• Job Description

  Req#: 23013009

  The Provider Engagement Manager builds relationships with Post-Acute Care/DME/Home Solutions providers; drives performance through data analysis and metrics and develops “Centers of Excellence” along with clinical and medical economics. Acts as the main contact for Partner Executive, Managerial and Administrative Staff. Acts as a liaison between business internal operations and clinical teams and our provider partners. Solves process problems crossing multiple functional areas and business units by getting to the right department. Analyzes the problem, draws relevant conclusions, and devises and implements appropriate plan of action. Proactively identifies issues that may hinder provider relationships, utilization and financial performance and works with key individuals within the organization to implement solutions. In conjunction with Clinical and marketing teams, identifies provider education/outreach needs, develops communication strategy, and assists in collateral development.

  What you must have

  • Bachelor’s Degree, preferred or equivalent work experience

  • 5+ years’ healthcare experience in operations, network development, project management and/or provider service management

  • Excellent negotiation skills

  • Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels.

  • Proven ability to build strong relationships with the provider community.

  • Strong financial analytics experience

  • Proven ability to solve process problems crossing multiple functional areas and business units

  • Exceptional presentation, written and verbal communication skills.

  • Ability to work independently and remain on task. Good organization and planning skills.

  • Ability to effectively manages one’s time and resources to ensure that work is completed efficiently

  • Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership

  Duties and Responsibilities

  • Provides expert content/professional leadership on complex Provider Relations assignments/projects.

  • Manages specific programs and/or processes in the development and management of physician/provider network, which includes recruiting, servicing, and training health care professionals.

  • Builds and maintains effective long-term relationships and a high level of satisfaction with key senior-level decision makers and influencers of an assigned group of providers that may include key strategic partnerships.

  • Specific responsibilities include, but are not limited to: developing and maintaining effective health care professionals recruitment and retention programs; initiating and maintaining effective communication channels with contracted health care professionals to ensure understanding of policies and procedures; participate in work groups to develop processes to improve satisfaction.

  • Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders.

  • Focuses on providing thought leadership within Provider Relations but works on broader projects, which require understanding of wider business.

  • Ideal candidate will reside in or around the states of: MS, AL, GA, SC or FL and is expected to travel on an as needed basis to client/provider locations in this region.

  
  

  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 72,000 - 120,000 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 Evernorth Health Services

  Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.

• About the company

  Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.

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