Network Ops Senior Analyst
Assists in developing and managing the physician/provider network for assigned territory. Responsible for relationship management with assigned provider groups and their staff, as well as executing with provider group on initiatives that benefit the customer, provider, and health plan.
- Requires at least 50% local travel to network providers (when allowed by state)
- Coverage Area – metro-Atlanta area
- Car & valid driver's license required (mileage reimbursement provided)
RESPONSIBILITIES:
Responsible for assisting with the general oversight of provider network in assigned territory, to include financial performance, quality initiatives, provider data accuracy, trend analysis, and provider engagement (particularly PCPs and hospital partners). Responsible for collaborating with administrator on strategic plans on growth, development, and vision for assigned territory. Participates with manager in monthly financial review with senior management. Expected to assist in managing key partner relationships for assigned territory. Develops and maintains relationships with physicians, providers, practice managers, and care coordination teams with health system/large clinic partners within the provider network to drive optimal performance on Stars, coding, utilization, and overall financial performance. Responsible for ensuring provider updates are processed correctly and communicated back to necessary provider groups, as well as assistance with provider questions, grievances, and issues (claims, referrals, etc.).
QUALIFICATIONS:
MINIMUM: Bachelor’s degree or equivalent, relevant experience.
PREFERRED: Master’s degree. Experience in provider relations or managed care.
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
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.