification in relationship management, including a broad understanding of multicultural behaviors
Action-orientated problem-solving attitude
Excellent organization, planning and prioritization skills to meet deadlines
Experience in complaint management - with a proven track record in improving customer service standards
Ability to assess the situation/issue, carry out appropriate research, gather the relevant data and provide constructive feedback on the outcome;
Accountability - to assume ownership for achieving personal results and to contribute for collective team goals
Excellent communication skills - verbal, written and presentation.
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.
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