Provider Relations Manager - Cigna Healthcare - Remote - KS, MO

Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Overland Park, KS or St. Louis, MO. In order to support the business and due to the assigned Book of Business, we are planning to hire a candidate from Kansas or Missouri.

The Provider Relations Manager / Provider Relations Lead Analyst, is a n external provider facing role with account management responsibilitie s for a medium to low complex bo ok of b usiness. The role is accounta ble for the overall provider e xperience by working in collaboration with matrix partners to drive on-going service improvements, understand, articulate and resolve service imp acts, 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 improv e the relationship between Cigna and the provider .

Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers   L eads, collaborates, and supports local market dir ection as it relates to improving the provider experience   Creates and maintains individual provider strategic action plans   Proactively identify new opportunities and risks for provider s at market or national level and drives resolution   Exercises good judgment and discretion to support the provider experience   Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive s trategic im provements   External facing with provider s in assigned BOB    Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards   Track and monitor performance guarantees for assigned BOB   Promotes Provider Index score improvement through proactive and effective service and support of network   Review provider reports/dashboard with individual provider s   Pr oactively educate provider s on Cigna 's business objectives , standard operating procedures, policies and programs to influence behavior and how to work with Cigna   Serve as a provider advocate both internally and externally   Understands and applies service culture principles and methodology   Serve s as a provider advocate both internally and externally   Serve s in a consultative role or subject matter expert to key matrix partners   Develops and participates in presentations to existing and prospective provider s and/or clients   Serves as advocate in external community, representing CIGNA to medical societies and external provider associations.   Manage 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 required. 5 + years of experience in provider relations highly preferred. Claims administration experience is highly preferred. Solid root cause analysis with claims issues is highly preferred. Experience with MS Office (Word, Outlook, PowerPoint) is highly preferred. Solid experience with Excel (to include pivot tables and VLOOKUP) is highly preferred .   Knowledge of other systems include Proclaim, Facets and PWB would be preferred. Understanding of medical insurance products and associated provider issues is highly preferred. Ability to lead cross-functional partners to a common goal. Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.   Ability to work in a matrix environment.   Travel may be required (up to 25%)   CORE COMPETENCIES   Organizational savvy, Plans and aligns,   Collaborates, Communicates Effectively, Interpersonal Savvy, Tech Savvy,   Being Resilient, Action oriented, Decision quality,